
Print this page and fill it out!
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Set a quit date and stick to itnot
even a single puff! |
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Think about past quit attempts.
What worked and what did not? |
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GET SUPPORT AND ENCOURAGEMENT |
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Tell your family, friends, and coworkers you are quitting. |
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Talk to your doctor or other health care provider. |
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Get group, individual, or telephone counseling. |
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LEARN NEW SKILLS AND BEHAVIORS |
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When you first try to quit, change your routine. |
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Reduce stress. |
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Distract yourself from urges to smoke. |
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Plan something enjoyable to do every day. |
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Drink a lot of water and other fluids. |
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Your Quit Plan
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SKILLS AND BEHAVIORS YOU CAN USE:
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GET MEDICATION
AND USE IT CORRECTLY |
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Talk with your health care provider about which medication will work
best for you: |
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Bupropion SRavailable by prescription. |
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Nicotine gumavailable over-the-counter. |
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Nicotine inhaleravailable by prescription. |
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Nicotine nasal sprayavailable by prescription. |
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Nicotine patchavailable over-the-counter. |
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Your Quit Plan
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YOUR MEDICATION PLAN:
Medications:
Instructions:
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BE PREPARED FOR RELAPSE OR
DIFFICULT SITUATIONS |
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Avoid alcohol. |
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Be careful around other smokers. |
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Improve your mood in ways other than smoking. |
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Eat a healthy diet and stay active. |
Quitting smoking is hard. Be prepared for challenges, especially in the
first few weeks.
Follow-up plan:
Other information:
Referral:
Clinician:
Date:
Medically reviewed by Michael W. Smith, MD, a senior medical editor at WebMD, December, 2001.
Your Personalized Quit Plan is brought to you in conjunction
with the U.S. Public Health Service.

© 2001 WebMD Corporation. All rights reserved.