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Tuesday, December, 02, 2008

Question
randilynne
09/19/08

how can my cravings feel physical when i haven't had a cigarette in almost 6 mos?

hi.  i stopped smoking cold turkey while in the hospital.  i'm 44 and was diagnosed with pvd and cad.  i had 6 stents placed in my iliac artery and one in my heart.  the first week out i went without assistance and then went on chantix for 4 months.  because i am on so much medicine i figured i had given chantix enough time.  now i feel like i'm going crazy.  i'm thinking about smoking constantly, though i know i won't smoke.  is this common?  should i go back on chantix? 

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Answers (2)
Dr. Diana L Walcutt
Dr. Diana L Walcutt
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Dr. Diana L Walcutt is Licensed Psychologist
Licensed Psychologist

I have worked with the Veteran's Administration teaching smoking...

Friday, September 19, 2008

Hi Randilynne;

The truth is, you have nicotinic (or nicotine) receptor sites in your brain that are "switched on" when you use nicotine. Receptor sites in the brain are like a lock and key; in your case, the key is nicotine, and the theory is that if you turn the key, it's always turned, you can't "unturn" it. That is to say, once the brain is "turned on" to accept or use nicotine (or any other drug like cocaine, heroin), it's always ready and waiting for its drug. That's the unfortunate thing about addictions. You may lose your craving over time, but the brain never "forgets" its drug. It can wait decades and be happy with its fix as if it was continuing from yesterday.

The other thing that can occur is that smoking carries with it not only a chemical addiction, but a behavioral addiction as well. The ritual of opening a pack, lighting up, etc, is part of the addiction behaviors. You made the connection years ago that smoking helped you manage stress and your mind hasn't forgotten that -- the very act of lighting up can help soothe frazzled nerves. However, research has shown that nicotine, while it is a stimulant and a relaxant at the same time (the only drug that has this characteristic) it actually CAUSES stress to increase.

So, contrary to popular myth, it really doesn't fix much of anything except its own addiction. For more information, go to this website: American Cancer Society.

and you will find tons of info.

I'm not a physician, but you might consider speaking with your doctor about taking the Chantix again. He might also recommend something like Zyban, which works differently than Chantix.

 

I hope this helps!

Dr. Diana Walcutt

 

*Dr. Walcutt is a Psychologist. Dr. Walcutt's answers are not intended to diagnose or treat any medical or mental disorder. Any information given in a post about medication is for educational purposes only, and primarily to aid you in having an informed discussion with your own Psychiatrist/Physician.

Paul
Monday, November 10, 2008

Hi Randilynne,

 

To completely remove the craving which you are experiencing in your body, you must give it what it is yearning for. You must start using your lungs for what they were made for and their one and only purpose is to provide your blood with the oxygen, but its not that easy as your lungs have been drenched by the tar given off from your previous smoking. However if you now introduce your body with oxygen which it has not received in it's correct consistency, you will discover that the craving will completely disappear.

 

This will not happen overnight, but it will gradually fade which regular use. Start using your lungs and breathe deeply every time you get a craving for three to four minutes and whenever you can think about it do a breathing exercise and then you will gradually feel what the power of oxygen can do for you.

 

The best of luck.

 

Paul

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