stop smoking

Chantix and Weight Gain

A common concern among those who read my blog is the use of Chantix (varenicline tartrate) and the potential for weight gain. Chantix is in fact associated with weight gain and increased appetite. On average people who take Chantix gain about 2.37 kg (or 5.31 pounds).

Frankly, the weight gain is insignificant in comparison to the huge benefit derived from quitting smoking.

Quitting Smoking Strategy

Smokers trying to quit may have a better chance of success if they let the clock tell them when to have a cigarette.

The strategy proved twice as successful in the long term as quitting cold turkey or allotting a certain number of cigarettes per day, according to a study reported in The Journal of Consulting and Clinical Psychology.

The clock strategy assigns smokers specific times of day for lighting up. The schedule gradually lengthens the intervals between cigarettes until a smoker quits altogether.

Quit Smoking New York

Help to quit smoking or nicotine addiction available through programs throughout New York City. New Yorkers who want help quitting should call 311 today.

Further help here (click this link).

Helping People Quit Smoking

It was about 1994 and I was sitting listening to a lecture during medical school. I which immediately put me to sleep. I was never good at listening to lectures.

But then the instructor made a statement that woke me up. She said that “the number one thing any person could do to improve their health is to quit smoking”. She repeated, “the number one thing anyone can do to immediately improve their health is to quit smoking.” Of all the things I learned during medical school and since THAT statement stayed with me. And every since then I have always been interested in helping people quit smoking.

So in 2006 I was thrilled when I heard about Chantix and immediately learned everything I could about this
drug and hence this report CLICK HERE. It is a compilation of questions, side effects and symptoms commonly experienced with Chantix.

It is based on the product insert provided by Pfizer, some reader provided testimonials and my personal experience with patients and other physicians who have used Chantix.

So believe me when I say that I wish you success in your attempt to quit smoking.

Chantix Question About Depression

I reader responds -

“You should try to see your doctor for the depression.”

You mean the same quack who prescibed the Chantix? Do you really want EVERYONE hooked on your perscriptions?

My “doc” put me on Lexapro for depression after my father died. 3 years later I have the WORST physical withdrawal symptons. So bad, I’m basically stuck taking this drug in order to feel “normal”.

Thanks big pharma, for making a drug addict out of me.

Dear Anonymous:

I am sorry that you feel trapped by “big pharma”.

There exist other ways to treat depression, relying less on medication and more on psychoanalysis and behavior modification.

There exist a stigma in our society surrounding psychiatric diseases and at times depressed patients hate the fact that they need to rely on antidepressants.

You hardly hear about patients with high blood pressure complaining (“they are hooked”) because they need to take anti-hypertension meds all the time, or patients with broken bones complain they need a cast.

I wish you the best of luck.

A Reader’s Question Regarding Chantix

(8/04/2007 10:29:00 PM)

I have been on chantix since may 28th. I have not smoked since June 3rd, 2007. I swear by this stuff, and believe it definatly “helps” for those who want to quit. I also realize that it is NOT for everyone.

My concern is that I went to the doctor because the past few days I have been experiencing urinating issues. I would urinate, and then feel like I had to urinate again, 2 minutes later! Then this morning, it was accomponied by burning.

I have had 2 moderate pains (2 seperate occasions) the past month, with what I would describe as pains in my right lower back, or kidney area. As I said, I went to the doctor thinking it was a bladder infection, and after a urine examine, it was determined that I had a blood in my urine! Wow, shocker! He prescribed Cipro and I am to return in a week to retest.

I am 36, smoked for 15 years, but otherwise, I would consider myself healthy. I also had a prostate exam during this visit, to make sure that I wasnt having any issues there. Have there been any other complaints like this, that you know of?
-BPS

Dear BPS:

First of all allow me to congratulate you on your six weeks success in quitting the nicotine addiction. Even with the use of Chantix I know it is not an easy thing to do.

The symptoms you describe of feeling like urinating frequently, burning during urination accompanied by pain in the back, are classic symptoms of urinary tract infections.

Most people are alarmed when they see blood in their urine. You did the right thing by going to the doctor and getting your self checked out by an health care provider.

