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Questions posted in the
The Addiction Forum have been answered by
Steven Adelman, M.D. and by Richard C. Bozian M.D. F.A.C.P. of Harvard Vanguard Medical Group.
Question Title: I WANT TO QUIT SMOKINGForum: The Addiction Forum
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I AM A 42 YR OLD MALE. I HAVE HAD TYPE II DIABETES FOR THE PAST 5 YRS AND TREAT IT DAILY WITH INSULIN. IN MAY 1998 I WAS DIAGNOSED WITH CONGESTIVE HEART FAILURE AND IN OCTOBER A HEART CATHETERIZATION DETERMINED THAT I ALSO HAVE CARDIOVASCULAR DISEASE. MY DOCTORS HAVE CHOSEN TO TREAT MY PROBLEMS WITH ALOT OF MEDICATION. I TRIED ZYBAN FOR 2 MONTHS TO QUIT SMOKING, AND ALTHOUGH I HAVE REDUCED MY SMOKING HABIT FROM 1 1/2 PACKS A DAY TO ABOUT 1/2 PACK A DAY, I JUST CANT LET GO OF IT ENTIRELY. WHAT ELSE CAN I DO?????
_______ Scott, You clearly need to stop smoking altogether; doing so will have a very positive effect on your life expectancy. You would clearly benefit from an education group smoking cessation program, and you should contact the closest branches of the American Lung Association or the American Cancer Society to find out about them if your physician cannot help you locate one. You should then set a quit date, and once you have quit, consider trying the Nicorette Gum (4mg, available over the counter) whenever you feel like having a cigarette. I am also quite impressed with a new prescription product, the Nicotrol Inhaler, for which your doctor can give you a prescription. Read what one of my patients had to say about this product: "I am finally doing it, I am not smoking ANYMORE! I started the Nicotrol Inhaler System on Sunday night. I have been 1.Plastic Cartridge Container (similar in appearance to a cigarette package) "So, let's see, I started on Monday. It is now Friday morning, and I am only on the second strip of cartridges. I have used only 9 "Talk to your Doctor and figure out the proper dosage together. "Don't over-use the inhaler. However, chewing on the dang thing is just fine. "Thank you DrSteve for allowing me this opportunity to test out the product. You are the man !!! Thank you. My complaints are "It is extremely difficult to know when the cartridge is empty of nicotine. After a couple of days, I have sort of gotten the idea "So, for now, I am gonna keep on puffing on this inhaler. I think I can do it. Just gotta stay away from that there chocolate If you are determined to stop and you keep working at it, you will succeed! All the best, Steve Adelman, M.D. (a.k.a. DrSteve) The information provided is for general medical education purposes only, and not a substitute for medical diagnosis and treatment provided by your physician.
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