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Getting ready to quit You want to quit smoking. You’ve promised to quit smoking. But for some reason you haven’t been able to. Maybe you’ve tried but then started again. So you might be wondering: Why is it so hard?

— Nicotine addiction is the reason so many smokers keep smoking—even when they want to quit — Smokers who want to quit, but can’t, may find themselves frustrated by start-and-stop smoking—they try to quit, end up smoking, then try to quit again

You’re not alone

70% of smokers want to quit 1-3* — Millions of people each year try to quit smoking but fail Most smokers make multiple attempts to quit before being successful. However, effective treatments exist that can help you quit long term or even forever3-5

Scientists now believe that nicotine affects some people more than it does to others 9-11

Every 6.5 seconds, someone dies from diseases related to tobacco use13

Worldwide, smoking causes nearly 5 million deaths every year13

Half of all smokers who begin to smoke as teenagers can be expected to die from tobacco use3

Fatal heart attacks are 4 times more common in young men who smoke than in those who don’t 3

• •

Smoke goes into your lungs, and nicotine is rapidly absorbed into your blood12

If you have smoked for a while, you may constantly need to satisfy the craving for nicotine7,15,16

Think about how you arrange your day around smoking. You’ve lost a little bit of control of your life. So don’t let smoking control you any more. You can stop. You can get your life back

Nicotine reaches your brain in about 10 seconds3,12

Smoking causes chemical changes in your brain that affect how you feel and act 3,7

The drug-like effects of nicotine include3,7:

— Feeling good when smoking — Withdrawal symptoms such as craving and anxiety when exposure to nicotine is stopped

• *In countries with established tobacco-control policies.

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Together, they account for close to two-thirds of all deaths in Singapore in the year 200014




1. Has the number of cigarettes you smoke daily increased over time? YES


2. Do you need to smoke as soon as you get up in the morning? YES


3. Do you smoke more—and more often—than you want to? YES



4. Do you want to quit smoking or have you tried unsuccessfully to cut down?

— Mental and physical dependence


Smoking causes cancer and is a major risk factor for coronary heart disease, stroke and chronic obstructive lung disease14

Smoking becomes part of your life

When you smoke

Do you stop and start and stop and start?

The reason most people get addicted to smoking is because of a chemical called nicotine that is found in tobacco—they’re actually addicted to the nicotine3,4,7,8


Smoking consequences

You may not realize that a lot of things you do every day are connected to smoking7,17 — For example, if you have a cigarette every time you drink a cup of coffee, you’ll get to the point where you just can’t drink the coffee without wanting a cigarette Here are some other everyday activities that may send you reaching for a cigarette10,17: — Driving — Waking in the morning — Reading — Finishing a meal — Drinking alcohol — Watching TV or coffee — Taking a break at work



5. Do you have certain routines for smoking that take


up a lot of your time? YES


6. Do cigarettes affect how you live your daily life? YES


7. Do you continue to smoke even though you have physical problems that may have been caused by cigarettes? YES




If you’ve become dependent on smoking, you may need help quitting. It is important that you talk to your doctor about getting the help you need.

To quit smoking, you need to learn to do everyday things without cigarettes. That’s how you teach your brain to stop wanting nicotine7,17 3

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How will my health improve after quitting smoking?

You’re not sick. You feel fine. So why should you talk to your doctor?

The general health benefits that result over time from quitting smoking may vary depending on the individual.

It is proven that smokers who want to quit and are motivated to quit have the greatest chance of success.8,19,20

• • • • • •


Do you want to quit smoking? Have you tried to quit before? Do you believe you can quit? Do you think about the risks of smoking? Do you think that quitting will make you feel better? Do you realize that quitting will be hard, yet you still want to try?

24 Hours 21 First

8 Hours 21 Nicotine and carbon monoxide levels in the blood reduce by half and the oxygen levels in the blood return to normal. Circulation improves

Your answers to these questions may indicate that you are ready to quit smoking. To give yourself the best chance of quitting for good, talk to your doctor to plan a quitting program that will work for you.


Carbon monoxide and nicotine is eliminated from the body

Days 21 The ability to taste and smell improves


Year21 Three to Nine


Month21,22 Smoking damages the skin and causes premature ageing. After quitting smoking, the skin loses its greyish pallor and becomes less wrinkled

➜ Cannot control your cravings for nicotine?23 Try the following behavioral coping skills: • Exercise • Take deep breaths • Have a drink of water • Eat or chew on healthy snacks • Do a relaxation exercise • Take a shower • Keep yourself busy-read, go for a walk, listen to music




The early and long-term benefits of quitting Everyone knows that smoking is bad for their health. But did you know that cigarette smoke contains over 4000 chemicals, some of which are known to cause cancer?6 The good news is that quitting can reverse the effects of smoking, starting almost right away.



Are you a motivated quitter?


Coughing and wheezing declines

The risk of a heart attack decreases by half compared to that of a smoker

When will the cravings end?23

Weight control after quitting24

Live a longer life after quitting smoking25

Nicotine withdrawal cravings usually last one or two weeks if you don’t smoke. Habit cravings slowly go away as you have different situations without smoking. However, new situations or a lot of stress can still trigger cravings. Most people who have quit for a year or more rarely have habit cravings. You may always have memories of smoking. Some of these will be pleasant memories, but most ex-smokers do not feel strong cravings to smoke while having these memories.

