Harm to smoking: questions and answers. Part 2.

Вред курения: вопросы и ответы. Часть 2.

Harm to smoking. How harmful is chewing and snuff? What is snus and how harmful is it? How strong is the harm of smoking a pipe or cigars? What harm can smoking get if smoking a bidis or a hookah? What kinds of cancer, other than lung cancer, cause smoking? How to quit smoking? What is nicotine replacement therapy, and what drugs are used in it? What drugs help stop smoking? What damage does the US economy make from smoking one pack of cigarettes? When on packs for the first time there were stickers that the harm of smoking is shown in a lethal outcome? When and what kind of tobacco advertising were banned? Where is it permitted and forbidden to smoke?

The first part of the article read here: "The damage to smoking: questions and answers - Part 1."

What measures are in place to protect people from the harm of smoking?

Tobacco labels

Representatives of both the public and private sectors are actively working to reduce the number of smokers in the country and reduce the number of people suffering from diseases caused by smoking. Since 1966, on every pack of cigarettes, a warning from the US Department of Health has been published that the harm of smoking can be fatal, and since 1987 such warnings have also appeared on labels for chewing and snuff. In 2001, the 7 largest American companies engaged in the production of cigars made 5 variants of texts informing smokers about the dangers of smoking, and now print these texts on the labels of cigars - their content is about the same as that of the warnings of the Ministry of Health on cigarette packs.


The first attempt to reduce the harm of smoking was made in 1971, when by the decision of the Congress, advertising of cigarettes on television and radio was banned, and in 1987 - advertising of chewing tobacco. One of the largest anti-smoking companies in the US, the American Legacy Foundation, in collaboration with the government of many US states, conducts anti-smoking campaigns that include various forms of anti-smoking propaganda (commercials on television and radio, billboards, etc.). Some tobacco companies are developing their own propaganda concepts, which have the appearance of being anti-smoking, but in fact contain hidden advertising of tobacco products.

New laws restricting advertising of tobacco products

In October 2009, the Regulation on the Prevention of Smoking in Families and Control over the Use of Tobacco Products came into force. According to this decree, the US Food and Drug Administration receives the right to regulate the process of selling tobacco products. To limit the harm of smoking, one of the objectives of the new regulation was to restrict marketing campaigns of tobacco companies and advertising of tobacco products. From now on, colored advertising posters of tobacco products and tobacco products in stores are banned. In advertising of tobacco products, only black and white colors are allowed. Since 2010, advertising of tobacco products within a radius of 300 meters from schools and playgrounds is prohibited.


Excise taxes on cigarettes and other tobacco products have increased significantly over the past few years. It is assumed that high prices for cigarettes can affect the decision of young people to start smoking, and also to cause the smokers to get rid of their bad habits, thus completely overcoming the harm of smoking. Since the end of 2009, the federal tax on cigarettes is $ 1.01 per pack. The amount of taxes levied by state authorities ranges from 7 cents in South Carolina to $ 3.46 in Rhode Island.

Smoking bans

In all 50 US states, as well as in the District of Columbia, there are laws that prohibit smoking in some public places, in order to prevent the harm of smoking caused to other people with passive smoking. The scope of these laws varies from smoking restrictions alongside government buildings to total smoking bans in public places and office buildings. It is completely forbidden to smoke in government buildings belonging to institutions of executive power, including in the White House. As for the buildings of the Congress and various judicial buildings, smoking is not prohibited at the legislative level, but is limited by other requirements. The ban on smoking is also introduced in some other offices of government agencies. Smoking is prohibited on all domestic flights in the United States.

According to representatives of the US Department of Health, laws that prohibit smoking indoors are the only way to prevent harm to smoking and protect non-smokers from passive smoking at work and in other public places.

Can chewing tobacco and snuff be a safe alternative to cigarettes?

There are several types of tobacco, the use of which does not involve smoking. First of all, it is chewing tobacco and snuff, as well as tobacco, which is put in the mouth and dissolves. However, the use of tobacco in any form is associated with a serious risk to health. Despite the fact that chewing and snuff is less harmful than cigarettes, it can not be called safe.

The level of nicotine in these types of tobacco is usually higher than in cigarettes - thus, those who chew and swallow tobacco receive the same nicotine dose as those who smoke ordinary cigarettes and are harmed by smoking inhaling deadly substances. The most dangerous and harmful carcinogens found in chewing tobacco are tobacco nitrosamines, the concentration of which in tobacco is 100 times higher than the permissible concentration of these substances in food products (bacon, beer, etc.). As a result of laboratory studies, it was found that tobacco nitrosamines cause lung cancer in experimental animals, even if injected directly into the body by injection, rather than inhaled.

