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11 Ways To Manage Nicotine Withdrawal

Posted: 08/29/11 09:30 AM ET


Courtesy of TheVisualMD.com

Brought to you by Deepak Chopra, MD, Alexander Tsiaras, and TheVisualMD.com

Each year, nearly 450,000 Americans die from smoking related illnesses. That's more than all deaths from HIV/AIDS, illegal drug use, alcohol use, motor vehicle injuries, suicides and murders combined. So why do smokers continue to light up when statistics like these make it clear that they should quit? Nicotine addiction is powerful, which makes quitting difficult--but it is possible. There are now 45 million smokers, but 47 million successful quitters. By understanding nicotine addiction and withdrawal, you can be better prepared to crush out this destructive habit for good.

Understanding the Addiction

When you smoke, nicotine speeds to receptors that trigger the release of dopamine, your body's feel-good chemical. Nicotine causes dopamine to be released in several parts of the brain: the mesolimbic pathway, the corpus striatum, the nucleus accumbens and the frontal cortex (highlighted above). Over time, the receptors where nicotine can connect become desensitized. This means that they lose some of their ability to send signals that result in the release of dopamine, and other neurotransmitters. As a result, more nicotine receptor sites are created. The overall effect is that smokers who have developed additional receptors need more nicotine to avoid having withdrawal symptoms.

The longer you smoke, and the more you smoke each day, the more severe nicotine addiction becomes. The craving for nicotine intensifies and becomes more frequent. Ignoring the cravings brings on unpleasant withdrawal symptoms. And what alleviates those? Yes, more nicotine.

The Rewards of Nicotine

Let's face it: If there were no positive outcomes to smoking, no one would ever do it. "There are many motivations to smoke," says Michael D. Stein, M.D., Professor of Medicine and Community Health at Brown University and author of The Lonely Patient and The Addict. "The dominant one is physical dependence--that is, smokers who try to stop have withdrawal symptoms, and cigarettes relieve the symptoms. But nicotine can also improve attention and vigilance. Smokers smoke when they need to concentrate or focus. Smoking helps some people feel in a better mood, or they feel a high, a buzz. Some smokers enjoy the taste and smell of a cigarette. Finally, smoking serves as an appetite suppressant. People smoke to control their weight." While all medical experts agree that the health risks are not worth these beneficial aspects, many smokers have a real fear of losing the sense of control and other pleasurable sensations when they stop. So, how can quitters learn to conduct their daily routine smoke-free? Understanding what to expect and planning for withdrawal symptoms is a great place to start.

Managing Nicotine Withdrawal

The physical symptoms of nicotine withdrawal are rough stuff. The brain and body still crave nicotine's positive effects, so its absence causes quite an uproar. Quitters can experience any combination of irritability, anxiety, depression, sweating, headaches, insomnia, confusion, cramps and weight gain. Understanding what feelings and symptoms accompany nicotine withdrawal is important, because there are steps you can take to manage your symptoms.

Keep Busy During Cravings
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If you aren't using a nicotine replacement treatment, you may have cravings.

Cravings last only a few minutes but will feel much longer at first. Stay busy, especially during the times when you used to smoke. Plan a small snack or distracting task during these times.
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Most of the nicotine withdrawal symptoms are short-lived, and symptoms pass in time, usually in less than a week. Withdrawal is the most uncomfortable part of quitting, but getting past this rough patch is the first real challenge in staying away from tobacco for good!

Learn more about coping with nicotine withdrawal symptoms:

TheVisualMD.com: Nicotine Nonsense

 
 
 

