Sir please suggest how to quit smoking habbit. I smoke 2-4 cigarette on every 4-5th day. I try to cntrl the carvings but on 4-5th day its so much that i cant stop it n go fr it. Please help soon. In between i developed a habbit of havig 2 cigarette daily for around a week or more bt i tried n reduced n so please suggest me the way to quit it completely n if any chewing gums available please suggest it too. Its for my friend aged 20yrs.

Dr. Saul PereiraPsychologist48yrs exp

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First of all with an asthmatic condition, your friend is fooling around with a poison that uses and harms the respiratory system. He desperately needs to quit smoking. The erratic pattern, induced by his attempts to quit, is worthy endeavors but true success lies in his finding support either through therapy or through the support of a close friend. Let him not attempt to stop gradually because the success rate of such attempts is neither permanent nor reliable. He needs to stop abruptly and immediately. He should give it much publicity, to all and sundry, so that he is compelled to save face and keep up his word in his social circles, when temptations become too trying. He may indulge in satisfying his oral need (which will become heightened due to the quitting of the smoking) with hard candy, chewing gum, and other consumables. There are nicotine chewing gums, nicotine patches, and electronic cigarettes that may be used as substitutes to reduce the craving and thus to eventually give up the habit. Whenever the need it stimulated, he may resort to deep breathing to simulate the act of smoking with nothing to actually ingest though. He needs to find out and equip himself with the knowledge of tobacco and all the damage it causes as a strong deterrent to his continuing the habit. The knowledge is scary. The times he has higher cravings have to be identified and he has to do something to occupy himself and his oral need to stave off the impulse. He needs to get into an active exercise regimen and healthy lifestyle that will embarrass him to abuse his body again by such poisonous items. 

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Dr. Aravinda JawaliPsychiatristyrs exp

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He can start on Bupropion SR 150 mg daily and stop smoking. 

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