Weight gain after quitting is likely, but not a sure thing. About 80% of people who quit smoking gain weight at first and most lose weight over time with no special action. But there are things that can be done to reduce the chances of gaining weight after quitting. • Eat right Limit fats (low fat foods include: fruits and vegetables, lean meats and fish/spices, skim milk and yogurt) • Reduce or avoid high calorie sweet foods • Exercise

A study published in the American Journal of Public Health found that life expectancy among smokers who quit at 35 exceeded that of continuing smokers by 6.9 to 8.5 years for men and 6.1 to 7.7 years for women. Smokers who quit at younger ages realized greater life extensions. However, even those who quit much later in life gained some benefits: among smokers who quit at age 65 years, men gained 1.4 to 2.0 years of life, and women gained 2.7 to 3.7 years

The risk of lung cancer decreases by half compared to that of a smoker

The risk of a heart attack decreases to the same as someone who has never smoked

IT’S TIME TO GET HELP • You know quitting smoking will be hard • Need a helping hand to stay smoke free? Call the QuitLine @ 1800 438 2000 or visit the Health Promotion Board Website@ for more information

• Prescription medicines have been developed to make quitting easier and increase your probability of success. Ask your doctor what new therapies are available for quitting smoking


How much money can I save from quitting smoking? If you smoke an average of one pack a day, you can save $80+ a week, $300+ a month and $4000+ a year

References: 1. Foulds J, Burke M, Steinberg M, Williams JM, Ziedonis DM. Advances in pharmacotherapy for tobacco dependence. Expert Opin Emerg Drugs. 2004;9:39-53. 2. Department of Health. Smoking Kills: A White Paper on Tobacco. London, England: Stationery Office; 1998. 3. Fagerström K. The epidemiology of smoking: health consequences and benefits of cessation. Drugs. 2002;62(suppl 2):1-9. 4. Fiore MC, Bailey WC, Cohen SJ, et al. Clinical Practice Guideline: Treating Tobacco Use and Dependence. Rockville, Md: US Dept of Health and Human Services, Public Health Service; 2000. 5. American Cancer Society. Guide to quitting smoking. February 13, 2006. Available at: http://www.cancer. org/docroot/PED/content/PED_10_13X_Guide_for_Quitting_Smoking.asp. Accessed February 16, 2006. 6. American Cancer Society. Questions about smoking, tobacco, and health: is there a safe way to smoke? February 13, 2006. Available at: asp?sitearea=PED&viewmode=print&. Accessed March 1, 2006. 7. US Department of Health and Human Services. Reducing the Health Consequences of Smoking: 25 Years of Progress: A Report of the Surgeon General. Atlanta, Ga: US Dept of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 1989. Available at: Accessed October 25, 2005. 8. Prochazka AV. New developments in smoking cessation. Chest. 2000;117(suppl 1):169S-175S. 9. DiFranza JR, Wellman RJ. A sensitization–homeostasis model of nicotine craving, withdrawal, and tolerance: integrating the clinical and basic science literature. Nicotine Tob Res. 2005;7:9-26. 10. Zbikowski SM, Swan GE, McClure JB. Cigarette smoking and nicotine dependence. Med Clin North Am. 2004;88:1453-1465. 11. Madden PA, Heath AC, Pedersen NL, Kaprio J, Koskenvuo MJ, Martin NG. The genetics of smoking persistence in men and women: a multicultural study. Behav Genet.1999;29:423-431. 12. Benowitz NL. Nicotine pharmacology and addiction. In: Benowitz NL, ed. Nicotine Safety and Toxicity. New York, NY: Oxford University Press; 1998:3-16. 13. World Health Organization. Facts and figures about tobacco. Available at: pdf. Accessed June 12, 2006. 14. Health Promotion Board. HPB Online. 15. Anthenelli RM. Recent advances in the treatment of tobacco dependence. Clin Neurosci Res. 2005;5:175-183. 16. Dani JA, De Biasi M. Cellular mechanisms of nicotine addiction. Pharmacol Biochem Behav. 2001;70:439-446. 17. Rigotti NA. Treatment of tobacco use and dependence. N Engl J Med. 2002;346:506-512. 18. American Psychiatric Association. Substance-related disorders. In: Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association; 1994:175-273. 19. West R, McNeill A, Raw M. Smoking cessation guidelines for health professionals: an update. Thorax. 2000;55:987-999. 20. Prochaska JO, DiClemente CC, Norcross JC. In search of how people change: applications to addictive behaviors. Am Psychol. 1992;47:1102-1114. 21. Action on Smoking and Health-September 2007. Factsheet no. 11 : Stopping smoking: The benefits and aids to quitting. Available at . 22. Action on Smoking and Health-August 2007. Factsheet no. 10 : How smoking affects the way you look. Available at . 23. Forever Free: A guide to remaining smoke free. Booklet 2 “Smoking Urges” Developed by the Tobacco Research & Intervention Program of the H. Lee Moffitt Cancer Center & Research Institute. © 2000. Also available online at ( 24. Forever Free: A guide to remaining smoke free. Booklet 3 “Smoking and weight” Developed by the Tobacco Research & Intervention Program of the H. Lee Moffitt Cancer Center & Research Institute. © 2000. Also available online at ( 25. Am J Public Health. 2002; 92;990-996.

Champix Patient Brochure / Nov 07


Pfizer Pte Ltd 152, Beach Road #29-00 Gateway East Singapore 189721 Tel: (65) 6311 3688 Fax: (65) 6311 3699 Website:


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If you’ve become dependent on smoking, you may need help quitting. It is important that you talk to your doctor about getting the help you n...

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