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Stop Smoking

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Understanding Smoking Cessation and Why Quitting Matters

Making the decision to quit smoking is one of the most important steps you can take for your health and wellbeing. The benefits of stopping smoking begin almost immediately, with your heart rate and blood pressure dropping within 20 minutes of your last cigarette. Within 12 hours, carbon monoxide levels in your blood return to normal, and after just one year, your risk of heart disease is cut in half.

Health Benefits of Quitting Smoking

Quitting smoking dramatically reduces your risk of developing serious health conditions including lung cancer, heart disease, stroke, and chronic obstructive pulmonary disease (COPD). Your lung function begins to improve within weeks, and your immune system strengthens, helping you fight off infections more effectively.

Financial and Personal Benefits

Beyond health improvements, stopping smoking delivers significant financial savings. With cigarette prices in Australia averaging over $40 per pack, a pack-a-day smoker can save more than $14,000 annually. Additionally, quitting smoking benefits your family and loved ones by eliminating their exposure to harmful secondhand smoke and setting a positive example for children.

Common Challenges and Success Factors

Whilst quitting smoking can be challenging due to nicotine withdrawal symptoms such as irritability, cravings, and difficulty concentrating, these typically peak within the first few days and gradually subside. Success rates improve significantly when using cessation aids and support systems, with proper planning and the right products helping many Australians successfully quit smoking permanently.

Nicotine Replacement Therapy (NRT) Options

Nicotine replacement therapy is a proven method to help manage withdrawal symptoms and cravings when quitting smoking. NRT works by providing controlled amounts of nicotine without the harmful chemicals found in cigarettes, allowing you to gradually reduce your nicotine dependence whilst breaking the smoking habit.

How NRT Works

The gradual reduction approach of NRT helps minimise withdrawal symptoms by maintaining steady nicotine levels in your bloodstream. This allows your body to adjust slowly whilst you develop new habits and coping strategies, significantly improving your chances of successfully quitting smoking.

Available NRT Products in Australian Pharmacies

Australian pharmacies stock a comprehensive range of NRT products to suit different preferences and smoking patterns:

  • Nicotine patches - including trusted brands like Nicabate and Habitrol, providing 24-hour or 16-hour nicotine delivery
  • Nicotine gum - such as Nicorette and Quit brands, offering quick relief for sudden cravings
  • Nicotine lozenges and tablets - discrete options that dissolve slowly in your mouth
  • Nicotine inhalers and sprays - fast-acting solutions for immediate craving relief

Choosing the Right Treatment

Selecting the appropriate NRT strength depends on your current smoking habits, with heavy smokers typically requiring higher-strength products initially. Many people benefit from combination therapy, such as using patches for steady nicotine levels throughout the day combined with gum or lozenges for breakthrough cravings. Treatment duration typically ranges from 8-12 weeks, with gradual dose reduction recommended under guidance from your pharmacist or healthcare provider.

Prescription Smoking Cessation Medications

For many Australians, prescription medications provide the extra support needed to successfully quit smoking. Two primary prescription options are available through your GP, each working through different mechanisms to reduce cravings and withdrawal symptoms.

Varenicline (Champix)

Varenicline works by blocking nicotine receptors in the brain, reducing both the pleasure from smoking and withdrawal symptoms. Clinical studies show varenicline can double or triple your chances of quitting successfully compared to willpower alone. Most users begin treatment one week before their quit date, taking the medication for 12 weeks.

Bupropion (Zyban)

Originally developed as an antidepressant, bupropion helps reduce nicotine cravings and withdrawal symptoms by affecting brain chemistry. It's particularly beneficial for people concerned about weight gain when quitting, as it may help manage appetite changes during the cessation process.

Getting Started

Both medications require a prescription from your GP, who will assess your medical history and current health status. Common side effects may include nausea, vivid dreams, or mood changes. Your doctor will discuss contraindications, particularly if you have a history of seizures, eating disorders, or certain mental health conditions.

