Annette's Story

Annette experimented with cigarettes as a teenager, smoking occasionally. But by the time she turned 20, Annette was a regular smoker.

When she was 50, Annette heeded her granddaughter’s advice and quit cold turkey after having smoked for more than 30 years. But by then she already had cancer. At age 52, Annette went to the doctor because she was having difficulty breathing and was diagnosed with lung cancer so advanced it was necessary to remove one of her lungs. A few years later, she was diagnosed with oral cancer and surgery was again required. Today, at age 57, Annette is smoke-free and cancer-free.

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  	Annette

Annette, 57; diagnosed with lung cancer at age 52

Get the Facts

More Stories

More real stories about cancer:

More Real Stories

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/annette.html
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:42:00.0

Bill's Story

Bill was angry with himself that he ever accepted that first cigarette. “When I was 15, I started smoking. It was a stupid thing I wish I could take back.” Bill had diabetes. He learned the hard way that smoking makes diabetes harder to control. At 37, Bill went blind in his left eye from a detached retina—damage to the inner lining of the eye. He also had kidney failure. Two years later, he had his leg amputated due to poor circulation—made worse from smoking. “I lost my leg, and that’s when I quit,” he said.

Bill’s serious health problems changed his life dramatically. Married and the father of four children, he worried that he wouldn’t be able to provide for his family. “Smoking is a nasty addiction,” he said. “It’s not cool, and it doesn’t do anybody any good. Don’t ever start smoking.” Bill died in August 2014 from heart disease. He was 42.

More About Bill

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Bill: Smoking and Diabetes Don't Mix

Bill, a person with diabetes, started smoking at 15, not realizing the problems it would eventually cause him and his family. He didn’t stop smoking until he was almost 40—after having had a leg amputated. In this emotional video, Bill encourages others to quit smoking, too.

Get the Facts

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/bill.html
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:43:00.0

Brandon's Story

Thirty-one-year-old Brandon started smoking in his mid-teens, and by 18, he was diagnosed with Buerger’s disease, a disorder linked to tobacco use that causes blood vessels in the hands and feet to become blocked and can result in infection or gangrene.

Nine years later, after losing both his legs and several fingertips to this terrible disease, he quit smoking for good. Smoke-free for 4 years now, Brandon hasn’t had any more amputations, but he still must manage the consequences of being a double amputee.

More About Brandon

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Brandon's Story

Brandon describes losing his foot, fingers, and other body parts to Buerger’s disease, a disorder linked to smoking, and testifies to the strength of addiction in this video from CDC’s Tips From Former Smokers®campaign.

More Stories

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/brandon.html
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:44:00.0
Syndicated Content Details:
Source URL: http://www.youtube.com/watch?v=FV1oYAWgqPU&list=PLOrjfjcT0nD0dMrDd2YoZgGgtIecFQt_g
Source Agency: National Cancer Institute (NCI)
Captured Date: 2014-12-18 21:18:00.0

Chemicals in Cigarettes: From Plant to Product to Puff

You probably know that cigarettes can kill you—in fact, smoking kills half of those who don't quit1—but do you really have the full story? Do you know how many harmful chemicals are in cigarettes or how they get into the product?

FDA created these videos and interactive tools to lay the foundation for an important public health goal: we aim to publish a list of the levels of harmful and potentially harmful chemicals in tobacco, in a way that is easy for the public to understand. As an important step toward that goal, we invite you to explore the chemicals in tobacco in three stages of cigarettes, from plant to product to puff, in the videos below.

Chemicals in Every Tobacco Plant

Chemicals in Every Tobacco Plant

It is a fact that cigarettes contain dangerous chemicals.2 But how do these chemicals get into cigarettes? Are most of the harmful chemicals added during the manufacturing process?

Fact: Some of the toxic chemicals in tobacco are present in the plant itself.3 Watch the tobacco growth video to uncover more.

Chemicals in Every Cigarette Product

Chemicals in Every Cigarette Product

Ok, so harmful chemicals are in the tobacco plant. What happens during manufacturing? Is that when more dangerous chemicals are added?

Fact: Not all of the harmful chemicals created during cigarette manufacturing are man-made. Some of the carcinogens occur naturally as tobacco is cured.3 Watch the video about cigarette manufacturing.

Chemicals in Every Puff of Cigarette Smoke

Chemicals in Every Puff of Cigarette Smoke

How many harmful and potentially harmful chemicals are in a cigarette? Is there more than nicotine and tar?

Fact: There are more than 7,000 chemicals in cigarette smoke.2 More than 70 of those chemicals are linked to cancer.4,5,6,7 Watch the video on cigarette smoke to learn more about what happens when you light up.

 

Think You Know All the Chemicals Found in Cigarettes?