The extract, which is formed from chewing tobacco when chewing it, also contains harmful substances that are deposited on the oral mucosa, which leads to the development of ulcers and white spots (in medicine this is called leukoplakia, or dystrophic mucosal change). With regular and prolonged use of chewing tobacco can lead to the development of cancer of the mouth.

Those who use chewing tobacco and snuff, expose themselves to the risk of developing cancer of the mouth, pharynx, esophagus, stomach and diaphragm. Other harmful consequences of the use of these types of tobacco include persistent bad breath, darkening of teeth and seals, periodontitis, caries, destruction and loss of teeth, as well as osteoporosis of the jawbone. In addition, the use of snuff and chewing tobacco leads to the development of hypertension and increases the risk of heart disease.

What is snus? Is it harmful to health?

Snus is a tobacco product that first appeared in Sweden. Snacks often contain various spices and fruit extracts and are usually packaged in small tea bags. Sometimes the snack is sold without packaging, by weight. It has the appearance of a moist powder and, like chewing tobacco, is put into the mouth and dissolves.

During the manufacture of snus, the tobacco leaves from which it is produced are subjected to heat treatment, so the snuff contains fewer tobacco nitrosamines that are harmful carcinogens (see the previous section "Can chewing tobacco or snuff become a safe alternative to cigarettes?") . For example, Swedish residents who take snacks are less likely to develop various types of cancer than smokers who are harmed by inhalation of toxic smoke. That's why many people think that snus is completely safe. However, those who chew snus often develop diaphragm cancer. In addition, lovers of snus often suffer from ulcers and other inflammations in the oral cavity. There is also the assumption that the use of snus increases the risk of oral cancer, although there is no official medical evidence to confirm this.

Manufacturers of tobacco products in the US are not required to provide a report on the ingredients contained in their products, therefore it is not possible to determine how much the American snus is like classical Swedish without further research. Snus is a relatively new product for the American market, so the harmful consequences of its use for health are still poorly understood. However, it can be stated with full confidence that snus is not a safe way to replace cigarettes.

What is the harm of smoking caused by a tube or cigars?

Many believe that smoking cigars is more elegant and exquisite than smoking conventional cigarettes, and thus not so harmful to health. However, one large cigar contains as much tobacco as in a whole pack of cigarettes.

In cigars, the same carcinogens found in cigarettes were found, with the nicotine concentration in one cigar being the same as in several cigarettes. Therefore, the harm of smoking cigars is no less than the harm of smoking ordinary cigarettes. When inhaled cigar smoke nicotine enters the body as quickly as when puffed with a cigarette. If a smoker does not inhale smoke into the lungs, harmful substances settle in the oral cavity and eventually end up in the body. Nicotine dependence develops equally fast for those who inhale smoke when smoking and those who do not inhale.

Smoking cigars leads to the development of lung cancer, lips, tongue, mouth, pharynx, larynx, esophagus, and can also cause cancer of the diaphragm and pancreas. Those who smoke cigars are harmed by smoking no less than non-smokers and are more likely to develop cancer of the mouth, larynx and esophagus compared to them. With regard to the risk of lung cancer, those who smoke cigars, it is lower than for those who prefer conventional cigarettes, but still much higher than non-smokers.

Those who deeply inhale the smoke when smoking cigars and smoke several cigars a day, increases the risk of heart disease and the appearance of chronic lung problems.

People who smoke the tube often get cancer of the lungs, pharynx, esophagus, larynx, pancreas, colon and rectum. In addition, the harm of smoking is manifested in the fact that they are at increased risk of sudden death from a heart attack, stroke, and chronic pulmonary diseases. The likelihood of the development of all these diseases in those who smoke the tube is about the same as those who smoke cigars.

Thus, cigars and a tube can in no way be considered a safe substitute for cigarettes.

How harmful are these tobacco products, like flavored cigarettes, bidis and hookah?

