ICanCaRe 7D Intervention to Quit Tobacco

7Ds of Quitting Tobacco

Ready to Quit tobacco? Tobacco Cessation is a bumpy ride for the users who want to quit tobacco. One needs to be well equipped and prepare themselves for the withdrawal symptoms, which is manageable if you do it with full consciousness as it makes the journey easy and interesting.

Withdrawal symptoms can be present in various ways – it can vary from mild to intense. It may be in the form of physical discomfort, that may look like an illness or it can be just feeling of depression, sadness and continuous thoughts and urges of tobacco. Tobacco has been your companion and has taken over your life for many years and now you need to break apart from this habit. Managing the discomforts that comes early on can make you win over tobacco for a life time. It is better to manage with a tailored plan to keep yourself on track.

The 7Ds of Tobacco Cessation

Most of the urges can be controlled by this ICanCaRe Seven Ds which I am going to describe. You can find more details on other blogs.

Understand these seven Ds and memorize them and respond to your cravings or urges in a healthy way. Believe me these Seven Ds are the mantras of tobacco Cessation.

The Seven Ds are

    1. Drink Water
    2. Deep Breathing Exercise
    3. Delay
    4. Distract
    5. Diet
    6. Discuss
    7. Drug

1.Drink Water

Proper hydration is most important during tobacco cessation.  Dryness of the mouth is a fairly common for all as part of withdrawal symptoms. During cravings just take 2 glasses of water/juice etc, surprisingly enough the cravings disappear. You feel at ease both physically and mentally. It also helps flush toxins from your body.

2.Deep Breathing Exercise

This quickly takes care of the stress, irritability and sleeplessness that comes with tobacco cessation both smoking and chewing. Follow the instruction given below:

  • Close your eyes, keep your back straight, palms to the front and deep breath.
  • Long inhale slowly fill your lungs with air, hold for 2 seconds.
  • Exhale slowly and completely, hold for 2 seconds.
  • Repeat this for 10 times. Be mindful of your breath. You will feel the calmness and relaxation.

Managing stress is the most critical thing to do during the quit journey. Mostly people use tobacco to relieve stress and sometimes quitting itself creates stress of its own. Stress causes strong urges to smoke or chew tobacco. DBE helps to destress on the spot and is a simple doable way to attain that.

3.Delay

Delay till the urges pass away. Cravings are difficult, but they usually pass fairly quickly.

Most urges last only for 3-5 minutes!

When you first quit, it may seem the craving is unending lasting for the full day, but the truth is that the urges are really short in duration. They are more during the initial few days of stopping tobacco, but with practice to learn to deal with them rather than tobacco, they will fade away.

4.Distract

Distract yourself! Think of anything but tobacco. You can do many things during these 5 minutes. But remember to avoid triggers do something different than what you did before. You can do yoga, exercise, cook, solve a puzzle etc. Distraction breaks the continuous thought process which would pull you back into tobacco. Controlling the mind and action to keep the thoughts at bay is important move ahead.

5.Discuss

Discuss with your buddy or with your quit coach. This will relieve you. Self-appreciate your resolve to quit, discuss and surely you can tide over the urges.

6.DIET

Indian tobacco use consists of chewing or smoking. There is tendency to have something in the mouth or in between the lips and fingers. Further there may be increase in appetite when one quits tobacco. Be careful to choose healthy alternatives – salad, peanuts, sprouts and so many. But please avoid fat and carbs, which would lead to increase in weight. As an alternate to chewing, I usually suggest roasted chia seeds.

7.Drug

In India tobacco use is associated with many of our routine. One of the most common is bowel movements. Some use tobacco for dental pain, some smoke to suppress cough. These have to be addressed and taken care either by some home remedies, maintaining hydration or it may require certain medications. Addressing these issues with understanding and scientific approach with reasoning will help control a majority of craving and withdrawal symptoms.

A good quit plan addresses both the short-term challenge of stopping use of tobacco and the long-term challenge of preventing relapse.

Planning for what you expect while quitting and re-planning as you move ahead in your journey will make you achieve your goals. The ICanCaRe Tobacco Wellness specialists and Quit Coach hand hold you during your journey, intervene and guide as required. The program is available online and you can connect with us through our app (https://app.icancare.in) or contact 011-430-77695 or visit https://www.icancare.in/quittobacco.

The above seven Ds are the mantras for smoking cessation. They help in most cases but need to be complemented by specific medicine, nicotine receptor agonist meant to control the withdrawal and reward phenomenon of tobacco. The bottom-line is that it is possible to quit and specialized help is available – earlier you quit better for you.

Evidence Based Approach for Successfully Quitting Tobacco

Quitting Tobacco is easy but staying quit is difficult! People quit tobacco to restart and this cycle goes on leading to frustration and loss of confidence. With increasing awareness people come to me with “Please don’t tell me why, TELL ME HOW TO QUIT”.

Why is it So difficult to quit?

Why is it people are not able to quit tobacco, in spite of so much of awareness about Tobacco.  According to World Health Organization Tobacco is a DISEASE (and not just a habit). And it is a Complex disease. Like any other disease it has to be treated. Complexity lies in the fact that there are various component of this disease that includes – social, psychological, and physical.  Each of these components have to be recognized, explored and treated.

When to quit?

