Effective Smoking Cessation: Exploring Options and Support in Taiwan

Q: Effective Smoking Cessation: Exploring Options and Support in Taiwan

Hello Ms. <br>Chang： The "nicotine tablet" you mentioned may refer to "nicotine gum," which, when used correctly, should have effects comparable to nicotine patches. <br>Both are forms of "nicotine replacement therapy" and are currently recognized as the most effective pharmacolo

Smoking cessation

Hello, I have been smoking for over 10 years and recently want to quit, but I lack willpower.
I had a consultation in April and used patches, but the effect was not significant.
I wonder if nicotine lozenges are effective.
Is there a hospital that offers this medication under health insurance? Is there a hospital that provides such programs from 9:00 AM to 5:30 PM? Or do you have any better suggestions? Please let me know.
Thank you.

Zhang, 30~39 year old female. Ask Date: 2003/05/11

Dr. Liu Huiya reply Pharmacology

Hello Ms.
Chang: The "nicotine tablet" you mentioned may refer to "nicotine gum," which, when used correctly, should have effects comparable to nicotine patches.
Both are forms of "nicotine replacement therapy" and are currently recognized as the most effective pharmacological treatments for smoking cessation.
Neither of them is covered by the national health insurance at this time.
Treatment typically requires continuous use of gum or patches for 2 to 3 months, along with adherence to guidelines such as refraining from smoking, consuming a diet rich in fruits and vegetables while limiting meat, maintaining a regular sleep schedule, and engaging in regular physical activity during the treatment period.

You had an appointment in April and found the patch to be ineffective, which may be due to starting with an inappropriate dosage or because you had only been using the patch for a few weeks and had not yet completed the entire smoking cessation regimen.
It could also be related to not fully adhering to the aforementioned guidelines during that time.
I recommend that you continue to follow up with your physician in the outpatient clinic to complete your smoking cessation plan.
You can also request a smoking cessation manual or visit the National Health Bureau's smoking cessation resources at http://www.bhp.doh.gov.tw/index03.htm to help you understand various precautions during the quitting process.

Our Bali outpatient center offers nicotine patches and gum at half price during the smoking cessation clinic every Wednesday afternoon, assisting determined individuals in effectively quitting smoking.
In addition to participating in outpatient smoking cessation treatment services, you can also join smoking cessation classes organized by hospitals and local health offices, or call the smoking cessation hotline at 0800-636363 for individual counseling services.
Since the start dates for smoking cessation classes vary by hospital, you may inquire with your local health bureau's tobacco control personnel or call 0800-571571 (I Quit Smoking, I Quit Smoking).
Wishing you success in quitting smoking!

Reply Date: 2003/05/11

More Info

Effective smoking cessation is a significant public health concern, especially in Taiwan, where smoking rates remain relatively high among various age groups. As you mentioned, you have been smoking for over ten years and are now looking for effective ways to quit. It's important to understand that quitting smoking is a process that often requires multiple attempts and a combination of strategies to be successful.

Understanding Smoking Cessation Options
1. Nicotine Replacement Therapy (NRT): NRT is a common method used to help individuals quit smoking. It includes products like nicotine patches, gum, lozenges, inhalers, and nasal sprays. These products work by providing a controlled dose of nicotine to reduce withdrawal symptoms and cravings. While you mentioned that the patch you used did not yield significant results, it’s worth noting that different individuals respond differently to various forms of NRT. If the patch was ineffective, you might consider trying other forms, such as nicotine gum or lozenges, which can offer more immediate relief from cravings.

2. Prescription Medications: There are prescription medications available that can assist in smoking cessation. Two commonly prescribed medications are Bupropion (Zyban) and Varenicline (Chantix). Bupropion is an antidepressant that can help reduce cravings and withdrawal symptoms, while Varenicline works by stimulating nicotine receptors in the brain, which can help reduce the pleasure associated with smoking. Consulting with a healthcare provider about these options can provide you with a tailored approach based on your medical history and smoking habits.

3. Behavioral Support: Combining medication with behavioral support significantly increases the chances of quitting successfully. This can include counseling sessions, support groups, or smoking cessation programs offered by hospitals or community health organizations. These programs often provide education about the quitting process, coping strategies for cravings, and support from others who are also trying to quit.