Over the past few years, various types of flavored tobacco have gained great popularity, especially among young people. Cigarette flavored cigarettes, also known as cretek, bidis - aromatic cigarettes-cigarettes imported from India, as well as hookah, are preferred by those who want something new and unusual. All these tobacco products represent an excellent "field for experiments" of young people with tobacco. Such products are positioned as environmentally friendly, natural products that do not harm, and compared to them the harm of smoking ordinary cigarettes is simply monstrous. This encourages young people who, perhaps, were not going to start smoking, try these tobacco products. However, in fact, all these tobacco products are no less harmful than cigarettes, in addition, their use is associated with other side effects that are detrimental to health.

Since October 2009, the import and sale of cigarettes from flavored tobacco in the US are prohibited by law. This does not mean that you can not smoke cigarettes, but their sale in the US is now considered to be a violation of the law. Tobacco companies are already working on the creation of small flavored cigars, which can act as an adequate replacement for cigarettes with flavors.

Cigarette Cloves

Cigarettes flavored with cloves, or cretek, are mainly supplied to the USA from Indonesia. Their composition includes from 60% to 70% of tobacco and from 30% to 40% of ground cloves, clove oil and other additives. Harm to smoking of chemicals that are contained in this spice, manifests in cretaceous smokers like asthma and other lung diseases.

It is a common misconception that clove cigarettes are a safe alternative to conventional cigarettes, but in fact they are no less harmful. Laboratory studies have shown that the content of nicotine, tar and carbon monoxide in the crate is even higher than in conventional cigarettes.


Bidis, or bidi, are flavored cigarettes that are imported into the United States from India. They are folded by hand, and then bandaged with bright threads. In the production of bidis, untreated tobacco leaves are used. Recently, bidis have become very popular with American smokers, largely due to the fact that they add various aromatic extracts (strawberry, vanilla, licorice or grape), and also because they are cheaper than conventional cigarettes. In addition, in some cases, the use of bidis causes an effect similar to that of marijuana and hashish.

Despite the fact that there is less tobacco in bidis than in ordinary cigarettes, the level of nicotine and other harmful substances (tar, ammonia and carbon monoxide) in them is much higher. The bidis is thinner than ordinary cigarettes, so when smoking it takes an average of three times more puffs than when using conventional cigarettes. In addition, there is no filter in bidis, which also increases the harm of smoking bidis on the body.

The harm of smoking bidis for health is not less than the harm of smoking conventional cigarettes - if not more. Those who smoke bidis have a much higher risk of heart attack, chronic bronchitis and some cancers compared to non-smokers.


Smoking hookah (nargile) is common among the inhabitants of the Near and Middle East. When smoking a hookah, aromatized tobacco (shisha) is used, the smoke from which is inhaled through a long tube. Hookah has become widespread in the US, especially among university students and colleges, who often smoke hookah at parties, sitting in a circle and handing each other in turn. Producers of hookahs and hookah tobacco argue that the harm of smoking hookah is practically absent, and that the hookah is a harmless replacement of cigarettes, since the tobacco content in the hookah mixture is low, and the water that is used in the hookah filters out all harmful substances. But it's not true - when smoking a hookah most of the toxins still get into the body of the smoker. In the smoke of hookah tobacco contains the same amount of nicotine, carbon monoxide, tar and other, dangerous to the health of chemical compounds, as in cigarette smoke. As a result of scientific research it was established that smoking hookah leads to the development of some types of cancer. In addition, smoking hookah is associated with other health threats. For example, the harm of smoking a hookah can be manifested in the fact that smokers become infected with infectious diseases through a tube from which they are tightened, or as a result of the use of raw hookah tobacco.

Any way of smoking tobacco is dangerous to health. Even though some tobacco products are less harmful than others, absolutely all tobacco products contain nicotine, which causes dependence on the smoker. Do not think that you can smoke without harm to health.

What can I do to get rid of the health effects of smoking?

If you use tobacco or have done it in the past, you should inform your doctor about it so that he gives you advice on preventing or reducing the severity of the negative effects of smoking. It is known that the harm of smoking is manifested in an increased risk of developing certain cardiac diseases, so you need to regularly undergo a medical examination and, if necessary, treatment, in order to protect your health as much as possible. You also need to ensure that the harm of smoking is not manifested in you as an ulcer or other inflammation in the mouth and, noticing them, immediately go to the therapist or dentist. Experts of the American Cancer Society advise that the examination of the oral cavity should be included in the program of comprehensive medical examination by a doctor. Regular examination of the oral cavity allows to detect changes in tissues and leukoplakia at an early stage, which makes it possible to prevent the development of oral cancer.