Here are some of the 93 known harmful and potentially harmful chemicals in cigarettes:

Nicotine Cadmium Lead Acrolein
 
Acetaldehyde Benzene Ammonia Carbon Monxide
 
TobaccoSpecific_Nitrosamines Butadiene

 

Downloads

Download and share with people in your life these images about the health effects of dangerous chemicals in cigarettes. To download:

  1. Click on the image below that you would like to download and share to open up a larger version.
  2. On the large version, right-click to Save As and save the image to your computer.
Some of the toxic chemicals in cigarettes are present in the tobacco plant itself. Learn more about the chemicals in a cigarette, from plant to product to puff.
 
There are harmful chemicals in every stage of the process of making and smoking a cigarette from plant to product to puff.
 
Chemicals in Cigarettes: From Plant to Product to Puff Not Natural Animated GIF
Smoking can cause buildup of a dangerous substance called plaque inside your arteries, which can lead to heart attack and sudden death.
 
Smoking can block blood flow to the brain and can lead to stroke, which can cause brain damage and death.
 
Smoking can cause chronic obstructive pulmonary disease. COPD robs the lungs of air and can lead to long-term disability and death
 

  1. Doll R, Peto R, Wheatley K, Gray R, Sutherland I. Mortality in relation to smoking: 40 years observations on male British doctors. British Medical Journal 1994; 309:901-911.
  2. U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: How Tobacco Smoke Causes Disease: What It Means to You (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.
  3. U.S. Department of Health and Human Services (USDHHS). How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.
  4. Hecht SS. Research opportunities related to establishing standards for tobacco products under the Family Smoking Prevention and Tobacco Control Act. Nicotine & Tobacco Research. 2012; 14(1):18-28.
  5. Hoffmann D, Hoffmann I, El Bayoumy K. The less harmful cigarette: a controversial issue. A tribute to Ernst L. Wynder. Chemical Research in Toxicology. 2001; 14:767-790.
  6. International Agency for Research on Cancer (IARC). Some non-heterocyclic polycyclic aromatic hydrocarbons and some related exposures. In: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 92. Lyon, France: International Agency for Research on Cancer; 2010.
  7. International Agency for Research on Cancer (IARC). Tobacco smoke and involuntary smoking. In: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 83. Lyon, France: International Agency for Research on Cancer; 2004.

 

Syndicated Content Details:
Source URL: http://www.fda.gov/syn/html/ucm535235
Source Agency: Food and Drug Administration Center for Tobacco Products (FDA/CTP)
Captured Date: 2017-02-03 16:15:00.0

Ellie’s Story

Ellie enjoys singing and playing the guitar. She loves people and is an active member of the LGBT communities. In her mid-thirties, Ellie was diagnosed with asthma. Ellie never smoked but worked as a bartender in a bar that allowed smoking. Her doctor said her asthma attacks were triggered by secondhand smoke—breathing other people’s cigarette smoke. In 1990, she remembers having her first asthma attack. “I had trouble breathing. It was terrifying!” After several hospital visits and on the advice of her doctor, she felt she had no choice but to quit her job and find a job where she wouldn’t be exposed to secondhand smoke.

Even though she feels better now, Ellie was sad to leave a job she loved. “Everyone deserves to work in a smoke-free workplace,” she says.

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Ellie: “It was Terrifying to Get an Asthma Attack”

Ellie was in her mid-30’s when she had her first asthma attack — triggered by exposure to secondhand smoke. She loved her job as a bartender, but began to dread going to work. In this video from CDC’s Tips From Former Smokers® campaign she says, “I could feel my lungs getting tighter. I knew I couldn’t be around the smoke or I was going to die, or something bad was going to happen to me.” Eventually Ellie quit her job for the sake of her health, but feels everyone deserves to have a safe and healthy work environment.

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/ellie.html
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:45:00.0

Using Nicotine Replacement Therapy

Many people use quit smoking medications to help reduce withdrawal feelings and cigarette cravings. These medications can double your chances of quitting for good.

Photo of a man leaning against a wall in a neighborhood. He's holding his phone.

Nicotine replacement therapy (NRT) is the most commonly used family of quit smoking medications. NRT reduces withdrawal feelings by giving you a small controlled amount of nicotine-but none of the other dangerous chemicals found in cigarettes. This small amount of nicotine helps satisfy your craving for nicotine and reduces the urge to smoke.  

Doctors and other medical experts think NRT is the one of the most helpful tools smokers can use to quit. Some smokers have mild to moderate side effects. However, research shows that NRT is safe and effective. NRT can be an important part of almost every smoker’s quit smoking strategy. 

NRT comes in a variety of forms that are used in different ways. You can choose which forms you like best. Some NRT products work better than others for some people. Some people might prefer certain NRT products instead of others.

Quitting is different for everyone. Try various tools until you find the ones that help you succeed.