4. Hospital Programs: Many hospitals in Taiwan offer smoking cessation programs that include both medication and behavioral support. These programs typically operate during regular business hours (9:00 AM to 5:30 PM). You can inquire at local hospitals or clinics about their specific offerings, including whether they have trained staff to assist with cessation efforts and what types of medications are covered by health insurance.

Additional Considerations
- Personal Motivation: It’s crucial to identify your personal reasons for wanting to quit smoking. Whether it’s for health reasons, financial savings, or the desire to set a good example for family members, having clear motivations can help strengthen your resolve.

- Support Systems: Engaging family and friends in your quitting journey can provide additional support. They can help hold you accountable and encourage you during challenging times.

- Managing Triggers: Understanding what triggers your cravings is essential. This could be stress, social situations, or even certain activities. Developing strategies to cope with these triggers can help you avoid relapse.

- Mindfulness and Stress Management: Techniques such as mindfulness, meditation, or yoga can help manage stress and reduce the urge to smoke. Incorporating these practices into your daily routine may provide additional support in your quitting journey.

Conclusion
Quitting smoking is a challenging but achievable goal. It often requires a multifaceted approach that includes medication, behavioral support, and personal commitment. If you are considering using nicotine replacement therapy or prescription medications, I recommend discussing these options with your healthcare provider to find the most suitable plan for you. Additionally, participating in a structured smoking cessation program can provide the support and resources needed to increase your chances of success. Remember, every attempt to quit is a step toward a healthier life, and persistence is key. Good luck on your journey to becoming smoke-free!

Similar Q&A

Struggling to Quit Smoking: Seeking Support and Alternatives in Taiwan

I have been smoking for over nine years. At first, I smoked very little, but gradually I increased my intake. There was a time when I smoked more than two packs a day. I have tried to quit many times but have been unsuccessful. When I don't smoke, I feel really uncomfortable...

Dr. Xiao Ruihui reply Smoking Cessation
Hello Ming: You can seek treatment at a smoking cessation clinic. Nicotine patches should be applied once a day and must contain nicotine to be effective. Therefore, please visit a hospital's smoking cessation clinic. You can find relevant smoking cessation hospitals or clin...

Understanding the Age Demographics of Smoking Cessation in Taiwan

Hello, Dr. Lee... I would like to know what age group most people who are quitting smoking belong to now. My father, brother, and even my younger brother who is only 15 years old all smoke, but when I mention the smoking cessation clinics, they think it's only for older peop...

Dr. Li Jiawen reply Smoking Cessation
According to a survey conducted in 1999, the smoking rates among adults aged 18 and older in Taiwan are 47% for men and 5% for women, while for adolescents aged 12 to 17, the rates are 11% for boys and 3% for girls. This totals approximately 4.5 million smokers in Taiwan, with ar...

Effective Strategies for Quitting Smoking: A Guide for Beginners

Hello Dr. Chen, I am an advertising professional and live alone. I have gradually developed a relationship with smoking since my adolescence and have never considered quitting until recently, due to certain factors. I now have the desire to quit smoking for good. What steps shoul...

Dr. Chen Ruiqing reply Smoking Cessation
Hello Miss Ivy: Quitting smoking can be challenging, and relying solely on willpower may not be sufficient, making the process more difficult. Currently, there are nicotine patches and nicotine gum available that can help you easily overcome the harmful effects of smoking. You ca...

Is Gradual Smoking Cessation an Effective Strategy for Smokers?

Dr. Chen: I have been smoking for 13 years. A few years ago, I used to smoke about a pack a day, but in recent years, I smoke around 10 cigarettes a day. Sometimes, when I am under a lot of work pressure or during gatherings with friends, I smoke more. I have tried to quit smokin...

Dr. Chen Mingzhe reply Smoking Cessation
Hello, A-Bao: First of all, I apologize! Sorry! Recently, I have been compiling the conclusions of the research conducted by the Department of Health, which has caused a slight delay in addressing your questions. Quitting smoking is similar to the desensitization treatment for su...