Follow Deepak Chopra on Twitter: www.twitter.com/DeepakChopra

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08:52 PM on 10/02/2011
I just decided to quit smoking again (its something ive done for the last 20 yrs, being a father to a newborn is motivating). My motivation this time around is sleep. The last three night I slept poorly and Im sick of it. I just tell myself no when I get a craving. Oh yeah, switching to Organic helps imo.
07:10 PM on 08/31/2011
I have to agree that this is a really lame article. I can't imagine that any of these strategies is going to make any real difference when you're going through nicotine withdrawal. After going through the whole explanation of relative dopamine depletion by nicotine (a dopamine agonist), he fails to tell us the obvious next step: REPLACE YOUR MISSING DOPAMINE!! You can't ingest dopamine itself because it doesn't cross the blood-brain barrier, but you can do the next best thing and take its precursor, the amino acid L-tyrosine. It's cheap, it's easily available from any health food shop or the internet, and it works great. Unfortunately I didn't know about tyrosine 34 years ago when I quit smoking so I had to just gut it out. But it works fantastically well for depression. You can take several grams a day without side effects (at least, none that I've heard of), and it is a natural constituent of your body. It works best when paired with 5-HTP, the amino acid precursor of serotonin (the other feel-good neurotransmitter). 5-HTP doses should be 50-200 mg per day. Give it a shot!
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senorlou
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09:59 PM on 08/30/2011
All good tips.  I am having a very hard time quitting cold turkey.  I'm trying again on Friday.  I only smoke in one place - my home.  I'm going away for 72 hours, which will give me a head start on my quit.  I'm going to a place I cannot smoke.  I'll see how it works, but what always makes me start up again is when I'm sitting bored around the house - the only place I ever smoke.  When I'm not here, I don't even think about it.  Cigarette addiction is a curse.  We've all tried them, right?  Some get hooked, some don't.  Getting off of them is hard, and good luck to all of you who are trying to quit.
05:25 PM on 08/30/2011
My grandma needs to read this!
12:58 PM on 09/02/2011
My grandma does too i swear she will have a fit if she does"nt have her nicotine.
10:02 PM on 09/02/2011
Yeah, Its a shame! :/
04:02 AM on 08/30/2011
There are no rewards from nicotine. Just illusion. You take the drug to try to feel normal, not to gain anything positive. You may get a slight buzz from the first cigarettes you ever smoke, including the 'Wow, I look cool' buzz, but later all you're doing is trying (unsuccessfully) to get rid of withdrawal symptoms. Smoking each cigarette is an attempt to get back to how you felt before you ever smoked!

Smoking doesn't improve attention. Nicotine addiction means that when you're not smoking, you feel slight withdrawal stress so find it harder to focus than a non-smoker. Having a cigarette brings back some of your normal ability to focus and so gives the illusion of helping concentration.

There is no enjoyment of taste. Smokers endure the taste. Your first cigarette tastes horrible and so do all the rest, you just get used to it - it's not the taste you want, it's the illusory fix. Heroin addicts come to enjoy the feeling of injecting themselves in the same way.

Withdrawal is not 'rough stuff' - it's barely perceptible. Not even equal to a slight head cold. If I said: "Suffer a head cold for a few days then you'll be free of smoking for ever, would you do it?" all smokers would say yes. Propaganda that tells how hard it is to give up kills - keeps smokers trapped, afraid to give up. It's not hard to stop - if you learn what's really going on.
10:27 AM on 08/29/2011
This is really a disappointing article under the auspicies of Mr. Chopras name,
and I'll leave it at that.
02:07 PM on 08/30/2011
I am going to guess the reason you clicked on this article was for the same reason I did: to honestly find out the 11 ways to manage nicotine withdrawl. *smile*

To be honest, the one thing that worked for me was the "electronic cigarette". I was down to only 2 ciggies per day. That worked for months, and I almost had that awful habit kicked~ until I got pneumonia. The water vapor from the electronic ciggie choked me to death, so I am back on the "real deal". *sigh*

I am going to try the smoking cessation program again, and I will use the electronic one. You can purcahse the one that comes with refills. I do not know if this will help you, but thought I would post. Well.... since the "article" was ummmmm... let's say "a bit lacking". *grin*

If you are interested in those electronic ones, let me know and I shall give you the website for them: they really *do* work!! They have different milligrams of nicotine, and you can "wean" yourself down.
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aquarius2
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12:13 AM on 08/31/2011
I'll jump in here and say I used a drug called Chantix. Worked really well for the first 90 days, but when I decided I could go it alone, all forms of demons appeared. The next 3 months were pure hello but then it was over. I have been nicotine free for over two years--mostly because once I kicked the habit, I was too cheap to buy pay the increasing price of cigarettes.