Types of NRT


NRT Types

How to Get Them

How to Use Them
Patch Over the Counter Place on the skin
Gives a small and steady amount of nicotine
Gum Over the Counter Chew to release nicotine
Chew until you get a tingling feeling, then place between cheek and gums
Lozenge Over the Counter Place in the mouth like hard candy
Releases nicotine as it slowly dissolves in the mouth
Inhaler Prescription Cartridge attached to a mouthpiece
Inhaling through the mouthpiece gives a specific amount of nicotine
Nasal Spray Prescription Pump bottle containing nicotine
Put into nose and spray

Combining NRT with Other Strategies

NRT can’t do all the work. It can help with withdrawal and cravings. But it won’t completely take away the urge to smoke. Even if you use NRT to help you stop smoking, quitting can still be hard. Combining NRT with other strategies can improve your chances of quitting and staying quit. To give yourself the best chance for success, explore other quit methods you can combine with medication. Also think about:

Syndicated Content Details:
Source URL: http://smokefree.gov/explore-medications
Source Agency: National Cancer Institute (NCI)
Captured Date: 2014-12-18 17:57:00.0

Jamason’s Story

18-year-old Jamason was diagnosed with asthma as an infant. He never really understood the dangers of secondhand smoke until it triggered a severe asthma attack. Jamason never smoked cigarettes. Even when friends tried to talk him into having one cigarette, he would reply, “It’s just not cool to smoke.”

Jamason’s worst attack occurred when he was 16, at a fast food restaurant where he worked. He was sweeping close to some coworkers who were smoking, and he started having trouble breathing. He called his mother, frantic for help. She found him at work gasping for air. He was hospitalized for 4 days.

More About Jamason

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Jamason: “I Didn’t Know Why I Couldn’t Breathe”


Jamason and his mother Sherri talk about the day Jamason had to go to the hospital after having a severe asthma attack at work, triggered by exposure to secondhand smoke. Recounting the drive to the hospital, Sherri said, “I just held his hand, and told him just squeeze it every now and then so I know he’s breathing.” In this video from CDC’s Tips From Former Smokers® campaign, Jamason admits that after such a severe attack, he was afraid to leave the hospital because he knew that outside, in the real world, people smoke.

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/jamason.html
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:45:00.0
Syndicated Content Details:
Source URL: http://www.youtube.com/watch?v=J-QipXhQM5M
Source Agency: National Cancer Institute (NCI)
Captured Date: 2014-12-18 21:14:00.0

Create My Quit Plan

walking in cold

Quitting starts now.
Make a plan.

Quitting is tough, but

BEING PREPARED

boosts your chances of success. Build a quit plan to get ready and find out what to expect along the way. Complete 7 easy steps to get your personalized quit plan.

Build your quit plan now

Create your own quit plan by following the steps below. You can download, print, and add your quit plan to your online calendars.

pencil and calendar

SET YOUR QUIT DATE

calendars-icon

*Start by setting your quit date

Choose a day within the next two weeks. This will give you enough time to prepare.

Please enter your Quit Day

one week

Nicotine is out of your system.

two weeks

Physical withdrawal symptoms fade.

one month

Cravings from emotional and habitual triggers may continue.

man making list in notepad with pen

CHOOSE YOUR REASONS FOR QUITTING

Select your reasons for quitting. They will be added to your quit plan.

breath easier icon
Be healthier
money icon
Save money
smell better icon
Smell better
loved ones icon
My loved ones
identify
cup of coffee

IDENTIFY YOUR SMOKING
TRIGGERS

Please select your smoking trigger(s)

Knowing your triggers helps you stay in control. When you first quit, you might want to completely avoid your triggers. After staying smokefree for a while, you may find other ways to handle your triggers.

*Select the triggers that cause you to smoke. They will be added to your quit plan.

Emotional Triggers
Feeling stressed
Feeling anxious
Feeling down
Feeling lonely
Feeling bored
Cooling off after a fight
Habitual Triggers
Talking on the phone
Drinking alcohol
Watching TV
Driving
Finishing a meal
Drinking coffee
Taking a work break
After having sex
Social Triggers
Going to a bar
Going to a social event
Seeing someone else smoke
cravings
girl doing yoga

PREPARE TO FIGHT CRAVINGS

Cravings only last a few minutes--but those minutes can be hard. Select the types of cravings you usually have. The tips for beating these cravings will be added to your quit plan.

Toggle Craving
Do you need to keep your hands and mouth busy?
a couple straws

Hold a straw in your hand and breathe through it.

hand holding coin

Play with a coin or paperclip to keep your hands busy.

Toggle Craving
Do you smoke to relieve stress or improve your mood?
yoga icon

Practice deep breathing to calm down or do some pushups to blow off steam.

two people icon

Turn to friends, family, and counselors when you need someone to talk to.

Toggle Craving
Do you have trouble keeping busy and your mind occupied?
checklist icon

Make a list of tasks that you can accomplish when a craving hits. This list can include chores, replying to emails, running errands, or planning your schedule for the next day.

Toggle Craving
Do you smoke because it’s pleasurable and relaxing?
movie tickets

Treat yourself to a different pleasure. Listen to your favorite songs, plan a movie night with friends, or save up your cigarette money for a special treat when you reach a smokefree milestone.

