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Wie man mit dem Rauchen aufhört

Etwa 2 von 3 Rauchern möchten mit dem Rauchen aufhören. Manche Menschen können leicht aufhören. Willenskraft und Entschlossenheit sind die wichtigsten Aspekte beim Aufhören mit dem Rauchen. Allerdings ist Nikotin eine Suchtstoff und viele Menschen finden es schwierig, aufzuhören. Hilfe ist verfügbar.

At a glance

  • Stopping smoking can be helped by your GP, practice nurse, or pharmacist.

  • NHS Stop Smoking Clinics offer support and have good success rates.

  • Set a quit date and aim to stop completely on that day.

  • Be prepared for withdrawal symptoms, which usually ease after 2-4 weeks.

  • Nicotine Replacement Therapy (NRT) and bupropion can increase your chance of quitting.

  • E-cigarettes may help you stop but should not be used long-term.

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Help to stop smoking

GPs, practice nurses or pharmacists can provide information, encouragement and tips on stopping smoking. Also, throughout the UK there are specialist NHS 'Stop Smoking Clinics' which have good success in helping people to stop smoking. Your doctor may refer you to one if you are keen to stop smoking..

Below are some tips and brief information about medicines which may help you to quit smoking. For more detailed information, see the separate leaflets called E-cigarettes, Nicotine Replacement Therapy (NRT), und Bupropion (Zyban).

Write a list of the reasons why you want to stop

Keep them with you. Refer to them when tempted to light up.

Set a quit date

On that date, stop completely. (Some people prefer the idea of cutting down gradually. However, research has shown that if you smoke fewer cigarettes than usual, you are likely to smoke more of each cigarette and nicotine levels remain nearly the same. Therefore, it is usually best to stop once and for all from a set date.)

Tell everyone that you are giving up smoking

Friends and family often give support and may help you. Smoking by others in the household makes giving up harder. If appropriate, try to get other household members who smoke, or friends who smoke, to stop smoking at the same time. A team effort may be easier than going it alone.

Be prepared for some withdrawal symptoms

When you stop smoking, you are likely to have symptoms which may include feeling sick (Übelkeit), Kopfschmerzen, Angstzustände, irritability, craving, and just feeling awful. These symptoms are caused by the lack of nicotine that your body has been used to. They tend to peak after 12-24 hours and then gradually ease over 2-4 weeks.

Anticipate a cough

It is normal for a smoker's cough to become worse when you stop smoking (as the airways 'come back to life'). Many people say that this makes them feel worse for a while after stopping smoking and makes them tempted to restart smoking. Resist this temptation! The cough usually gradually eases.

Be aware of triggers

In particular, drinking alcohol is often associated with failing in an attempt to stop smoking. You should consider not drinking much alcohol in the first few weeks after stopping smoking. Try changing your routine for the first few weeks.

For example, despite the UK ban on indoor smoking in pubs, outside the pub might still be a tempting place to drink alcohol and smoke. Also, if drinking tea and coffee are difficult times, try drinking mainly fruit juice and plenty of water instead.

Take one day at a time

Mark off each successful smoke-free day on a calendar. Look at it when you feel tempted to smoke, and tell yourself that you don't want to start all over again.

Sei positiv

You can tell people that you don't smoke. You will smell better. After a few weeks you should feel better, taste your food more and cough less. You will have more money. Perhaps put away the money which you would have spent on cigarettes, to spend on a holiday, physical activity or other treats.

Anticipate an increase in appetite

Some people worry about gaining weight when they give up smoking, as the appetite may improve. Anticipate an increase in appetite and try not to increase fatty or sugary foods as snacks. Try fruit or sugar-free gum instead.

Don't despair if you fail

Examine the reasons why you felt it was more difficult at that particular time. It will make you stronger next time. On average, people who eventually stop smoking have made three or four previous attempts.

Use stop smoking clinics

Stop Smoking Clinics are available on the NHS in the UK. They have good success in helping people to stop smoking. Your doctor may refer you to stop smoking services if you are keen to stop smoking but are finding it difficult to do so, and in many areas you can self-refer.

