The Case for Quitting

Updated on September 18, 2023

The Case for Quitting

Quitting smoking can be extremely challenging, but the benefits are immediate and profound; lung capacity increases, blood pressure drops and the odds of having a heart attack or stroke plunge within the first year. The American Cancer Society provides a timeline of health milestones individuals can look forward to once they've quit:

  • Time Smoke-free: 1 hour

  • Time Smoke-free: 12 hours

  • Time Smoke-free: 2 weeks to 3 months

  • Time Smoke-free: 1 to 9 months

  • Time Smoke-free: 1 year

  • Time Smoke-free: 2 years

  • Time Smoke-free: 5 years

  • Time Smoke-free: 10 years

  • Time Smoke-free: 15 years

Socially, a reformed smoker can expect better breath and body odor, a greater ability to exercise, and meaningful savings. According to Lung.org, the U.S. average for a pack of cigarettes is $5.51, meaning a pack-a-day smoker's average annual expense sits at $2,011; but that's just the surface costs. The total economic cost of a pack is $18.05, a cost which factors in government and consumer spending dedicated to combating smoking. Put another way, money that could be used elsewhere if smoking were not a drag on public health. Total yearly economic cost for a pack-a-day smoker: $6,588.

Adding another financial perspective, in 2013, The New York Times reported that smokers cost private employers an additional $5,816 compared to nonsmokers. These costs are the sum of healthcare expenses, smoking breaks and absenteeism from work; on average, smokers miss two-and-a-half more workdays in a year than nonsmokers do.

Over the long term, benefits of quitting continue to accumulate as the body mends itself from the damage caused by smoking. Damaged nerves regrow, bronchial passages relax, and circulation improves. After ten years or more, ex-smokers enjoy the same odds of good health as people who have never smoked.

Cigarettes contain not only nicotine, an addictive substance, but other chemicals that increase the likelihood that smokers become dependent. While conventional wisdom is clear that smoking is bad for one's health, quitting an established habit is generally not easy. In fact, a multibillion-dollar industry has evolved to meet this need. Almost 70% of current U.S. smokers want to quit, and these smokers are willing to put hard-earned cash on the table for smoking cessation aids that work.

When it comes to quitting smoking, success rates are subjective. They are determined on different levels depending on who is asked. Some measure success in terms of lowering usage, while others determine success based on how long someone goes without smoking. According to Cancer.org, four to seven percent of smokers quit completely without the use of cessation aids or other treatments.

The website also reports that nearly 25% of smokers who used medication to kick their habit were able to remain "smoke-free for over six months." Cancer.org asserts that those who participate in counseling, or who receive another form of emotional support while trying to stop, better their chances of quitting.

The U.S. Food and Drug Administration (FDA) has already approved several products that assist in smoking cessation. As with any medication, these aids take time to be effective. Most require 12 weeks of use, though the nicotine nasal sprays can be used for up to six months.

The most common of these cessation aids are nicotine replacement therapies (NRT). They are designed to help wean you off cigarettes by allowing you to control or slowly reduce the amount of nicotine entering your system. While it is possible to use more than one NRT at a time, it is important to understand the dosage and potential side effects of each product before combining them. We have compiled and provided the dosage and side effects information for popular cessation aids. Before pursuing any listed below, be sure to contact your doctor to discuss your options.

  • Nicotine Gum (Nicorette)

  • Nictoine Patch (Nicoderm CQ)

  • Nasal Spray (Nicotrol NS)

  • Nicotine Inhaler (Nicotrol)

  • Nicotine Lozenge (Commit)

  • Zyban

  • Chantix

Sources:Mayo Clinic, U.S. Pharmacists, Drugs.com and Chantix

Prescription cessation aids, like Zyban and Chantix, are designed to inhibit the pleasure receptors in the brain that have been affected by nicotine. In other words, they make smoking less desirable. Neither of these prescriptions contain nicotine, and people often use the faster-acting NRTs at the same time to curb withdrawal symptoms.

Though both Zyban and Chantix have been approved by the FDA, it is important to be cautious when taking these medications. Both can affect moods and cause extreme changes in behavior and thoughts of suicide. If you choose the prescription route to quitting smoking, keep your doctor informed of all changes you experience.