Be sure to consult a doctor if you have the following symptoms:

  • Change of cough (for example, you began to expect more sputum than usual)
  • The appearance of a new type of cough
  • Hemoptysis
  • Hoarseness of voice
  • Dyspnea
  • Wheezing
  • Headache
  • Chest Pain
  • Loss of appetite
  • Weight loss
  • Decrease in the general tone of the body (constant feeling of fatigue)
  • Frequent or chronic respiratory diseases

Any of these symptoms may be a sign that the harm of smoking has already been done to you and that you may have become a lung cancer or other serious lung disease, which is why when you see any of them you need to see a doctor as soon as possible. Despite the fact that lung cancer has certain symptoms that can not be overlooked, many patients ignore them until the disease goes to the extreme stage, in which cancer cells capture not only the lungs but also other organs of the body.

Do not forget that for smokers, the risk of developing other cancers increases, depending on which method of smoking tobacco they prefer. You can find out about what kinds of oncological diseases cause different forms of smoking, in other sections of the article (for example, in the section "Cigar smoking"). Perhaps you are under the influence of other factors that provoke the development of cancer, but smoking should also not be discounted.

If you are worried about how much damage to smoking is caused to your health, then visit your doctor as soon as possible. The more you care about your health, the more often you go through medical examinations, the earlier it will be possible to identify serious diseases caused by smoking, and the higher the chances of their complete cure. However, the best option for those who are worried about health and how much damage to smoking is done to the lungs and other organs is to quit smoking altogether.

What is the role of the tobacco industry in the economy?

Tobacco companies are among the most successful and profitable in the country - their incomes are billions of dollars annually. However, the extent to which the harm of smoking manifests itself in the destruction of the nation is much more significant than the proceeds from the sale of cigarettes.

  • The US annually spends $ 196 billion on the treatment of people with diseases caused by the use of tobacco products. This figure also includes losses for the economy from the death of people of working age.
  • Between 2000 and 2004, government spending on medical services for smokers suffering from various diseases caused by tobacco smoking averaged $ 100 billion a year. Thus, in 2004, each adult smoker accounted for about $ 2,247 of additional medical expenses compared to the costs of health for non-smokers.
  • Losses for the US economy, caused by the death of people of working age from diseases caused by smoking, amounted to between 2000 and 2004. an average of $ 97 billion annually.
  • For every pack of cigarettes sold in 2004, there were $ 5.50 of medical expenses for the treatment of smoking-related illnesses and $ 5.32 for deaths from able-bodied employees. Thus, each sold pack of cigarettes costs the American economy $ 10.82.

Is it true that giving up smoking prolongs life?

True. It is never too late to quit smoking. The sooner the smoker realizes the harm of smoking caused to his body, and part with his bad habit, the lower will be for him the likelihood of cancer and other health problems. Already for several minutes after a person smokes his last cigarette, the body begins to return to normal.

  • 20 minutes after you quit smoking, your heart rate and blood pressure go down. (The effect of smoking on the density of arterial blood and the amplification of pulsatile arterial pressure, Mahmud A. Fili J. 2003. Hypertension: 41: 183.)
  • After 12 hours, the level of carbon monoxide in the blood drops to normal. (Report of the US Department of Health, 1988, p. 202)
  • In the period from 2 weeks to 3 months, your blood circulation improves and the activity of the lungs normalizes. (Report of the US Department of Health, 1990, p.193, 194,196, 285, 323)
  • In the period from 1 to 9 months you will stop coughing and feeling shortness of breath; the ciliary epithelium of the lungs (tiny cells similar to hairs, whose function consists in removing mucus from the lungs) begins to function normally, more mucus and phlegm are excreted from the lungs, they are cleared, which reduces the risk of pulmonary infections. (Report of the US Department of Health, 1990, pp. 285-287, 304)
  • In a year, the risk of developing coronary heart disease becomes 50% less than that of smokers. (Report of the US Department of Health, 1990)
  • Within 5-15 years the risk of stroke becomes the same as that of a non-smoker. (Report of the US Department of Health, 1990)
  • After 10 years, the risk of death from lung cancer is 50% less than those who continue to smoke. Снижается риск заболевания раком ротовой полости, глотки, пищевода, диафрагмы, шейки матки, поджелудочной железы. (Доклад Министерства здравоохранения США, 1990, стр. 131, 148, 152, 155, 164,166)
  • Через 15 лет вероятность ишемической болезни сердца становится такой же, как у некурящего человека. (Доклад Министерства здравоохранения США, 1990)

Какие улучшения в состоянии организма будут заметны сразу же после того, как я брошу курить?