You doctor prescribed you an antibiotic to fight the infection and wants to follow-up with you to see if the symptoms improve. I would do as he says and see what the follow-up shows. More than likely you have a case of urinary tract infection that will clear up with the antibiotics.
Your symptoms probably have nothing to do with you taking Chantix. However there does exist an infrequent association between Chantix and kidney stones. Kidney stones may cause some of your symptoms and can cause blood in the urine too. Kidney stones may provide a “nesting” point for bacteria to grow. (http://www.fda.gov/cder/foi/label/2006/021928lbl.pdf)

Medicine is an art and although sometimes things seem straight forward often they are not.

“Common things are common” a refrain doctors use to remind themselves to think of the most common things first. You may just had a urinary tract infection and your doctor is treating you for that.

Thanks for your question. And let us know how it turns out please.

Chantix Question About Safety

“Chantix was tested in rats and rabbits at oral doses of up to 50-times the maximum recommended dose for humans”

Well, how’s their psychological profile, huh?

-Samantha.

Dear Samantha:

Chantix was tested in rats and rabbits at oral doses of up to 50-times the maximum recommended dose for humans and found not to cause birth defects in rats or rabbits. Although Chantix did, cause reduced fetal weight in the offspring of pregnant rabbits. There are no adequate and well-controlled studies in pregnant women. Therefore, the potential effects of Chantix on labor and delivery are not known.

Current Categories for Drug Use in Pregnancy
Category
A: Adequate, well-controlled studies in pregnant women have not shown an increased risk of fetal abnormalities.
B: Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate and well-controlled studies in pregnant women or animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus.
C: Animal studies have shown an adverse effect and there are no adequate and well-controlled studies in pregnant women or no animal studies conducted and there are no adequate and well-controlled studies in pregnant women.
D: Studies, adequate well-controlled or observational, in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy may outweigh the potential risk.
X: Studies, adequate well-controlled or observational, in animals or pregnant women have demonstrated positive evidence of fetal abnormalities. The use of the product is contraindicated in women who are or may become pregnant.

Chantix (varenicline) is classified as a pregnancy category C drug.

If you asked me if I would want my mother taking Chantix, while pregnant with me.  My answer would be NO but then again I would not want her smoking either.

Clearly, there is a knowledge gap about Chantix’s use during pregnancy, so there is no way to know with total certainty that your miscarriage was cause by Chantix.

Your Chantix Experience, Tell Dr. Howell

Have you used Chantix (varenicline) and found that it worked well for you? Or have you used Chantix and found that if was not so good for you?

If you or someone you know used Chantix and would like to be heard on whether the drug is safe to use please contact me ASAP at drhowell@drhowell.net.

CHANTIX TESTIMONIAL WITH A QUESTION

An anonymous Chantix user asks:(Originally Posted: 23 Sep 2007 12:04 AM CDT)

I started taking Chantix on Tuesday, and per the instructions doubled the dose on Friday. Saturday (around 2:00am) I woke with sever vertigo. I took no more of the medication and contacted my doctor. Seven full days later I still have moderate vertigo. (I have an appointment with a neurologist on Tuesday of next week.)

I am wondering if others have experienced this as well?

Anybody want to share their symptoms? Please comment.

Chantix Pay It Forward

If you have attempted to use quit smoking using Chantix and would like to help others quit by sharing your experience please comment below.

The Chantix Blog Interest

This is the blog article that first linked to my site:

http://heehawmarketing.typepad.com/hee_haw_marketing/2007/09/a-sad-day-in-da.html

After that I got like six other sites who also mentioned my blog and a reporter from People magazine emailed me wanting to do a story on Chantix.

After that my site was high on the search engines for Chantix and many people visited my blog looking for information about Chantix.

How To Double Your Chance of Success When Quitting?

“No man is an island” wrote John Donne. We are social creatures and in general we do much better when we are part of a society.mAs a matter of fact smoking is as much a social activity as it is a habit or addiction.

Social support helps us in whatever we do. So it is no suprise to learn that “individual counseling” from a smoking cessation specialist increases a smokers’ chances to successfully stop smoking.

But if you do not have a counselor find a friend or a quit buddy to help you quit once and for all.

SOURCE:
Lancaster, T et. al.Individual behavioural counselling for smoking cessation.Cochrane Rev Abstract. 2007

Smoking, Medical School and Chantix

It was about 1994 and I was sitting listening to
another lecture during medical school. I was
immediately put to sleep as the instructor
talked and talked for what seemed like an
eternity. (I was never good a listening to lectures.)