Earlier the better. Continuing Tobacco use is definitely going to harm you and it is just not cancer, it can be cardiovascular, respiratory, Central nervous system, skin, dental every part of our body is harmed by tobacco besides unidentified mineral and vitamin deficiency. Has tobacco started affecting you – it is important you check yourself and recognize any of the 27 early signs of Tobacco use. If you quit hopefully these may be reversed and you can get back to normal. Continuing will lead to more of any of the 19 diseases   And if one still continues it would cause major 10 advanced disease which would cause morbidity, pain and death.  Remember all tobacco users will have some or the other disease, better quit now.

Components of Tobacco Disease – Is your will power enough to quit tobacco? This is the dilemma. A proper assessment by Fagerstrom grading system into mild, moderate and severe grade of the tobacco addiction disease is to be done. Recognizing the predominant component of the tobacco disease – social, psychological and physical for the person and treating accordingly.  A tool is available to assess the will power of the person (free APP for android  – ICANCARE). The treatment of this disease is done accordingly.

Methods of Quitting – The intervention therapy includes – Behavioral therapy and Pharmacological therapy. Both intervention are important and essential part of the treatment.  The proper intervention includes individual and group counselling and treatment with medication to decrease the withdrawal symptoms. Withdrawal symptoms are the biggest deterrent of successful cessation. Now specific medicine is available which decreases the withdrawal symptoms and at the same time blocks the nicotine receptor in the brain.

Who can help me quit– Most of the people have tried quitting multiple times before they actually seek help by a professional who is trained for the purpose. Most of the doctors fail to help as tobacco addiction is a complex disease and everyone are not trained to handle this. There are two types of doctors – AAR (ask, advise and refer) or 5A (ask, advise, assess, assist and arrange). Training program – Certificate Course has been introduced  for the first time in India to upgrade the skills of the doctors to be able to treat these large number of patients of tobacco addiction. Recognized ICanCaRe Tobacco Wellness centers are coming up to specifically help these patients.

Relapse  – The cycle of tobacco addiction includes the planning phase, active phase and maintenance phase. The whole cycle lasts for 2 years. A person may relapse at any point of time so has to be vigilant and recognize any triggers. Most common cause of relapse is social, and one trail means you have to START once again. A Tobacco Wellness App is available to keep track of the tobacco habit for the patient.

Tobacco is a complex endemic disease. It is well recognized and now diagnostic methodology, specific medicines and counselling process are available to treat this disease. The book WIN OVER TOBACCO MADE EASY authored by Dr. Pawan Gupta is a comprehensive guide for those willing to quit and also for doctors. It is moral responsibility of all doctors taking training to understand the intricacies of the disease and advise the patient in an evidence based method for tobacco quit to be successfully.

Max Super Specialty Hospital understands the need and ICanCaRe Tobacco Wellness center is now serving tobacco addicts to help them quit the habit at the Vaishali unit of Max Hospital. Current success rate is 92%. Do visit ICanCaRe site to know more about the quit process and to register for seeking professional help for quitting today!

(The Author – Dr Pawan Gupta M.Ch. is Director of Surgical Oncology at Max Super Specialty Hospital, Vaishali and has written many book on tobacco and is highly recognized for his work on Oral Cancer and Tobacco Cessation.)

Make quitting tobacco a pleasure journey. Talk to the experts!! Call ICanCaRe Quitline 011-43077695 or visit  www.icancare.in.

ICanCaRe Quit Coach – Your Life Boat to Quitting Tobacco Forever!

A Quit Coach is Your Life Boat to Save You from Drowning in the Ocean of Withdrawals and Cravings!

Quitting tobacco is a challenge. Once a person commits to quit, he needs to be guided and supported at all times, especially in desperate times of dealing with cravings and withdrawals. If a coach is available for assistance at all times, imagine how smooth and easy it becomes to reach out to the needed support when one needs it!

At ICanCaRe, a fully Scientific, Digitized and Protocol based tobacco cessation program is practiced to build a fully customized and personalized plan for the quitter to de-addict themselves. However, this is not enough. The person faces many challenges from a simple headache to quite complicated experiences. A support system is needed on a regular basis. This is where the quit coach provides assistance to handle all these situations with ease through home remedies and other activities. Regularly following up and discussing with the patient instills grave confidence in the quitters to stay firm on their resolve to quit and at the same time all challenges ranging from simple issues like dryness of mouth on quitting tobacco to more complicated issues related to withdrawals are solved with simple tips and techniques.

Yes, a quit coach is a bridge, a partner and buddy in quitting.

Introducing a quit coach for quitters, helped our ICanCaRe team to improve the success rate of quitting from 50-60% to 92% from the month of introduction itself. This was a huge success and the protocol has been upgraded with a quit coach assistance for all kinds of smokers and chewers.

The quit coach connects well with the quitters through compassion and empathy, listens to their stories and gives them techniques to manage their challenges based on their lifestyle and behavioral pattern. This coach proactively follows-up with the quitters, constantly motivates them and encourages them to stay quit in their complete journey. The coach provides assistance as per the need and comfort of the quitter so that their daily routine activities are not disturbed and there is very smooth transition into a healthy individual without any discomfort.

With each day the ICanCaRe team is making a difference in the lives of many persons!

Don’t waste time self-quitting many times! Come join our Online Tobacco Wellness Program to quit tobacco forever in the first attempt itself! Call us on 011-430-77695 or Book an appointment with cessation specialist today! Let us help you to become a healthy you with ease. It’s a promise the journey with be simple and quick.