Toggle Craving
Do you get irritable and anxious without cigarettes?
gum

Nicotine replacement therapy (NRT), such as patches, gum, or lozenges, can help relieve your withdrawal symptoms. Talk to your doctor to see which type of NRT is right for you.

Toggle Craving
Do you smoke for an energy boost?
person running icon

To keep your energy level stable, get regular exercise and have healthy snacks throughout the day.

sleep cloud

Make sure you’re getting plenty of sleep at night to help you from feeling slow during the day.

reminders
hand holding trash bag

GET RID OF SMOKING REMINDERS

Please select your smoking reminders(s)

Seeing reminders of smoking makes it harder to stay smokefree. Get rid of any reminders in your home, car, and workplace before your quit day. Below is a list of common smoking reminders and how to deal with them. This list will be added to your quit plan.

clothes

Wash your clothing, especially the jacket you wear to take smoke breaks.

car icon

Clean your car.

trash can

Get rid of matches, ashtrays, and any cigarette butts that may be outside your home.

table ornaments

Put craving fighting items—like straws, nicotine gum, or a list of chores—in the places where you kept your cigarettes, ashtrays, matches, and lighters.

The night before quit day, throw away everything that is related to smoking. Don’t hide a pack in your freezer or stash your ashtrays in the back of a cabinet.

Everything must go!

help
two people holding hands

QUIT WITH EXTRA HELP

Smokefree.gov has lots of tools to make quitting easier. Explore these resources and select the ones that interest you. They will be added to your quit plan with information on how to use them.

Toggle Craving
SmokefreeTXT Text Message Program

SmokefreeTXT is a mobile text messaging service designed for adults and young adults across the United States who are trying to quit smoking. Sign up online or send a text message with the word QUIT to 47848.

Smokefree Apps help you track cravings, monitor progress, and give you strategies to help you become smokefree.

Toggle Craving
SmokefreeUS Facebook

Get extra support and information by checking out Smokefree on Facebook.

Toggle Craving
Quitlines

Consider calling either the National Cancer Institute or state quitlines to get information and help with quitting:

Toggle Craving
NCI LiveHelp

Get help quitting through an online chat with a smoking cessation counselor. LiveHelp is offered Monday through Friday, 8:00 a.m. to 11:00 p.m. Eastern Time. Visit the NCI LiveHelp page to chat with a counselor.

Toggle Craving
Medication and Nicotine Replacement Therapy (NRT)

Using medications and/or nicotine replacement therapy (NRT) can improve your chances of quitting for good. Make an appointment with your health care provider to find out which options are best for you.

Tell friends and family.

Quitting smoking is easier when you have support from your loved ones. Let your family and friends know that you are quitting, or invite a friend to quit with you.

  • Send an email
  • Send an email
show
Syndicated Content Details:
Source URL: http://smokefree.gov/quit-plan
Source Agency: National Cancer Institute (NCI)
Captured Date: 2014-12-18 17:58:00.0

Mariano’s Story

“I was given a second chance to live,” says Mariano, who is Hispanic and lives in Illinois. He started smoking at 15. In 2004, Mariano woke up one morning feeling sick and dizzy. He was sweating a lot. He went to the doctor, who told him his blood pressure was extremely high. He was hospitalized that day. Three days later, he had open heart surgery to replace blocked blood vessels in his heart. “I smoked my last cigarette the day I was told I needed heart surgery.” He hasn’t smoked since.

After his hospitalization, Mariano, who loves to cook, noticed that food tasted better and that he had more energy. “I had a wake-up call, and now I feel good.” He plans to keep it that way.

 

More About Mariano

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Mariano: Fortunate to have a second chance

Mariano smoked for 30 years. One day he woke up and felt dizzy and nauseous. “I didn’t know what was happening to me and started sweating.” Mariano needed open heart surgery to save his life. In this video from the CDC’s Tips from Former Smokers® campaign he says: “I was fortunate to have a second chance at life.” Mariano hopes that others don’t risk their health and stop smoking today.

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/mariano.html
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:46:00.0

CTP Newsroom

From press releases to public meetings to email newsletters, stay up to date on the latest news and events from the FDA Center for Tobacco Products.

Sign up to receive email updates from CTP


News & Events

Recent news, press releases, meetings, workshops, newsletters, and other announcements are listed below.

2017

2016


Archived Content

Search for past news and events in the FDA.gov web archive.

 

Syndicated Content Details:
Source URL: http://www.fda.gov/syn/html/ucm2019061
Source Agency: Food and Drug Administration Center for Tobacco Products (FDA/CTP)
Captured Date: 2015-12-07 17:29:00.0
Some days are tougher than others.  Get through it smoke-free.  1-800-QUIT-NOW.
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Source Agency: U S Food and Drug Administration (FDA)
Captured Date: 2014-12-18 21:25:00.0
Syndicated Content Details:
Source URL: http://www.youtube.com/watch?v=TDlM34v42R8
Source Agency: National Cancer Institute (NCI)
Captured Date: 2014-12-18 21:13:00.0


Introduction

So you're a dipper and you'd like to quit.