But then he made a statement that the number
one thing any person can do to improve their health
is to quit smoking. I immediately perked-up. He
repeated the statement: “The number one thing
anyone can do to immediately improve their health
is to quit smoking.”

That stayed with me of all the things I learned during
medical school and since then I have always been
interested in helping people quit smoking.

So I was thrilled when I heard about Chantix and
immediately learned everything I could about this
drug and hence this report CLICK HERE.

It is a compilation of questions, side effects and
symptoms commonly experienced with Chantix.

It is based on the product insert provided by
Pfizer, some reader provided testimonials and
my personal experience with patients and other
physicians who have used Chantix.

Wish you success in your attempt to quit smoking.

The (real) Cost of Smoking

A pianist and two other musicians played
in a number of local bars in Long Beach,
California for about $90 per week in
the 1930s.

The band, a hit with locals, was just
barely making it.

Occasionally, the piano player would sing to
the delight of his audience who loved his
baritone voice.

As customers demanded to hear more vocals
pieces, the piano player reluctantly sang to
accomodate his audience.

Soon the trio and the singing pianist where a
huge sensation and the band began having
greater success.

A few years later the band recorded a number
one hit, the pianist name was Nat King Cole and
the song “Mona Lisa”.

The 80/20 rule tell us the that 80 percent of
our success comes from 20 percent of what we do.

The trio and their music was were 80 percent but
Nat King Cole’s voice was the 20 percent that
made the difference and propelled the group into
stardom.

The point of the story is that we always try to just do
the 80 percent because it is what is easy, what we are
comfortable doing, what everybody else is doing at
the time. And we are reluctant to do the 20 percent
that would make a real difference.

If you watch what you eat, exercise regularly, and
otherwise take care of your health but you smoke
then you are ignoring the 20 percent that matters.

Quitting smoking is the number one thing anyone
can do to improve their health and the health of
those around them.

Cigarette smoking causes 87 percent of lung cancer
deaths. Lung cancer is the leading cause of cancer death
in both men and women.

According to the 2004 British Study in the Journal
of Epidemiology and Health a smoker’s life is
shorten by an average of 10 years.

Here is a partial list of people who would probably
still be with us if they had quit smoking:

*ABC anchorman Peter Jennings.

*Renaldo “Obie” Benson, member of the Four Tops.

*Comedian Alan King.

*Author Stephen Ambrose.

*Singer Rosemary Clooney.

*Baseball’s Cal Ripken Sr.

*Baseball’s Joe DiMaggio.

*Actor Vincent Price.

*Actor Chuck Connors.

*Jazz singer Sarah Vaughan.

*Big band performer and Actor Desi Arnaz.

*Actor Yul Brynner.

*Jesse Owens, Olympic gold medalist.

*Jazz great Duke Ellington.

*Nat King Cole.
The could have given society another
movie or another song, or read the news
for us one more time, etc but instead they
died of lung cancer (a preventable
disease).

Yes, smoking affects us all.

SOURCE:
American Cancer Society. Cancer Facts and Figures 2004.
Atlanta, GA: American Cancer Society, 2004.

Smoking and ED (erectile dysfunction)

drhowell

Getting young people and teens to quit
smoking is a tough enough. But here is
some ammo for young men who smoke.

Studies provide strong indirect evidence
that smoking may affect penile erection.
The study results were inferred from
data gathered from a retrospective chart
check from 860 male patients aged
between 18 and 44 visited during the
period January 1999 to December 2002.

Knowledge if this information may make young
men think twice about lighting up.

SOURCE:
*Natali A., et al. Heavy smoking is an important risk
factor for erectile dysfunction in young men.
International Journal of Impotence Research (2005) 17, 227–230.

*He, J., et al. Cigarette Smoking and Erectile Dysfunction among Chinese Men without Clinical Vascular Disease. American Journal of Epidemiology. 166(7):803-809, October 1, 2007.

Chantix (varenicline) and the Department of Veterans Affairs (VA)

drhowell

This case is especially alarming since many combat veterans have a high incidence of mental issues and therefore are very vulnerable to the very risks the drug is alleged to increase–suicidal tendency.