These medications are often most effective when combined with behavioural support. PBS subsidies may apply, making prescription options more affordable for eligible patients. Success rates with prescription medications typically range from 20-30% at 12 months.

Behavioural Support and Counselling Services

Quitting smoking involves breaking both physical addiction and psychological habits. Professional behavioural support significantly increases your chances of long-term success by providing practical strategies and ongoing encouragement throughout your quit journey.

Available Support Options

Quitline Australia (13 QUIT) offers free telephone counselling with trained specialists who understand the challenges of quitting. These confidential sessions help develop personalised quit plans and provide ongoing support during difficult moments. Online quit programs and smartphone apps complement telephone support, offering 24/7 access to resources, progress tracking, and community forums.

Face-to-face counselling through community health centres, private psychologists, or GP practices provides intensive, personalised support. Group programs connect you with others sharing similar experiences, creating valuable peer support networks.

Effective Techniques

  • Identifying personal smoking triggers and high-risk situations
  • Developing healthy coping strategies for stress and cravings
  • Using cognitive behavioural therapy techniques to change thought patterns
  • Creating detailed relapse prevention plans with alternative behaviours
  • Building new routines to replace smoking habits

Many services are available at low cost or free through Medicare, community health services, or state health departments. Combining behavioural support with medication or NRT dramatically improves quit success rates.

Alternative and Complementary Approaches

Herbal Supplements and Natural Products

Many Australians explore natural alternatives to support their quit smoking journey. Popular herbal options include lobelia, passionflower, and St. John's wort, though it's essential to consult with your pharmacist before starting any herbal regimen. These supplements may help manage stress and anxiety associated with nicotine withdrawal, but they should complement, not replace, proven cessation methods. Always inform your healthcare provider about any natural products you're considering, as they may interact with other medications.

Acupuncture and Traditional Methods

Acupuncture has gained recognition as a supportive therapy for smoking cessation, with many practitioners across Australia offering specialised programs. This traditional Chinese medicine technique may help reduce cravings and ease withdrawal symptoms by targeting specific pressure points. While results vary among individuals, many people find acupuncture helps them feel more relaxed and focused during their quit attempt.

Hypnotherapy Options

Professional hypnotherapy sessions are available throughout Australia and can be particularly effective for addressing the psychological aspects of nicotine addiction. Qualified hypnotherapists use relaxation techniques and positive suggestions to help change smoking behaviours and reduce cravings. Many people find hypnotherapy helpful in breaking the mental associations between smoking and daily activities.

E-cigarettes and Vaping Considerations

While e-cigarettes are not approved as therapeutic goods in Australia, some people use them as a transitional tool. It's important to understand that vaping is not without risks and should only be considered under medical supervision. The TGA has strict regulations around e-cigarettes, and prescription requirements apply. Speak with your doctor or pharmacist about the legal and health implications before considering this option.

Gradual Reduction vs Cold Turkey Methods

Choosing between gradual reduction and stopping abruptly is a personal decision that depends on your smoking patterns and personality. Cold turkey works well for those who prefer decisive action, whilst gradual reduction may suit people who find sudden changes overwhelming. Your pharmacist can help you determine which approach aligns best with your lifestyle and provide appropriate support products for either method.

Mindfulness and Meditation Techniques

Mindfulness practices can significantly enhance your quit smoking success by helping you manage stress and cravings more effectively. Regular meditation, deep breathing exercises, and mindfulness apps popular in Australia can provide valuable coping strategies. These techniques help you become more aware of smoking triggers and develop healthier responses to stress and emotional challenges.

Exercise and Lifestyle Changes

Incorporating regular physical activity into your quit plan offers multiple benefits, from managing weight gain to improving mood and reducing stress. Australian guidelines recommend at least 150 minutes of moderate exercise weekly, which can be particularly beneficial during smoking cessation. Consider activities you enjoy, whether it's walking along the beach, joining a local gym, or participating in community sports.

