Tobacco/Nicotine (Smoking)

Tobacco or Nicotine
Withdrawal Problems Suggested coping skills Cravings

 


The five D’s to handle Urges·

Strongest in the first week.

 Experienced in•

Delay until the urge passes—usually withinwaves, individual “cravings” last 30-90

3-5 minutes

seconds.

 Begin 6-12 hours after stopping,•

Distract yourself

peak for 1-3 days, and may last 3-4 weeks

.•Call a friend or go for a walk

As the days pass, the cravings get farther and•Drink water to fight off cravings

farther apart. Mild occasional cravings may•Deep Breaths—Relax! Close your eyes andlast for 6 months.take 10 slow, deep breaths

•Discuss your feelings with someone close

to you.

Difficulty in concentrating

usually begins                                       Taking a break: gazing into a photo or

within the first 24 hours,  peak              for the first looking out a window; closing         

                                                                        eyes and

1-2 weeks, and disappears within a month        .relaxing for ten minutes.

                                               Doing different tasks instead of focusing on

                                         any one activity for too long. Temporarily

                                                putting off work when feeling unable to do it.

Insomnia

Trouble falling asleep or disturbed sleep and      Avoiding coffee, tea, caffeinated drinks after

daytime drowsiness. Troublesome for the first6 pm. Drinking lots of fruit juices, and

1-2 weeks, and disappear within a month.water. Learning relaxation/meditation

techniques. Avoiding changes in sleep

routine: always getting up at the same timeevery morning.

Depression and tiredness

Mild feelings of depression may occur usuallyIdentifying specific feelings. Is one actually

within the first 24 hours,            continue in the firstfeeling tired, lonely, bored or hungry? Focus

1-2 weeks, and go away within a month on and address these specific needs.

Add up how much money you have saved

already by not purchasing cigarettes and

imagine (in detail) how you will spend your

savings in six months.

Call a friend and plan to have lunch, go to a movie.

Make a list of things that are upsetting to

you and write down solutions for them.

Irritability, Restlessness, Anger and Frustration

Taking short walks or exercising. Having a

Feeling more “edgy” and short-tempered ishot bath, using relaxation techniques.

common. These peak (stay high) the first     Taking regular 10 minute mental and

1-2 weeks, and disappear within a month.     physical breaks from whatever work one is doing to …walk, stretch, run.Keeping hands busy, like playing with a

rubber band or squeezing a rubber ball.

Increased Appetite and Weight Gain

More physical activities (e.g. take the stairs

Stronger and more frequent hunger pangs are instead of a lift, park further away from the experienced, and the sense of taste also improves.door to the office/shop etc.). Drinking more Weight gain most often due to eating morewater—especially before meals. Eating after is a common but temporary phenomenon.plenty of fresh fruit—carrying it to work

The five D’s to handle Urges·

Strongest in the first week.

 Experienced in•

Delay until the urge passes—usually withinwaves, individual “cravings” last 30-90

3-5 minutes

seconds.

 Begin 6-12 hours after stopping,•

Distract yourself

peak for 1-3 days, and may last 3-4 weeks

Call a friend or go for a walk

As the days pass, the cravings get farther and•Drink water to fight off cravings

farther apart. Mild occasional cravings may•Deep Breaths—Relax! Close your eyes andlast for 6 months.take 10 slow, deep breaths

•Discuss your feelings with someone close

to you.

Difficulty in concentrating

usually begins                                       Taking a break: gazing into a photo or

within the first 24 hours,  peak              for the first looking out a window; closing         

                                                                        eyes and

1-2 weeks, and disappears within a month        .relaxing for ten minutes.

                                               Doing different tasks instead of focusing on

                                         any one activity for too long. Temporarily

                                                putting off work when feeling unable to do it.

Insomnia

Trouble falling asleep or disturbed sleep and      Avoiding coffee, tea, caffeinated drinks after

daytime drowsiness. Troublesome for the first6 pm. Drinking lots of fruit juices, and

1-2 weeks, and disappear within a month.water. Learning relaxation/meditation

techniques. Avoiding changes in sleep

routine: always getting up at the same timeevery morning.

 Depression and tiredness

Mild feelings of depression may occur usuallyIdentifying specific feelings. Is one actually

within the first 24 hours,            continue in the firstfeeling tired, lonely, bored or hungry? Focus

1-2 weeks, and go away within a month on and address these specific needs.

Add up how much money you have saved

already by not purchasing cigarettes and

imagine (in detail) how you will spend your

savings in six months.

Call a friend and plan to have lunch, go to a movie.

Make a list of things that are upsetting to

you and write down solutions for them.

Irritability, Restlessness, Anger and Frustration

Taking short walks or exercising. Having a

Feeling more “edgy” and short-tempered ishot bath, using relaxation techniques.

common. These peak (stay high) the first     Taking regular 10 minute mental and

1-2 weeks, and disappear within a month.     physical breaks from whatever work one is doing to …walk, stretch, run.Keeping hands busy, like playing with a

rubber band or squeezing a rubber ball.

Increased Appetite and Weight Gain

More physical activities (e.g. take the stairs

Stronger and more frequent hunger pangs are instead of a lift, park further away from the experienced, and the sense of taste also improves.door to the office/shop etc.). Drinking more Weight gain most often due to eating morewater—especially before meals. Eating after is a common but temporary phenomenon.plenty of fresh fruit—carrying it to work

Cravings Difficulty in concentrating Depression and tiredness Irritability, Restlessness, Anger and Frustration Increased Appetite and Weight Gain

 

Acute nicotine intoxication
A. The general criteria for acute intoxication (F1x.0) are met.

B.   Dysfunctional behaviour or perceptual abnormalities, as evidenced by at least one of the following:
(1) insomnia;
(2) bizarre dreams;
(3)  lability of mood;
(4) derealisation;
(5) interference with personal functioning.

C.   At least one of the following signs:
(1) nausea or vomiting;
(2) sweating;
(3) tachycardia;
(4) cardiac arrhythmias.