Is there really a "best way" to quit smoking?

2:10 PM, Feb 19, 2018
9:49 AM, Dec 12, 2018

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">If you’re thinking about quitting tobacco, you might be wondering if there’s really a best way to quit smoking.</span></span></span>

There are four methods people typically use to quit:

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">1. Cold turkey</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">2. Nicotine replacement therapy only</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">3. Counseling support only</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">4. Counseling support + nicotine replacement therapy</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">There are benefits and challenges of each. There is also no right or wrong way to quit. No matter which one you choose, the fact that you’re taking the first step to quit is what’s important.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Quitting cold turkey</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">What it is: Deciding to stop all nicotine at once</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Success rate: Very limited1</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">This is the classic method for quitting that you’ve probably tried at least once. People have different methods for going cold turkey, but the basic idea is that you decide when you’re going to quit tobacco, and stop using any more from that point forward. Some people prefer this method because you can start at any time, but it’s the hardest method to stick to.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Benefits:</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• You can choose to quit at any moment.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• No cost.  Since you’re not using any aids to quit, there’s no cost to you, plus you can save the money that you would have spent on tobacco.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Challenges:</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• High rate of relapse. Studies have shown that only 3-5% of cold turkey quitters are successful.1</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Can be stressful because it requires a lot of willpower to accomplish.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Higher chance of severe nicotine withdrawal symptoms.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Feelings of failure.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Nicotine replacement therapy only</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">What it is: Quitting with the help of medications that contain nicotine</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Success rate: Varies</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Nicotine replacement therapy (NRT) is the general name for medications that help you quit tobacco, like nicotine gum, patches, orlozengesas well as prescriptions like Chantix, Zyban (Wellbutrin), nicotine inhalers and nicotine nasal spray. The main benefit of NRTs is that they can help reduce your nicotine withdrawal symptoms while you quit. When you work with a Quit Coach through ASHLine, may be eligible to receive four weeks of free NRTs.*</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Benefits</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Helps you manage your nicotine withdrawal symptoms.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Delivers “clean” nicotine.  NRTs give you nicotine without the other harmful chemicals like tar, formaldehyde and more that are typically in tobacco products.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Challenges</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• May have a cost.  If you don’t have health insurance or if NRTs are not covered under your policy, then you may have to pay out of pocket. The average 6-week treatment can cost $80-$200.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Still requires effort.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Important to follow dosage.  </span></span></span>

 

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<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Counseling support only</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">What it is: Using a quitline service or person that provides professional advice, encouragement and coaching to quit</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Success rate: 2x as likely to quit for good2.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">When you get counseling support from a service that can walk you through the quitting process, it makes you twice as likely to quit smoking for good. That’s according to data from the U.S. Public Health Service’s Treating Tobacco Use and Dependence: 2008 Update.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">The reason counseling support is so effective is because it makes you think about ways to change your behavior to keep you from falling back into old habits. </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Quit Coaching from Arizona Smokers’ Helpline is an example of free counseling support and it’s available to all Arizona residents.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Benefits</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Many are free to use.  Most quitlines and many counseling support services out there are free.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• No prep time. Just call or contact the quitline and they will help you get started. You can sign up for ASHLine here.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Your counselor can walk you through every stage of quitting and give you specific recommendations for how to build a new life without tobacco.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Get emotional support. Counseling support helps you understand your emotions as you go through your quit journey.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Higher chance of success. </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Challenges</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Still likely to have withdrawal symptoms.  Quitting with coaching support will help you get through the emotional and mental parts of quitting, but the physical craving for nicotine will still be there.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Takes time to stay connected.  Counseling support takes a little bit of time investment to check in with your counselor or coach regularly.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• May feel uncomfortable to open up. </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Counseling support + nicotine replacement therapy</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">What it is: Combining support from a quitline service or person with a product that contains nicotine to quit.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Success rate: 3x as likely to quit for good2.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">According to studies, using counseling support with NRTs like nicotine gum, patches, etc. has been shown to be the most effective method to quit tobacco2. TheU.S. Public Health Service’s guideline states that this method can triple your chances of quitting for good.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Benefits</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Free NRTs.  When you sign up with ASHLine, you may be eligible to receive 4 weeks of free NRTs.*. The average 6-week treatment can cost $80-$200.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Free counseling support.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• No prep time. </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Learn new strategies. </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Get emotional support.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Higher chance of success.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Helps you manage your nicotine withdrawal symptoms.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Delivers “clean” nicotine.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Challenges</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Takes time to stay connected. </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• May feel uncomfortable to open up.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">• Important to follow dosage.  </span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">What it all means</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">When it comes to quitting, there’s no “wrong” option. It depends on your goals and what feels right to you.</span></span></span>

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">There are options that can significantly increase your chances of success, and ASHLine is here to help. Call us at 1-800-55-66-222 or sign up to be called by one of our Enrollment Specialists.</span></span></span>

 

<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">*You may be eligible for these if you are privately insured or uninsured. If you have Medicaid or insurance through the Arizona Health Care Cost Containment System (AHCCCS), then your Quit Coach will help you get quit medications covered by your insurance plan.</span></span></span>
<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">Sources</span></span></span>
<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">1. Hughes, J, et al. “Shape of the relapse curve and long-term abstinence rates among untreated smokers,” Addiction, 99, 29-38, 2004.</span></span></span>
<span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif">2. Knox, Becca. “Quitlines help smokers quit.” 6 April 2017. https://www.tobaccofreekids.org/assets/factsheets/0326.pdf</span></span></span>
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