Get rid of smoking paraphernalia

Clear out all of your ashtrays, lighters, and cigarettes from your home, vehicle, and workplace so that these items won’t be able to trigger the desire to smoke later.

Use stop smoking aids

Various medicines can increase your chance of quitting. These include:

  • Nicotine replacement therapy (NRT) which comes as gums, nasal sprays, patches, tablets, lozenges and inhalers. You can buy NRT without a prescription. It greatly increases the chance that you will quit. Most people can use NRT, including adults and children aged over 12, although those aged under 18 should not use lozenges without getting medical advice. It can be used in women who are pregnant or breastfeeding, as using NRT is less bad for the baby than smoking.

  • Bupropion (Zyban®) is a medicine which almost doubles your chance of successfully quitting. It was originally an antidepressant.

  • E-cigarettes are designed to look and feel like normal cigarettes. They have a heating element inside that vaporises a solution - this looks like smoke. It may also contain nicotine. They are substituted for normal cigarettes or cigars, but have risks of their own and should therefore only be used for a short period of time, while you give up cigarettes, rather than as a long-term replacement.

Häufig gestellte Fragen

What kind of support can I expect from healthcare professionals when I decide to quit smoking?

GPs, practice nurses, or pharmacists can offer valuable support, including information, encouragement, and advice. Additionally, the NHS provides specialist 'Stop Smoking Clinics' across the UK, which have a high success rate in helping people quit. Your doctor can refer you to these services, or in some areas, you can refer yourself.

If I can't stop all at once, is cutting down gradually a good alternative?

Research indicates that cutting down gradually is generally less effective than stopping completely on a set date. When you smoke fewer cigarettes, you tend to smoke more of each one, meaning nicotine levels in your body remain almost the same. Therefore, it is usually more successful to quit smoking entirely from a chosen start date.

Will I experience any physical feelings after I stop smoking?

Yes, you might experience several withdrawal symptoms, such as feeling sick (nausea), headaches, anxiety, irritability, and strong cravings. These are due to your body adjusting to the absence of nicotine. Symptoms typically peak within 12-24 hours and then gradually diminish over 2-4 weeks.

Why might my cough get worse after I stop smoking?

It is normal for a smoker's cough to worsen temporarily after quitting. This happens as your airways begin to recover. This can be tempting to give up on quitting, but it's important to resist this urge, as the cough usually improves over time.

What are some common 'triggers' that might make me want to smoke again, and how can I avoid them?

Drinking alcohol is a common trigger that can lead to a relapse. It's advisable to limit your alcohol consumption in the first few weeks after quitting. Additionally, certain routines like drinking tea or coffee can be triggers. You might want to change your routine during this period, perhaps by drinking fruit juice or water instead of tea or coffee, and finding new places to socialise if outdoor areas of pubs trigger the urge to smoke.

What if I try to quit but don't succeed the first time?

Don't be discouraged if your first attempt isn't successful. Many people who eventually quit smoking make multiple attempts, often three or four, before succeeding. Each attempt provides an opportunity to understand what made it difficult, strengthening your resolve for the next try.

Are there different kinds of nicotine replacement therapy (NRT) and can anyone use them?

Yes, NRT comes in various forms like gums, nasal sprays, patches, tablets, lozenges, and inhalers, and you can buy them without a prescription. Most people, including adults and children over 12, can use NRT. It's generally considered safe for pregnant or breastfeeding women as well, as using NRT is less harmful to the baby than continuing to smoke.

Weiterführende Literatur und Referenzen

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About the authorView full bio

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Dr Toni Hazell, MRCGP

MBBS, BSc, MRCGP, DFSRH, Dip GU med, DRCOG, DCH (London, UK, 2000)

Dr. Toni Hazell qualified from St. Mary’s Hospital Medical School and did her VTS at Northwick Park Hospital.

About the reviewerView full bio

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Dr Hayley Willacy, FRCGP

Allgemeinmediziner, Medizinischer Autor

MBChB (1992), DRCOG, DFFP, MRCOG (Part 1) MRCGP (2007), DFSRH (2013), MSc - medical education (2020)

Dr Hayley Willacy was an NHS GP working in northwest England, who retired from clinical practice in 2022 after 30 years. 

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