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ANGINA AND SMOKING: GIVING UP
There are a multitude of ways to give up smoking. These vary from the use of herbal cigarette replacements, associating smoking with various unpleasant sensations such as dense cigarette smoke or even electric shocks, through to the use of acupuncture and hypnotism. Most of these require help – sometimes expensive help – from experts either directly or through the purchase of various aids to quitting.
Smoking cessation groups may be run by a variety of people including psychologists, counsellors, health education officers, and so on. They often use similar methods to those suggested in this chapter, but give the additional benefit of group support.
Sometimes, if people do not want to become part of a group the service may also take individual referrals. They are also run by a number of private clinics.
If you wish to go to a professional for help it is worth asking your own doctor to recommend an expert or smoking clinic (both private or NHS) and to refer you if possible. But be warned and take advice – not all those who practise such treatments privately (particularly hypnosis) are as skilled as perhaps one would expect, nor are their results generally better than the approaches suggested in this article. Acupuncture is often cited as a useful aid to giving up smoking – some useful addresses are given at the end of the book. For example, the British Acupuncture Association will send you a booklet explaining acupuncture and also giving a list of registered acupuncturists.
One increasingly popular method of giving up smoking is through the use of nicotine substitutes. If you smoke regularly your body becomes used to a regular supply of nicotine. Take this away, and you can experience a number of uncomfortable symptoms as the body adjusts to having no nicotine. These are known as withdrawal symptoms – you are withdrawing from an addiction to nicotine. By taking nicotine in the form of chewing gum, without inhaling all the other poisons in cigarette smoke, some people can gradually give up smoking whilst keeping these symptoms to a minimum. Unfortunately for people with angina, the amount of nicotine in these nicotine substitutes can be enough to excite the heart, or to send the heart’s arteries into spasm, just (or even more dramatically) as smoking a cigarette. This means that doctors do not recommend the use of these substitutes to heart patients.
Thankfully, there are other, equally successful, ways of giving up. The rest of this chapter takes you through some of these methods in a step-by-step guide to giving up smoking that does not require expert help or guidance.
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