The Senator contacted the VA to better understand the timeline of events and the guidelines governing notifications to patients. The VA is currently undergoing reforms to enhance communication with its participants, and Senator Grassley will continue to monitor this issue in Congress. [...]

http://drantoniohowell.com/get-help-quitting-tobacco/

Chantix Testimonials

A: “Chantix (varenicline = quit smoking pill) is nothing less than a “Miracle.” It is an AWESOME product.”
-TheDale’s

My husband is 44yrs. old. He started sneaking and smoking when he was 5yrs old. He started smoking full time when he was 13yrs. old. He averaged smoking FIVE carton’s a month.

We were married six years ago, and the smoke and smell was killing me. I saw something on T.V. about Chantix, I asked my husband if he would try it since he has tried everything else and nothing seemed to work, and he said he would.

He went to our pharmacy to see if you needed a prescription for it, They hadn’t even heard of it.

So when my husband went to his physician for a check-up he asked about it. He told them I had heard about it on T.V. and researched and found it on the internet. His Dr. knew about it and wrote him a script, we went to the pharmacy and they had to special order it.

His insurance even paid some on it. They got it in the next day and he started it.

You are supposed to smoke during the first week while it gets into you system but he didn’t last a week after about three days he was finished and hasn’t smoked since.

He took it for two months just as a precautionary thing. He now tells everyone about it and says he could do a commercial and not tell a lie to sell the product.

He calls hisself the Chantix Poster Boy…He looks healthier. Can taste food better, breathe better. And can’t stand to be around anyone smoking or has been smoking he says it makes him sick.

He said I had no idea I stunk that bad. He tells everyone that if he can quit after 39 years ANYONE can Quit.

Thanks to whoever created Chantix. It is an AWESOME product. -TheDale’s

Chantix works great. We’ll be hearing alot about this drug as more people have success with it. I took it for 30 days total and quit smoking on day 10. -Tom

Ive been on Chantix for a month and it is great. It reduces the cravings. There are minor side effects but nothing that will ruin your day. -Nicki

I have to agree with the others that there some side effects (nausea right after taking the pill for a few minutes) but nothing to the point where I would stop taking it. -Jennifer

Success rates, side effects and cost of popular stop-smoking aids:

American Cancer Society officials say only about 5% of smokers who try to quit on their own are successful and remain smoke-free after a year.

* – Clinical trials did not directly compare Chantix with nicotine replacement therapies.Prices for prescription drugs vary by pharmacy. Zyban’s price range takes into account its generic form, bupropion.

Source: American Lung Association, Journal of the American Medical Association, Walgreens and CVS pharmacies

http://drantoniohowell.com/get-help-quitting-tobacco/

Zyban Does Not Curb Smoking In Patients With ADHD

“Given that children with ADHD are at very high risk for the development of nicotine dependence, the development of successful smoking prevention programs in this population will address a serious public health issue,” Dr. Michael C. Monuteaux told Reuters Health. [1]

The high risk of smoking among young people with attention-deficit/hyperactivity disorder (ADHD) is not reduced by treatment with the antidepressant bupropion, according to a report in the Journal of Clinical Psychiatry. However, stimulants do seem to cut the likelihood of smoking.

Bupropion is sold under the trade name Zyban when it’s prescribed to help people stop smoking, and under the name Wellbutrin when it’s prescribed to treat depression or seasonal affective disorder.

1.http://www.reuters.com/article/healthNews/idUSKRA97411120070829

Q:Chantix most common side effects?

A: Up to one third of the study participants complained of either nausea or vomiting while using Champix (Chantix). [1]

On September 2006, Pfizer issued a press release announcing European Commission approval of Champix, its new quit smoking pill. It boasts that “after one year, approximately one-in-five patients who received the 12-week course of varenicline [Champix] remained smoke-free.”

Smoking is a chronic relapsing medical condition that typically involves a physical and psychological addiction to nicotine. In Europe alone, more than 1.2 million people die each year from smoking-related diseases.

In addition to the human toll, there is a significant social and economic cost associated with smoking.

By 2010, the World Health Organization predicts the annual global cost of tobacco-related illness will be approximately $500 billion, with Europe accounting for up to $165 billion of this sum.

How Chantix/Champix works?