Разумеется, если вы бросите курить, то некоторые изменения в состоянии здоровья и организма в целом станут заметны в ближайшее время. День за днём вред курения будет отступать, и ваше самочувствие будет меняться к лучшему.

  • Вы станете лучше чувствовать вкус еды.
  • У вас улучшится обоняние.
  • Вы избавитесь от неприятного запаха изо рта, а также от запаха табака, который впитывается в одежду и волосы.
  • У вас перестанут желтеть зубы и ногти.
  • Вы перестанете задыхаться, поднимаясь по лестнице или занимаясь другой физической активностью, например, работой по дому.
  • У вас улучшится цвет кожи, пропадёт бледность.
  • Вы почувствуете прилив энергии, которая теперь не тратится на борьбу вашего организма с опаснейшими табачными ядами.

Кроме того, бросив курить, вы избавитесь от риска преждевременного старения и развития пародонтоза.

Что, если я буду курить в течение некоторого времени, а затем брошу?

Smoking starts to have a negative impact on health right away, as soon as you light up your first cigarette, and the dependence on nicotine develops incredibly quickly, almost instantly. According to the results of scientific research, nicotine is as strong a drug as heroin, cocaine and alcohol. Dependence on nicotine is the most common form of drug addiction among US residents. It is better not to start smoking at all and not get used to smoking, than to start smoking with the firm intention of ever quitting. The harm of smoking can be so strong for you that you can not do it until death. Just like alcohol, heroin and cocaine, nicotine causes the strongest physical and mental dependence, that's why quitting smoking is difficult enough, but with the help of correctly selected methods it is still possible.

When a person who quits smoking but does not fully realize the harm of smoking again lights up, even after several years of abstinence from smoking, his body reacts to nicotine intake as well as at the time he smoked regularly. Therefore, there is a high probability that this person will again become a smoker. Do not think that you can smoke a little, and then quit when you want it - it's not as simple as it seems.

How to quit smoking?

Quitting smoking is hard enough, and many smokers tried to throw many times before their attempts to get rid of bad habits were crowned with success. There are many ways to overcome the harm of smoking and get rid of nicotine addiction. Some people with strong will can simply take and stop smoking once and for all, for example, by choosing the Day for Combating Smoking in the United States (the third Thursday in November) or some other significant date for them.

There is no universal way to overcome the harm of smoking and quit smoking, which is suitable for everyone without exception. To quit smoking forever, most often requires a comprehensive program, which includes several stages:

  • constant work on themselves, drawing up an individual plan (for example, every day to smoke for 1 cigarette less) and a clear adherence to it
  • visiting therapeutic groups
  • consultations with specialists (full-time or by telephone hotline)
  • possibly the use of nicotine-substituting drugs or other drugs (see below)

Also, smokers often have to change their lifestyle and habits a little, in order to be able to cope more effectively with cravings for cigarettes. Some attend meetings of anonymous smokers and find them very useful. To successfully combat the dependence on cigarettes, it is best to combine 2 or more treatments.

What is "nicotine replacement therapy"?

Nicotine replacement therapy (NRT) is the use of medications that help a smoker to overcome the harm of smoking and facilitate the manifestation of the so-called "withdrawal syndrome". With the help of these drugs, small doses of nicotine are still delivered to the smoker's body, however without other harmful substances that are formed during smoking (resins, etc.). There are nicotine patches, chewing gums, inhalers, nasal sprays and resorption tablets. The US Food and Drug Administration approved these drugs. Studies of specialists of the Department have shown that the use of nicotine-substituting drugs is really capable of helping those who want to quit smoking. Nicotine patches, chewing gum and tablets are sold in the United States without restrictions, however, to purchase an inhaler or nasal spray, a doctor's prescription is required.

Nicotine-substituting drugs help a smoker to overcome the harm of smoking and cope with the physiological manifestations of withdrawal syndrome, which occur after he ceases to use tobacco products. For the most effective results, you should combine nicotine replacement therapy with counseling from a psychologist (behavioral therapy), which will help overcome the psychological dependence on cigarettes. More information about such programs you can get at the American Association for the Control of Cancer.