Maybe you've already found that quitting dip or chew is not easy. But you can do it! This guide is intended to help you make your own plan for quitting.

Many former dippers have shared advice on quitting that can help you. This guide is the result of advice from chewers and dippers who have canned the habit.

Like most dippers, you probably know that the health-related reasons to quit are awesome. But you must find your own personal reasons for quitting. They can motivate you more than the fear of health consequences. It's important to develop your own recipe for willpower.

 

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The Dangers of Dip and Chew

Here's a brief summary of the harm dipping does in the mouth:
  • Smokeless tobacco use may cause cancer of the mouth. 
  • Sugar in smokeless tobacco may cause decay in exposed tooth roots.
  • Dip and chew can cause your gums to pull away from the teeth in the place where the tobacco is held.  The gums do not grow back. 
  • Leathery white patches and red sores are common in dippers and chewers and can turn into cancer.
Can smokeless tobacco use cause problems in other parts of the body? 

Recent research shows that smokeless tobacco use might also cause problems beyond the mouth.  Some studies have shown that using smokeless tobacco may cause pancreatic cancer.  And scientists are also looking at the possibility that its use might play a role in the development of cardiovascular disease--heart disease and stroke.

Need more reasons to quit?
  • It's expensive!

    A can of dip costs an average of nearly $3. A two-can-a-week habit costs about $300 per year. A can-a-day habit costs nearly $1,100 per year. Likewise, chewing tobacco costs about $2. A pouch-a-day habit costs over $700 a year. Think of all the things you could do with that money instead of dipping or chewing. It adds up.

  • It's disgusting!

    If the health effects don't worry you, think of how other people see your addiction.

    The smell of smokeless tobacco in your mouth is not pleasant. While you may have become used to the odor and don't mind it, others around you notice.

    Check out your clothes. Do you have tobacco juice stains on your clothes, your furniture, or on your car's upholstery?

    Look at your teeth. Are they stained from tobacco juice? Brushing your teeth won't make this go away.

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Understanding your Addiction

Nicotine Levels of Selected Brands

Highest to Lowest

  • Kodiak Wintergreen
  • Skoal Longcut Straight
  • Copenhagen Snuff
  • Copenhagen Long Cut
  • Skoal Bandits Mint
  • Hawken Wintergreen

* This list is provided for information only. NIDCR and NCI do not endorse the use of any tobacco product.

Hard to believe you're a nicotine addict?
  • Believe it.

    Nicotine, found in all tobacco products, is a highly addictive drug that acts in the brain and throughout the body.

    Dip and chew contain more nicotine than cigarettes.

    Some facts:

    Holding an average-size dip in your mouth for 30 minutes gives you as much nicotine as smoking three cigarettes. A 2-can-a-week snuff dipper gets as much nicotine as a 1-1/2 pack-a-day smoker does.

    To the right is a chart comparing the nicotine levels of some selected snuff brands.

    Think about your own habit. Check how many of the following apply to you.
How Addicted Are You?
  • I no longer get sick or dizzy when I dip or chew, like I did when I first started.
  • I dip more often and in different settings.
  • I've switched to stronger products, with more nicotine.
  • I swallow juice from my tobacco on a regular basis.
  • I sometimes sleep with dip or chew in my mouth.
  • I take my first dip or chew first thing in the morning.
  • I find it hard to go more than a few hours without dip or chew.
  • I have strong cravings when I go without dip or chew.

The more items you check, the more likely that you are addicted.

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Myths and Truths

There are several myths about smokeless tobacco.

Sometimes these myths make users feel more comfortable in their habits.  Below are some myths and the truths that relate to them.

Myth: Smokeless tobacco is a harmless alternative to smoking.

Truth: Smokeless tobacco is still tobacco. In tobacco are nitrosamines, cancer-causing chemicals from the curing process. Note the warnings on the cans.

Myth: Dip (or chew) improves my athletic performance.

Truth: A study of professional baseball players found no connection between smokeless tobacco use and player performance. Using smokeless tobacco increases your heart rate and blood pressure within a few minutes. This can cause a buzz or rush, but the rise in pulse and blood pressure places an extra stress on your heart.

Myth: Good gum care can offset the harmful effects of using dip or chew.

Truth: There is no evidence that brushing and flossing will undo the harm that dip and chew are doing to your teeth and gums.

Myth: It's easy to quit using dip or chew when you want to.

Truth: Unfortunately, nicotine addiction makes quitting difficult. But those who have quit successfully are very glad they did.

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Quitting Plan

Kicking the dip or chew habit can be tough, but it can be done, and you can do it. 

The best way to quit smokeless tobacco is to have a quit date and a quitting plan.  These methods make it easier. Try what you think will work best for you.