By reducing the smoker’s craving for nicotine by binding to receptors in the brain and reduces the symptoms of withdrawal. And it reduces the satisfaction a smoker receives when smoking a cigarette.Clinical trials to date have shown that Champix is more effective than currently available oral antismoking prescription medicines.

In trials, 44% of the group treated with Champix had stopped smoking after being treated for 12 weeks, as opposed to 11% of smokers taking the placebo.

Over the same duration, it was also shown to be twice as effective as Zyban (bupropion), the other main anti-smoking drug treatment.

Uninsured? Need help paying for medicine?

Pfizer has programs that can help, no matter your age or income. You may even qualify for free Pfizer medicines. Call 1-866-706-2400. Or click here for more info www.pfizerhelpfulanswers.com.

What is the most important information I should know about Chantix?

Use this medication exactly as it was prescribed for you. Do not use it in larger amounts or for longer than recommended by your doctor. Follow the directions on your prescription label.

If you miss a dose, use the medication as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not use extra medicine to make up the missed dose.

“I was a heavy smoker, and quitting was the most difficult personal challenge I ever faced. After I quit, I worked with a team of Pfizer scientist to develop Chantix specifically to help smokers quit.”  -Dr. Jotham Coe, Pfizer scientist.

1.Varenicline for Smoking Cessation: Definite Promise, But No Panacea. Klesges et al. JAMA.2006; 296: 94-95.

The “A-Ha” Moment

When you decided to quit smoking, what motivated you?

What was your “a-ha” moment, the single thing that finally made you stop, re-focus, and decide once and for all to quit smoking?

It may have had something to do with your children, seeing a loved one suffering from smoking related health issues, or finding yourself going to ridiculous and silly extremes just to get your hands on a cigarette.

For lots of people, the power of the “a-ha” moment is tremendous. It’s sort of like getting an unexpected electric jolt that stops you in your tracks for a moment and creates a feeling like you’ve just hit the reset button on your brain. These are the kinds of moments that come when we least expect it but that also have a huge influence on how we choose to deal with smoking.

The “a-ha” moment is a powerful stop smoking tool and one that you can use to your benefit in many ways. One of the best ways is to sit down with a pen and paper and write down exactly what happened for your “a-ha” moment. Be as descriptive and detailed as possible, capturing the intensity of what you felt and the sudden dawning of new thoughts that came into your head. Once you have everything down on paper, make several copies and put them in places where you can easily access them when your willpower or motivation begins to fade.

Keep a copy in your wallet or purse, as well as in the glove compartment of your car and the drawer in your desk. Put a copy any place where you can grab it and read it the next time you get the urge to smoke. Some people find it helps to keep a copy in the places where they used to keep their cigarettes; that way they end up grabbing the paper instead of cigarettes when old habits kick in.

Why is it so important to keep reminding yourself of your “a-ha” moment? It’s simple, really. Even the most powerful experience will start to fade over time, especially when you find yourself desperately craving a cigarette. At those times when you’re most tempted to give in and have a cigarette, reminding yourself of that powerful moment can be a huge help in getting you past the immediate craving and keeping you on your non-smoking path to success.

Which Stop Smoking Methods Work Best?

Tobacco and cigarettes are big business, bringing in billions of dollars in profits to tobacco companies and cigarette makers. Unfortunately, the business of selling stop smoking methods is almost as huge. It’s great to have plenty of choices when it comes to finding a stop smoking method that will work for you, but the tremendous amount of money to be made in this industry has also led to plenty of scams out there as well. When you decide to stop smoking, then, how can you possibly know which stop smoking methods work the best?

There is no single right answer to this question because each person is a unique individual. Some people have great success going cold turkey, for example, while others need the more gradual and structured approach of using nicotine patches to help them stop completely. The key to your success in becoming a non-smoker is to find the best method for your needs, even if it takes several tries to find the right one.

Here are some ways to go about making it happen:

1. Talk to your doctor. This may be old advice but it’s good advice. Your doctor is a terrific resource for helping you find and use the right method to help you stop smoking. He or she can fill you in on all sorts of approaches ranging from cold turkey to medication-assisted to behavioral and more.

2. Seek ongoing support. Every successful stop smoking program has one important element – ongoing support. Finding ongoing support that is practical, accessible, and suited to your needs is a critical part of your efforts. Look for support groups and forums online, in your community, at your church, at your workplace, etc.

