Stop Smoking


  • Smoking cessation is the first step as a treatment modality in COPD patients, as well as those smokers who do not manifest any symptoms and signs suggestive of COPD.
  • It has been proved that by stopping smoking, the following effects are observed:
    • Decline in lung function is decreased ( as measured by Spirometry, PEFR).
    • Blood Pressure and pulse rate tend to normalize.
    • Fall in the blood carbon monoxide level.
    • Decrease in the risk of developing heart attacks, stroke and lung cancer.
    • Improvement in the life style of the individual, both physically as well as financially.
  • Protocol for smoking cessation : Smoking cessation is usually done under the joint guidance of a physician and a psychiatrist.
    • Psychological evaluation of the patient is done, and a detailed history of smoking is taken.
    • The patient is to be explained clearly regarding the benefits of smoking cessation. Patient counseling regarding the harmful effects of smoking should also be done.
    • Depending upon the degree of dependence, the target date of quitting can be set, either with immediate effect or gradually over a period of time.
    • Heavy smokers generally take a longer time to quite smoking as their dependence on smoking is very high. Such patients need constant motivation and should keep some chewable pepper mint / gum for use in case of a strong urge for smoking.
    • The patient should spend more time in keeping himself busy in places where smoking is prohibited.
    • One can start a regular exercise program.
    • Avoid company of friends who smoke, stressful situations and from being alone.
    • In case of nicotine withdrawal (severe) symptoms, the patient can be allowed to smoke minimally or use transdermal nicotine patches or nicotine mouth sprays, which can be tapered off gradually.
    • A social group of non-smokers can be formed, so as to help one to quit smoking.