Smoking

Although quitting at younger ages is associated with a larger absolute decline in premature mortality, cessation at age 60 or older has also been shown to lower the risk of all-cause mortality and cardiovascular events. This benefit can be seen within five years of quitting.

၁။ လေဖြတ် တာနဲ့ ဆေးလိပ်သောက်တာဟာ risk က number of cigarettes smoke per day နဲ့ ပို higher risk relationship ရှိ ပြိး duration of smoking နဲ့ direct high relationship မရှိပါဘူး။

၂။ second hand smoker တွေ ကြတော့ သူတို့ရဲ့ spouse သောက်တဲ့ number of cigarettes smoke  per day နဲ့ ကောduration of exposure ၂ခုစလုံး နဲ့ direct relationshipရှိပါတယ်

Smoking cessation

Smoking Cessation

The 5 A's:

Generally,

1st Line is Behavioral treatment. >>> Nicotine patch. >> if failed >> add on Bupropion

Both Nicotine patch + Bupropion combination is more effective

NICE released guidance in 2008 on the management of smoking cessation. General points include:

• patients should be offered nicotine replacement therapy (NRT), varenicline or bupropion - NICE state that clinicians should not favour one medication over another
• NRT, varenicline or bupropion should normally be prescribed as part of a commitment to stop smoking on or before a particular date (target stop date)
• prescription of NRT, varenicline or bupropion should be sufficient to last only until 2 weeks after the target stop date. Normally, this will be after 2 weeks of NRT therapy, and 3-4 weeks for varenicline and bupropion, to allow for the different methods of administration and mode of action. Further prescriptions should be given only to people who have demonstrated that their quit attempt is continuing
• if unsuccessful using NRT, varenicline or bupropion, do not offer a repeat prescription within 6 months unless special circumstances have intervened
• do not offer NRT, varenicline or bupropion in any combination

Nicotine replacement therapy