  • Decide to quit

    Quitting smokeless tobacco is not something you do on a whim. You have to want to quit to make it through those first few weeks off tobacco. You know your reasons for stopping. Don't let outside influence -like peer pressure- get in your way. Focus on all you don't like about dipping and chewing.

  • Reasons to quit

    Here are some reasons given by others. Are any of them important to you?
    • To avoid health problems
    • To prove I can do it
    • I have sores or white patches in my mouth
    • To please someone I care about
    • To set a good example for my kids or other kids
    • To save money
    • I don't like the taste
    • I have gum or tooth problems
    • It's disgusting
    • Because it's banned at work or school
    • I don't want it to control me
    • My girlfriend (or a girl I'd like to date) hates it
    • My wife hates it
    • My physician or dentist told me to quit
  • Pick a quit date

    Pick your quit date. Even if you think you're ready to quit now, take at least a week to get ready. But don't put off setting a date.

  • Get psyched up for quitting

    Cut back before you quit by tapering down.

    Have your physician or dentist check your mouth. Ask whether you need nicotine replacement therapy (gum, nicotine patches, etc.).

    There is no "ideal" time to quit, but low-stress times are best. Having a quit date in mind is important, no matter how far off it is. But it's best to pick a date in the next two weeks, so you don't put it off too long.

    Pick a date that looks good for you and write it in below.

THIS IS MY QUIT DATE

MONTH: _______

DATE:     _______

YEAR:     _______

FILL IT IN!

 
  • Cut back before you quit

    • Some people are able to quit smokeless tobacco "cold turkey". Others find that cutting back makes quitting easier. There are many ways to cut back.
    • Taper down. Cut back to half of your usual amount before you quit. If you usually carry your tin or pouch with you, try leaving it behind. Carry substitutes instead–sugar-free chewing gum or hard candies, and sunflower seeds. During this period, you might also try a mint-leaf snuff.
    • Cut back on when and where you dip or chew. First, notice when your cravings are strongest. What events trigger dipping or chewing for you? Do you always reach for a dip after meals? When you work out? In your car or truck? On your job? Don't carry your pouch or tin. Use a substitute instead. Go as long as you possibly can without giving into a craving, at least 10 minutes. Try to go longer and longer as you approach your quit day. Now, pick three of your strongest triggers and stop dipping or chewing at those times. This will be hard at first. The day will come when you are used to going without tobacco at the times you want it most.
    • Notice what friends and coworkers who don't dip or chew are doing at these times. This will give you ideas for dip or chew substitutes. It's a good idea to avoid your dipping and chewing pals while you're trying to quit. That will help you avoid the urge to reach for a can or chew.
    • Switch to a lower nicotine tobacco product.  This way, you cut down your nicotine dose while you're getting ready to quit. This can help to prevent strong withdrawal when you quit.
    • Don't switch to other tobacco products like cigarettes or cigars! In fact, if you already smoke, this is a good time to quit smoking. That way you can get over all your nicotine addiction at once. 

 

  •  Right before your quit day...build a support team

    Let friends, family, and coworkers know you're quitting. Warn them that you may not be your usual self for a week or two after you quit. Ask them to be patient. Ask them to stand by to listen and encourage you when the going gets rough.

    Suggest ways they can help, like joining you for a run or a walk, helping you find ways to keep busy, and telling you they know you can do it. If they've quit, ask them for tips. If they use dip or chew, ask them not to offer you any. They don't have to quit themselves to be supportive, but maybe someone will want to quit with you.

 

  • Quit day!
  • Make your quit day special right from the beginning. You're doing yourself a huge favor.
  • Change daily routines to break away from tobacco triggers. When you eat breakfast, don't sit in the usual place at the kitchen table. Get right up from the table after meals.
  • Make an appointment to get your teeth cleaned. You'll enjoy the fresh, clean feeling and a whiter smile.
  • Keep busy and active. Start the day with a walk, run, swim, or workout. Aerobic exercise will help you relax. Plus, it boosts energy, stamina, and all-around fitness and curbs your appetite.
  • Chew substitutes. Try sugar-free hard candies or gum, cinnamon sticks,  mints, beef jerky, or sunflower seeds. Carry them with you and use them whenever you have the urge to dip or chew.

What About Medications?
Nicotine replacement therapy and non-nicotine replacement therapy (bupropion) are approved by the U.S. Food and Drug Administration (FDA) for smoking cessation. However, these products have not been approved for smokeless tobacco cessation. Further research is needed to determine their effectiveness for helping smokeless tobacco users quit.

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Your First Week off Smokeless Tobacco: Coping with Withdrawal

Withdrawal symptoms don't last long. 

Symptoms are strongest the first week after you quit.  The worst part is over after 2 weeks.  As time passes, you'll feel better than when you dipped or chewed. So be patient with yourself.

