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For each additional cigarette, give a dollar to favorite charity Change the eating habits to help cutting down Reach for a glass of juice instead of a cigarette for a "pick-me-up Cutting down can help quitting, but it's not a substitute for quitting Pharmacotherapy Pharmacotherapy in smoking cessation can be classified as Nicotine replacement therapy Non-nicotine replacement therapy Nicotine replacement therapy (NRT) Allow smokers to overcome the physiological dependence on nicotine by gradually reducing nicotine intake Provides smokers with craving relief, but without the other harmful ingredients in tobacco How nicotine replacement therapy (NRT) works Nicotine from NRT is well absorbed Onset of action of NRT is not as rapid as cigarette smoking Patients who use NRT become less habituated to the nearly immediate, reinforcing effects of nicotine Nicotine replacement therapy (NRT) Clinical efficacy Reduces physical withdrawal symptoms and lets one concentrate on the other changes needed to make as one quits smoking Studies have shown that the use of NRT could double the chance of success Up to 6 times if receiving thorough counseling However, the most important factor for successful smoking cessation still lies on the will to quit Includes Nicotine gum Nicotine patch Nicotine inhaler Nicotine sublingual tablet (available in other countries) Nicotine nasal spray (available in other countries) Nicotine replacement therapy Nicotine gum Nicotine in an ion-exchange resin in gum base Absorption occurs at the buccal mucosa Intermediate in CNS delivery speed Serum nicotine levels reach a peak in 20-30 minutes Products available Nicotinell Fruit/mint chewing gum 2 mg, 4 mg Nicorette Ordinary/freshmint chewing gum 2 mg, 4 mg Nicotine gum Nicotine gum Which smokers are most suitable Smokers with an irregular smoking pattern Provides oral gratification 4 mg gum most suitable for highly dependent smokers More than 20 cigarettes per day First cigarette within 20 minutes of waking Nicotine gum Reference dosage and duration of use For people who smoke more than 20 cigarettes per day, they may require 4 mg preparation For those who smoke less than 20 cigarettes per day, the 2 mg preparation is usually sufficient Initial dosage 8 to 12 pieces per day Daily dosage should not exceed 25 pieces of 2 mg gum 15 pieces of 4 mg gum The optimal duration of use for most people is about 12 weeks Nicotine gum Instruction to use nicotine gum Bite-park chewing method Each gum can last for 30 minutes Nicotine gum Tips for using nicotine gum Avoid acidic beverages such as coffee, juice or soft drink 15 minutes before or while using the gum Correct usage of NRT is very important

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In response Jeff would play even more dynamically, bringing things down to a whisper, then erupting into a cascade of sonic fury which Phil would then match, driving Jeff even further