301 Copyright Goodheart-Willcox Co., Inc. Chapter 9 Tobacco and Vaping Nicotine Replacement Some approaches to quitting nicotine rely on nicotine replacement. In nicotine replacement, people who use tobacco continue to put nicotine into their bodies. People do not do this, however, through the use of tobacco products. Instead, they typically use nicotine gum, nicotine lozenges, or the nicotine patch as replacements (Figure 9.24). These replacements lessen withdrawal symptoms. In this way, nicotine replacement makes tobacco use easier to quit. Nicotine replacement treatment enables people to gradually use smaller and smaller amounts of the substance. Eventually, people find they are no longer dependent on nicotine. Companies sometimes market vaping devices such as e-cigarettes as a nicotine-replacement tool for people who want to quit smoking. Unlike nicotine gum, lozenges, and patches, vaping devices have not been approved by the United States government as a successful and safe form of smoking cessation. Medications Sometimes medications prescribed by a doctor help people quit using tobacco. These medications usually simulate dopamine. People who take these medications cope better with withdrawal from nicotine. Self-Management Strategies Self-management strategies often involve developing ways to resist temptation (Figure 9.25). First, people must identify situations that trigger their desire for tobacco. Once they have that information, they can respond with two techniques—stimulus control and response substitution. bikeriderlondon/Shutterstock.com Figure 9.24 Nicotine patches can help tobacco users quit using tobacco products. What treatment method involves nicotine patches? Steps to Use Self-Management Strategies to Quit Tobacco 1. Set a "quit date" within the next month and note that date on your calendar. 2. Tell friends and family members about your quit date and ask them to support your efforts. 3. Get rid of tobacco products and their accessories in your environment. Avoid exposure to tobacco advertisements on social media. 4. Develop strategies for coping with nicotine cravings, such as getting physical activity, chewing gum, or keeping busy with other activities. 5. Develop strategies for refusing offers of tobacco products from other people. 6. Remind yourself of the benefits of quitting, including a longer life, more spending money, and increased stamina. 7. Reward yourself for quitting. For example, buy something with the money you saved by not using tobacco. 8. If you slip up, quickly renew your focus on the goal of quitting. Do not let one lapse lead to a return of the unhealthy behavior. Figure 9.25 If you or someone you know is trying to quit using tobacco, you can take the following steps to use self-management strategies.