  • Urges to dip, cravings -- especially in the places you used to dip the most

    Wait it out .  Deep breathing and exercise help you feel better right away.
  • Feeling irritable, tense, restless, impatient

    Walk away from the situation. Deep breathing and exercise help to blow off steam. Ask others to be patient.
  • Constipation/irregularity

    Add fiber to your diet (whole grain breads and cereals, fresh fruits and vegetables).
  • Hunger and weight gain

    Eat regular meals. Feeling hungry is sometimes mistaken for the desire to dip or chew.
  • Desire for sweets

    Reach for low-calorie sweet snacks (like apples, sugar-free gums and candies).

ABOUT WEIGHT GAIN

Nicotine speeds up metabolism, so quitting smokeless tobacco may result in a slight weight gain.

To limit the amount of weight you gain, try the following:

  • Eat well-balanced meals and avoid fatty foods. To satisfy your cravings for sweets, eat small pieces of fruit. Keep low-calorie foods handy for snacks. Try popcorn (without butter), sugar-free gums and mints, fresh fruits, and vegetables.
  • Drink 6 to 8 glasses of water each day.
  • Work about 30 minutes of daily exercise into your routine; try walking or another activity such as running, cycling, or swimming.

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Your Second Week: Dealing with Triggers

You've made it through the hardest part - the first week.

If you can stay off one week, then you can stay off two.  Just use the same willpower and strategies that got you this far.

Cravings may be just as strong this week, but they will come less often and go away sooner.

Be prepared for temptation

Tobacco thoughts and urges probably still bother you. They will be strongest in the places where you dipped or chewed the most.

The more time you spend in these places without dipping or chewing, the weaker the urges will become. Avoid alcoholic beverages. Drinking them could bust your plan to quit.

Know what events and places will be triggers for you and plan ahead for them.

Write down some of your triggers. And write what you'll do instead of dip or chew. It may be as simple as reaching for gum or seeds, walking away, or thinking about how far you've come.

MY STRONGEST TRIGGERS

TRIGGER 1: _________

TRIGGER 2: _________

TRIGGER 3: _________

FILL IT IN!

 

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Tips for Going the Distance

CONGRATULATIONS!  You've broken free of a tough addiction. If you can stay off 2 weeks, then you know you can beat this addiction.  It will get easier.

Keep using whatever worked when you first quit. Don't expect new rituals to take the place of smokeless tobacco right away. It took time to get used to chewing or dipping at first, too.

Keep up your guard.  Continue to plan ahead for situations that may tempt you.

What if you should slip?

Try not to slip, not even once. But, if you do slip, get right back on track.

Don't let feelings of guilt lead you back to chewing or dipping. A slip does not mean "failure". Figure out why you slipped and how to avoid it next time. Get rid of any leftover tobacco.

Pick up right where you left off before the slip. If slips are frequent, or you are dipping or chewing on a regular basis, make a new quitting plan. Quitting takes practice. The smokeless tobacco habit can be tough to beat. Most users don't quit for good on the first try. Don't give up! Figure out what would have helped. Try a new approach next time. Talk to your physician or dentist for extra help.

You may also wish to call one of these services for additional guidance and support:

The National Cancer Institute (NCI) Cancer Information Service at 1-800-4-CANCER (1-800-422-6237)

The National Network of Tobacco Cessation Quitlines at 1-800-QUIT-NOW (1-800-784-8669)

The NCI's Smoking Cessation Quitline at 1-877-44U-QUIT (1-877-448-7848)

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Celebrate Your Success!

Congratulations!  You've done it. You've beaten the smokeless tobacco habit. 

You're improving your health and your future. Celebrate with the people on your "support team."  Offer your support to friends and coworkers who are trying to quit using tobacco.  Pledge to yourself never to take another dip or chew.

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This information is not copyrighted. Print and make as many photocopies as you need.

NIH Publication No. 12-3270
August 2012

NIH…Turning Discovery Into Health®


Stress & Smoking

Some people smoke when they feel stressed. They use smoking as a way to cope. There are many problems with using cigarettes as a way to cope with stress or other unpleasant feelings.

Photo of a woman concentrating on her laptop. She sits at a table and has a cup of coffee.
  • Smoking isn’t a long-term stress reliever. In the time it takes to smoke a cigarette, you could do something else that’s more effective—like take a short walk or try a relaxation exercise.
  • Smoking doesn’t solve the problem that’s giving you stress. Your stress will return. 
  • Nicotine addiction causes stress. Cravings for nicotine feel stressful because your body begins to go through withdrawal.
Smoking isn't a solution for stress. Try other ways to deal, like talking it out or exercising.

Some smokers find it hard to give up cigarettes as a way to cope with stress. It’s important to find healthy ways to handle stress and take care of yourself without smoking. There are many other ways to cope with stress that don’t involve smoking. 