Support from Family and Friends

Building a strong support network is crucial for long-term success. Inform family and friends about your quit date and explain how they can best support you. This might include avoiding smoking around you, providing encouragement during difficult moments, or joining you in healthy activities. Australian support groups and online communities can also provide valuable peer support and shared experiences.

Creating Your Personal Quit Plan

Setting a Quit Date and Preparation

Choose a quit date within the next two weeks to maintain motivation whilst allowing adequate preparation time. Select a date when you'll have minimal stress and can focus on your quit attempt. Prepare by removing all smoking materials from your home, car, and workplace, and stock up on healthy snacks and stress-relief items. Inform your support network about your chosen date and arrange any necessary time off work if needed.

Combining Different Cessation Methods

Research shows that combining multiple cessation methods often increases success rates. You might pair nicotine replacement therapy with counselling support, or combine prescription medications with mindfulness techniques. Your pharmacist can help you design a comprehensive approach that addresses both the physical and psychological aspects of nicotine addiction, ensuring all chosen methods work safely together.

Managing Withdrawal Symptoms

Understanding and preparing for withdrawal symptoms helps you stay committed to your quit journey. Common symptoms include irritability, anxiety, difficulty concentrating, and increased appetite. These typically peak within the first few days and gradually subside over several weeks. Your pharmacist can recommend specific strategies and products to manage each symptom effectively.

Dealing with Weight Gain Concerns

Many people worry about weight gain after quitting smoking, but this can be managed with proper planning. Focus on maintaining a balanced diet rich in fruits, vegetables, and whole grains whilst staying adequately hydrated. Keep healthy snacks readily available for when oral cravings strike, and incorporate regular physical activity into your routine. Remember that any moderate weight gain is far less harmful than continued smoking.

Staying Motivated During Difficult Periods

Maintaining motivation requires ongoing effort and strategy. Create a list of personal reasons for quitting and review it regularly, especially during challenging moments. Track your progress using smartphone apps or journals, celebrating small victories along the way. Consider the money you're saving and plan how to spend it on something special. When cravings hit, remind yourself that they're temporary and will pass within minutes.

Celebrating Milestones and Progress

Acknowledging your achievements reinforces positive behaviour and maintains momentum. Set meaningful milestones such as 24 hours, one week, one month, and three months smoke-free. Plan specific rewards for each milestone, whether it's a special meal, new clothes, or an enjoyable activity. Share your successes with your support network and consider treating yourself to something you've wanted but couldn't afford when buying cigarettes.

What to Do if You Relapse

If you slip and have a cigarette, don't consider your quit attempt a complete failure. Many successful quitters experience setbacks before achieving long-term success. Analyse what triggered the relapse and develop strategies to handle similar situations differently. Restart your quit attempt as soon as possible, applying lessons learned from the experience. Your pharmacist can provide additional support and possibly adjust your cessation strategy.

Long-term Maintenance Strategies

Maintaining your smoke-free status requires ongoing vigilance and healthy habits. Continue using stress management techniques you developed during your initial quit period, and remain aware of potential triggers even months after quitting. Build new routines that don't involve smoking, and maintain connections with your support network. Regular check-ins with your pharmacist or healthcare provider can help reinforce your commitment and address any concerns.

Available Pharmacy Support and Consultations

Australian pharmacies offer comprehensive smoking cessation support services designed to maximise your success. These services typically include:

  • Initial assessment and personalised quit plan development
  • Product selection and usage guidance for NRT and other cessation aids
  • Regular progress monitoring and motivation support
  • Side effect management and dosage adjustments
  • Referral to additional healthcare services when needed
  • Long-term follow-up to prevent relapse

Regular Follow-up and Monitoring

Consistent follow-up appointments with your pharmacist significantly improve your chances of long-term success. These sessions allow for progress assessment, strategy adjustments, and ongoing motivation. Schedule regular check-ins during your first month, then gradually reduce frequency as you become more confident in your smoke-free lifestyle. Your pharmacist can monitor any health improvements and help you stay focused on the benefits of quitting smoking.

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