Smoking cessation
Hello Dr.
Tang: I really want to quit smoking recently and have started taking action, but I feel very sleepy.
I used to smoke 2 packs a day, and not smoking at all on the first day feels very uncomfortable.
I think I should quit gradually, so on the second day, I only smoked 10 cigarettes.
By the third day, the urge to smoke has decreased, but I still feel dizzy when I smoke, yet I continue to smoke, only finishing half a cigarette before putting it out.
Is this the right approach? However, I keep feeling sleepy; why is that? Is it related to nicotine? Please tell me what the best way to quit smoking is.
Thank you.
kāndī, 40~49 year old female. Ask Date: 2004/11/05
Dr. Tang Xinbei reply Smoking Cessation
Dear Candy,
I am very pleased to see that you have made the decision to quit smoking and have started taking action! It is indeed quite challenging at the beginning.
Since nicotine has a mild stimulating effect, you may feel sleepy, which is a common early withdrawal symptom.
Your current approach of gradually reducing your intake (smoking only 10 cigarettes a day and extinguishing them halfway) is a viable method, but this step should ideally last only one to two weeks.
After that, you should continue to decrease your consumption (for example, reducing to 5 cigarettes a day) until you completely quit smoking.
If you experience any discomfort during this process, such as increased irritability, anxiety, low mood, tremors, or tingling sensations in the skin, it is important to be patient.
If you find it difficult to resist the temptation (having the urge to smoke), it is best to visit a smoking cessation clinic nearby, where professionals can provide you with the necessary support.
Wishing you peace, joy, and success in your journey to quit smoking!
Reply Date: 2004/11/05
More Info
Quitting smoking is a significant challenge, especially for someone who has been smoking heavily for an extended period. Your experience of feeling sleepy and having cravings is quite common among individuals attempting to quit. The symptoms you are experiencing, including increased sleepiness and cravings, are primarily due to nicotine withdrawal. When you stop smoking, your body goes through a series of adjustments as it tries to cope without nicotine, which can lead to various physical and psychological symptoms.
Understanding Withdrawal Symptoms
Nicotine is a highly addictive substance, and when you quit smoking, your body reacts to the absence of nicotine. Common withdrawal symptoms include:
1. Cravings: Intense urges to smoke can occur, especially in situations where you previously smoked.
2. Sleep Disturbances: Many individuals report changes in their sleep patterns, including insomnia or excessive sleepiness.
3. Mood Changes: Feelings of irritability, anxiety, and depression can arise during withdrawal.
4. Physical Symptoms: These can include headaches, dizziness, increased appetite, and gastrointestinal issues.
The fact that you are feeling sleepy could be attributed to several factors. Firstly, nicotine acts as a stimulant, and without it, your body may feel fatigued as it adjusts. Additionally, the stress of quitting can also lead to fatigue. It’s essential to listen to your body during this time and allow yourself to rest when needed.
Effective Strategies for Quitting Smoking
1. Set a Quit Date: Choose a specific date to quit smoking and prepare yourself mentally for this change.
2. Gradual Reduction: As you mentioned, gradually reducing the number of cigarettes you smoke can be an effective strategy. This method can help ease withdrawal symptoms as your body adjusts to lower nicotine levels.
3. Nicotine Replacement Therapy (NRT): Consider using nicotine patches, gum, or lozenges. These products can help reduce withdrawal symptoms by providing a controlled dose of nicotine without the harmful effects of smoking.
4. Behavioral Support: Engaging in counseling or support groups can provide motivation and strategies to cope with cravings. Many find that sharing their experiences with others in similar situations can be beneficial.
5. Avoid Triggers: Identify situations or activities that trigger your urge to smoke and try to avoid them, especially in the early stages of quitting.
6. Healthy Alternatives: Find alternative activities to distract yourself from cravings. This could include exercise, hobbies, or relaxation techniques such as deep breathing or meditation.
7. Stay Hydrated and Eat Well: Drinking plenty of water and maintaining a balanced diet can help your body recover from the effects of smoking and withdrawal.
8. Celebrate Milestones: Acknowledge and reward yourself for reaching milestones in your quitting journey, whether it's one day, one week, or one month smoke-free.
Conclusion
Quitting smoking is a journey that requires patience and perseverance. It's normal to experience withdrawal symptoms, and they typically diminish over time. If you find that your symptoms are particularly severe or persistent, it may be beneficial to consult with a healthcare professional who can provide personalized support and possibly prescribe medications to help manage withdrawal symptoms.
Remember, every effort you make to quit smoking is a step toward better health. Stay committed to your goal, and don't hesitate to seek support from friends, family, or professionals. You have the strength to overcome this challenge, and the benefits of quitting smoking are well worth the effort. Good luck on your journey to becoming smoke-free!
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