Syndicated Content Details:
Source URL: http://smokefree.gov/stress-and-smoking
Source Agency: National Cancer Institute (NCI)
Captured Date: 2014-12-18 17:56:00.0

Tiffany’s Story

Tiffany smoked cigarettes, even though her mother, a smoker, died of lung cancer when Tiffany was 16. “Watching her suffer was awful,” she says. “I felt alone and scared.” But still, Tiffany started smoking in her late teens. “A lot of kids I went to school with were smoking, and I wanted to fit in,” she remembers. She quit smoking in 2012, when her daughter turned 16.

As part of her plan to quit, Tiffany changed her morning ritual. Instead of getting up early to drink coffee and smoke, she enjoyed an extra hour of sleep. She reached out to family and friends for support. They sent cards of praise and called and reminded her of all the reasons to never smoke again. Her most enduring motivation has been her daughter. “I didn’t want my daughter to think, ‘Wow, my mother loves cigarette smoking more than she cares about me.’”

 

More About Tiffany

Biography
Articles

Tiffany: Surprising Things About Quitting

Tiffany didn’t think about all the ways smoking hurt her daily life until she quit. Then life quickly started getting better. Food tasted better. She had more energy and more confidence. And there was one big surprise. In this video she says, “The money I save from not smoking is absolutely great!”

Get the Facts

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/tiffany.html
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:48:00.0
Syndicated Content Details:
Source URL: https://www.youtube.com/watch?v=dQIbIpjWEmc
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 21:08:00.0

Nathan’s Story

Nathan, a Native American and member of the Oglala Sioux tribe, never smoked cigarettes. For 11 years, he worked at a casino that allowed smoking. Secondhand smoke contains dangerous chemicals. The exposure to secondhand smoke caused him to develop allergies and serious infections that triggered asthma attacks, eventually causing permanent lung damage called bronchiectasis. “The casino was filled with smoke from so many people smoking,” he said. Breathing in other people’s smoke on a daily basis made his health so bad that he had to leave that job.

Nathan used to be active and athletic. He served in the Marines. He loved to participate in tribal dances. After getting sick, dancing just a few steps wore him out. Nathan hoped that sharing his story would help others understand how dangerous exposure to secondhand smoke really is. Nathan’s lung damage led to his death on October 17, 2013. He was 54.

 

More About Nathan

Biography
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Nathan: “I never smoked a day in my life!”

Nathan was Lakota, a member of the Oglala Sioux tribe, and never smoked. However, he worked in a facility where smoking was allowed, and experienced health problems as a result. In this video from CDC’s Tips From Former Smokers® campaign, Nathan describes his health problems—including asthma—triggered by exposure to secondhand smoke. He had to give up many activities he loved, including tribal dancing, because of damage to his lungs. That damage led to his early death at age 54.

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/nathan.html?s_cid=OSH_tips_D9033
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:41:00.0

Shawn’s Story

Fourteen-year-old Shawn was only trying to make friends and fit in at a new school when he started taking cigarettes from his father. But more than 30 years later he was still smoking, and the damage to his body was taking its toll.

Shawn was in his mid-forties when a chronic cough and laryngitis turned out to be throat cancer. He endured 38 radiation treatments and hours at the doctor’s office and finally quit smoking—but doctors were unable to save his larynx. He now has a stoma (opening) that allows him to breathe and a laryngeal implant that allows him to speak.

 

More About Shawn

Biography
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Shawn’s Struggle to Quit Smoking

In this video, Shawn talks about his addiction to cigarettes and his struggle to quit smoking, even after throat cancer. It wasn’t until his voice box was removed that he quit. He finally realized “You either quit smoking or you’re going to die.” This video is part of CDC’s Tips From Former Smokers® campaign.

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/shawn.html
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:37:00.0

Terrie’s Story

In high school, Terrie was a pretty cheerleader who competed on the cheer circuit. Her father smoked, and with more and more of her friends smoking, Terrie soon found herself lighting up in social settings. Eventually she was smoking up to two packs a day.

In 2001, at the age of 40, Terrie was diagnosed with oral cancer, and later that same year, with throat cancer. Doctors informed her that they would need to remove her larynx. It was then that she quit smoking for good. Terrie spoke with the aid of an artificial voice box that was inserted in her throat. She continued to battle cancer with a strong, positive spirit. Terrie died September 16, 2013 from smoking-related cancer. She was 53.

 

More About Terrie

Biography
Print Ads
Social Media
  • Facebook Q&A with Terrie – archived questions and answers from the chat with Terrie held on September 28, 2012 (look at the comments under the post by CDC Tobacco Free)

Terrie Surgeon General Ad

When Terrie was a child, doctors first linked smoking with cancer. As a teen, Terrie started smoking. As she grew older, smoking was linked to more and more diseases. At age 40, Terrie got cancer. In this TV ad, photos of Terrie put a human face on the millions killed by smoking.

Syndicated Content Details:
Source URL: http://www.cdc.gov/tobacco/campaign/tips/stories/terrie.html?s_cid=OSH_tips_D9035
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2014-12-18 17:39:00.0

 

 

 

 

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