You're likely to start by seeing your primary care doctor. Here's some information to help you get ready, and what to expect from your doctor.
What you can do
To get ready for your appointment:
- Consider your smoking triggers. List the circumstances when you're most likely to reach for a cigarette. In what situations has smoking become a ritual? Are there any situations when you're less likely to smoke?
- List any physical symptoms you've had that may be related to smoking. Include the length of time you've had each one.
- List key personal information. Include any major stresses or recent life changes.
- Make a list of all medications you're taking. Include any vitamins, herbs or other supplements, as well as the dosages.
- Take a family member or friend along, if possible. Sometimes it can be difficult to soak up all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Make a list of questions to ask your doctor. List your questions from most important to least important in case time runs out.
For nicotine dependence, some basic questions to ask your doctor include:
- Do you think smoking could be causing or worsening my other health problems?
- Is there still time for my health to benefit from quitting smoking?
- What treatment options seem most likely to help in my situation?
- What should I do to start getting ready?
- Can you refer me to a specialist who can help me stop smoking?
Don't hesitate to ask questions during your appointment.
What to expect from your doctor
Being ready to answer questions your doctor may ask reserves time to go over any points you want to spend more time on. Some questions your doctor may ask include:
- How many cigarettes do you smoke each day? How soon after waking do you smoke?
- Have you previously tried to stop smoking? If so, what happened? What worked? What didn't work?
- What is motivating you to stop smoking now?
- Do you have any physical health problems, such as heart disease or diabetes, that you suspect are related to smoking?
- Are there family members or co-workers who smoke with you?
- Do you have any lifestyle limitations related to smoking, such as difficulty playing sports or doing other physical activities?
- Has smoking caused any problems at work or in your relationships?
- Do you have any mental health problems, such as depression or anxiety?
- What are your biggest obstacles to stopping smoking?
- Will your loved ones support your effort to stop smoking?
- How confident are you that you'll be able to stop?
May 03, 2016
- Tobacco-related cancers fact sheet. American Cancer Society. http://www.cancer.org/cancer/cancercauses/tobaccocancer/tobacco-related-cancer-fact-sheet. Accessed March 24, 2016.
- Guide to quitting smoking. American Cancer Society. http://www.cancer.org/healthy/stayawayfromtobacco/guidetoquittingsmoking/index. Accessed March 24, 2016.
- Why people start using tobacco and why it's hard to stop. American Cancer Society. http://www.cancer.org/cancer/cancercauses/tobaccocancer/why-people-start-using-tobacco. Accessed March 24, 2016.
- DrugFacts: Cigarettes and other tobacco products. National Institute on Drug Abuse. https://www.drugabuse.gov/publications/drugfacts/cigarettes-other-tobacco-products. Accessed March 24, 2016.
- Horn K, et al. Effects of physical activity on teen smoking cessation. Pediatrics. 2011:128:e801.
- Rigotti NA. Pharmacotherapy for smoking cessation in adults. http://www.uptodate.com/home. Accessed March 30, 2016.
- The truth about kids and smoking. American Cancer Society. http://www.cancer.org/cancer/news/features/the-truth-about-kids-and-smoking. Accessed March 24, 2016.
- Rigotti NA, et al. Benefits and risks of smoking cessation. http://www.uptodate.com/home. Accessed March 24, 2016.
- Preventing tobacco use among youth and young adults: A report of the Surgeon General ― Executive summary. Centers for Disease Control and Prevention. http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/. Accessed March 24, 2016.
- Danovitch I. The clinical assessment and treatment of nicotine dependence. Focus. 2011;9:15.
- Get free help: Speak to an expert. Smokefree.gov. http://smokefree.gov/talk-to-an-expert. Accessed March 24, 2016.
- Quit guide: Clearing the air. Smokefree.gov. http://smokefree.gov/sites/default/files/pdf/clearing-the-air-accessible.pdf. Accessed March 24, 2016.
- Become an EX smoker. https://www.becomeanex.org/about-ex.php#. Accessed March 24, 2016.
- A report of the Surgeon General: How tobacco smoking causes disease. http://www.cdc.gov/tobacco/data_statistics/sgr/2010/consumer_booklet/index.htm. Accessed March 24, 2016.
- AskMayoExpert. Tobacco use. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- The health consequences of smoking —50 years of progress. A report of the Surgeon General, 2014. Executive Summary. http://www.surgeongeneral.gov/library/reports/50-years-of-progress/index.html. Accessed March 24, 2016.
- Barbara Woodward Lips Patient Education Center. My path to a smoke-free future. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
- Rosen JB, et al. Management of smoking cessation in adolescents. http://www.uptodate.com/home. Accessed March 30, 2016.
- Rodriguez-Thompson D. Smoking and pregnancy. http://www.uptodate.com/home. Accessed March 30, 2016.
- Bupropion. Facts & comparisons eAnswers. http://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed March 31, 2016.
- Varenicline. Facts & comparisons eAnswers. http://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed March 31, 2016.
- Nortriptyline. Facts & comparisons eAnswers. http://www.wolterskluwercdi.com/facts-comparisons-online/. Accessed March 31, 2016.
- Complementary health approaches for smoking cessation: What the science says. National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/providers/digest/smoking-science. Accessed April 1, 2016.
- Pisinger C, et al. A systematic review of health effects of electronic cigarettes. Preventive Medicine. 2014;69:248.
- Ebbert JO, et al. Counseling patients on the use of electronic cigarettes. Mayo Clinic Proceedings. 2015;90:128.
- McRobbie H, et al. Electronic cigarettes for smoking cessation and reduction. Cochrane Database of Systematic Reviews.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010216.pub2/full. Accessed April 27, 2016.
- Rigotti NA. E-cigarettes. http://www.uptodate.com/home. Accessed March 30, 2016.
- Bhatnagar A, et al. Electronic cigarettes: A policy statement from the American Heart Association. Circulation. 2014;130:1418.
- Bjartveit K, et al. Health consequences of smoking 1–4 cigarettes per day. Tobacco Control. 2005;14:315.
- Sockrider M, et al. Prevention of smoking initiation in children and adolescents. http://www.uptodate.com/home. Accessed April 5, 2016.
- Higgins ST, et al. Co-occurring risk factors for current cigarette smoking in a U.S. nationally representative sample. Preventive Medicine. In press. Accessed April 5, 2016.
- Smokeless tobacco and cancer. National Cancer Institute. http://www.cancer.gov/about-cancer/causes-prevention/risk/tobacco/smokeless-fact-sheet. Accessed April 5, 2016.
- What are FDA's regulations for flavored tobacco? U.S. Food and Drug Administration. http://www.fda.gov/AboutFDA/Transparency/Basics/ucm208085.htm. Accessed April 5, 2016.
- Hookahs. Centers for Disease Control and Prevention. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/hookahs/. Accessed April 5, 2016.
- Cigars. Centers for Disease Control and Prevention. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/cigars/index.htm. Accessed April 5, 2016.
- Bidis and kreteks. Centers for Disease Control and Prevention. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/tobacco_industry/bidis_kreteks/index.htm. Accessed April 5, 2016.
- Kotz D, et al. Prospective cohort study of the effectiveness of smoking cessation treatments used in the 'real world.' Mayo Clinic Proceedings. 2014;89:1360.