I am addicted to gutka since more than 10 years -want to quit but its not my cup of tea looks like-am depressed and making my family suffer like dogs-want to come out of it-can you please help-do you have a way out.

Dr. Sushil Kumar S VPsychiatrist13yrs exp

90% (1861 ratings)

Ask Free Question

Good Morning ~ One of the popular ways that you can quit any nicotine containing products that you are addicted to including but not limited to gutka is the following of nicotine addiction treatment. Tobacco use is the greatest potentially remedial problem throughout the world, and it is the number one preventable cause of death in the developed world. Clinicians have a particularly important role as patient advocates in health promotion, discouraging smoking initiation, encouraging and assisting smoking patients to quit, and participating in social efforts designed to curb smoking at various levels. The gains in understanding the neuropathology of nicotine addiction have already opened new frontiers, including effective nicotine replacement therapy (NRT) and oral therapy. Greater therapeutic advances are anticipated in the years to come. A critical component of treatment is educating patients about the benefits of smoking cessation and the cessation process. Provide a description of the expected withdrawal syndrome. Continue with a discussion of the possible cessation methods, which include counseling, NRT, antidepressant medications, behavioral training, group therapy, hypnosis, and quitting “cold turkey.” Successful cessation is confirmed by measuring cotinine or carbon monoxide levels. More than 90% of patients who attempt to quit smoking stop cold turkey. Professional group therapy or counseling achieves an initial cessation rate of 60-100% and a 1-year cessation rate of approximately 20%. Hypnosis and acupuncture are popular programs that might encourage renewed attempts by people for whom other techniques have failed, but these modalities have not been shown to be any better than placebo. The use of smokeless tobacco products constitutes a small but growing segment that requires special considerations in the design of treatment interventions. NRT does not increase smokeless tobacco quit rates; however, of the pharmacologic options, varenicline shows early positive results. Patients who quit smoking tend to gain weight; therefore, patients should be encouraged to follow a low-calorie diet and exercise regimen during and after cessation. In patients attempting smoking cessation, exercise has been shown to help curb long-term weight gain and to help alleviate nicotine withdrawal symptoms. Interventions designed specifically for weight-concerned smokers (eg, an on-site exercise program) improved smoking abstinence rates and delayed weight gain. Cognitive-behavioral therapy to reduce weight concerns improved smoking cessation success and reduced weight gain. 

1 person found this helpful