3. Commit to the program. Regardless of which program or method you choose to stop smoking, your own personal and complete commitment is vital to success. It’s easy to start a new program and then, when the going gets tough, give it up or justify finding reasons to sneak cigarettes along the way. The best chance of success comes when you commit yourself fully to the program, even if that means making a new commitment each week, day, or hour in some cases.

Most non-smokers will tell you it took them several tries to actually stop smoking for good, so don’t let yourself become discouraged. Stick with it, keep trying, and never, ever give up!
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Rate YOUR experience using Chantix (varenicline)

Approximately two years ago I asked you (the readers) this question:

WHAT WAS YOUR EXPERIENCE WITH CHANTIX? (on scale 1-5; 1=bad and 5=good)

and I got the following result:

Votes recorded: 40
Poll closed (10/19/2007)

Based on this poll 63% of  readers had an okay(2) to superb(5) experience with the drug.  However,  it seems that the same number of people had a bad experience(1) and a superb experience(5) with the drug.

It seems that the experience with Chantix (varenicline) is good for most but really bad for some.

Anytime Is A Great Time To Quit Smoking

Aahhh, summer. It’s a great time of year. Some would even say it’s really smokin’, if you’ll forgive the bad pun. For those working to quit smoking, though, summer can be a challenging time. All of that fun in the sun, usually combined with having a few beers or drinks along the way, just naturally seem to go hand in hand with smoking.

As tough as it might seem, you can quit smoking during the summer if you set your mind to it. Here are three top ways to say goodbye to cigarettes this summer:

1. Shake up your routine. You are accustomed to smoking as part of your normal routine, so summer is a great opportunity to shake things up a little bit. Take advantage of opportunities to try new activities, take some time off from work, and generally do things differently than you would normally. Make a point of not smoking during these times, even going so far as to leave your cigarettes somewhere that you can’t get to them while doing the new activity.

2. Make new friends. Trying new activities and doing things a bit differently are also great ways to make new friends, so take advantage of this fact. Set a goal of making one, two, or even three new friends who are non-smokers and commit to spending time with those friends on a regular basis. Hanging out with non-smokers makes it much easier to become a non-smoker yourself.

3. Take a vacation. It’s really common for work stresses to contribute to your urge to smoke, so this summer make sure you take some vacation time. You don’t have to go anyplace expensive or far away, just plan to take time off so you can relax and get away from the stresses of work. And while you’re away from work, take advantage of the opportunity to let go of smoking at the same time.

Hard Times Make Quitting Easier for Some

Times are tough right now,
and that means we’re all
looking for ways to cut
back on our spending.
For some people this
means it is a terrific time
to quit smoking. There are
plenty of reasons to quit, of course, but when it
comes down to purely financial issues many people
find it’s the right motivation they need to stop smoking
for good.

The motivation comes when you start to pay closer
attention to your budget. Whether you have been laid
off, had your hours cut, or simply want to be more
careful about how and where you spend your money,
putting together a budget is an excellent first step.
As you’re writing down categories of spending, try
setting out a separate category just for cigarettes
instead of including them in a broader category such as
groceries, entertainment, or the like. With cigarettes
separated out it’s easier to see just how much money
they are costing you each month which in turn is much
more likely to get you motivated to quit.

Another way this can be useful is that it allows you
to take some or all of the money you’re currently
spending on cigarettes and put it into different
categories instead. For instance, if you cut your
cigarette spending in half you can put the money saved
into a category for something fun like movie rentals,
eating out for lunch, or the like. Or, if you’re
saving up for something special you can put your
cigarette savings into that category and watch how that
extra money gets you closer to achieving your goal in a
shorter amount of time.

If you’re still struggling with giving up cigarettes
as part of your budget, switch tactics a bit and find
ways to make the actual purchase of cigarettes more
difficult. For example, make a rule for yourself that
you will only use cash to buy cigarettes instead of
paying for them on a credit card as part of other
purchases. Just the act of having to open up your
wallet, count out the cash, and give it to the clerk
can be a powerful motivator in your efforts to quit
smoking.

When you use your creativity and imagination, you’re
much more likely to come up with ways to take advantage
of tough economic times and use the opportunity to quit
smoking for good!