Not everyone can use nicotine-substituting drugs. People with certain chronic diseases, as well as pregnant women should use such drugs only under the supervision of a doctor. However, if you are going to permanently overcome the harm of smoking and finally quit smoking, in any case, it is worth informing your doctor about it - maybe he will be able to advise the optimal form of therapy for you.

The best time to start taking nicotine-substituting drugs is when you are just starting to struggle with nicotine addiction. Many smokers ask whether it is possible to start taking drugs containing nicotine while they are still smoking. The results of medical studies involving smokers taking nicotine-containing drugs and simultaneously using tobacco products do not yet make it possible to draw an unambiguous conclusion as to whether it is safe to combine cigarettes and nicotine-substituting therapy. The fact is that the harm of smoking can only increase. If you are going to start taking drugs containing nicotine, but still smoke, you need to be completely confident that you will not exceed your usual dose of nicotine - otherwise serious problems with the heart and blood circulation may occur. Combining smoking and nicotine replacement therapy is best under the supervision of a doctor.

Are there other drugs or vaccines that help stop smoking?

Yes. Some drugs that do not contain nicotine are also quite effective in fighting smoking.

Bupropion (velbutrin) was first used as an antidepressant, but later the specialists of the Food and Drug Administration found out that this drug can help to overcome the harm of smoking and alleviate nicotine dependence (for drug-stopping drugs it is manufactured under the name "Zyban"). This medicine does not contain nicotine and is dispensed only by prescription. Zyban can be taken alone or in combination with nicotine-substituting drugs. Unlike drugs containing nicotine, Zyban should be taken 1-2 weeks before you quit.

Not so long ago, medicines have been invented that help smokers (or former smokers) overcome the harm of smoking and, in the end, cope with their addiction by blocking the pleasant physical sensations from smoking. When you take these drugs, nicotine ceases to have a stimulating effect on the brain, either by disabling the brain receptors exposed to nicotine, or by preventing nicotine from entering the brain.

One of the drugs that has a similar effect and is approved by the Food and Drug Administration is varenicline (chantix). Varenicline is available in the form of tablets, which should be taken twice a day, and you need to start taking at least a week before the day on which you have planned a final cessation of smoking. Getting into the body, the drug works on the brain receptors, as a result of which you stop taking pleasure in smoking at the physical level, which helps to cope with the symptoms of withdrawal syndrome. According to the results of clinical studies, the use of varenicline increases the chances of completely combating the harm of smoking and quitting smoking for about two times. Varenicline is a relatively new drug, and so far there is no evidence of whether it can be combined with nicotine replacement therapy, but the manufacturer warns that simultaneous use of varenicline and drugs containing nicotine can lead to side effects, in particular, nausea and headaches.

For those who could not quit using nicotine-substituting drugs, bupropion and varenicline, and those who can not take these drugs for health reasons, there are other drugs that help to overcome the harm of smoking approved by the Food and Drug Administration, but Not intended exclusively for those who quit smoking. For example, nortripiline is used in the treatment of depression, and clonidine is used to lower blood pressure. Both of these drugs are dispensed only on prescription, and treatment with these drugs should be conducted under the supervision of specialists in order to avoid the development of serious side effects. However, research has shown that the use of these drugs can help stop smoking, although they are not on the official list of drugs for the treatment of nicotine addiction.

Currently, clinical studies of other drugs, including rimonabant, which is also produced in tablets, as well as vaccines that are injected into the body with a series of injections, are being conducted. Preliminary results of the studies testify to the high effectiveness of these drugs - they make the impression of being safe and really able to help smokers to overcome the harm of smoking and, finally, get rid of this harmful habit. However, further analysis and clinical experiments are required to obtain approval from the Food and Drug Administration. If, as a result of the analysis, a conclusion is made about the effectiveness of these drugs, then in the next few years they will go on sale.

It should be remembered that medicines act on all people in different ways, so those who stop smoking with medication should try several drugs to identify the most effective, as well as combine the intake of several medications, if it is not prohibited by doctors.

Where can I go for help?

Quitting smoking is difficult, but you can certainly do it! More than 47 million Americans still overcome the harm of smoking and quit smoking forever, and now there are more former smokers in the United States than those who still smoke. Many organizations offer information brochures, specialist advice and other forms of assistance to those who choose to quit, as well as information on where to go for help. Also, you can ask advice from your doctor, dentist or a health insurance company.

Source of material for the article: "Questions About Smoking, Tobacco, and Health" .