Hyderabad : For many, tobacco use begins as an occasional habit. But what starts with a cigarette during a break or a chew after a meal can gradually evolve into something far more powerful.
They can get addicted to it. Health experts say tobacco dependence is not simply about choice or willpower, it is a chronic medical condition that alters brain function, increases the risk of life-threatening diseases, and can be difficult to overcome without proper support.
As the world continues to battle rising rates of cancer and chronic respiratory illnesses, here are some expert tips on best ways to quit tobacco and understanding what happens when you quit tobacco.
“Tobacco use affects far more than just the lungs. Long-term smoking significantly increases the risk of lung cancer, COPD, heart disease, stroke, and weakened immunity. Tobacco exposure can lead to cancers of the mouth, throat, bladder, and pancreas,” says Dr Kundan, Consultant-Surgical Oncology, Manipal Hospital, Ghaziabad.
Experts recommend a comprehensive approach to tobacco cessation that includes:
Counselling, support groups and structured quit programmes help individuals recognise triggers, develop healthier coping mechanisms and stay accountable throughout their journey.
Nicotine gums, patches and lozenges can reduce cravings and withdrawal symptoms by delivering controlled doses of nicotine without exposure to harmful tobacco smoke.
For individuals with moderate to severe nicotine dependence, medications such as varenicline and bupropion may be prescribed under medical supervision to reduce cravings and increase the likelihood of long-term success.
Relapses can occur, but experts say that they should not be viewed as failures.
“Relapses can occur and should be viewed as opportunities to reassess triggers and strengthen the quit plan rather than as treatment failure,” says Dr Akshat Malik, Senior Consultant and Head of Head & Neck Oncology at Apollo Hospital, Delhi.
Many smokers worry about withdrawal symptoms, but experts say these reactions are temporary and predictable.
“Nicotine withdrawal is a predictable, time-bound medical process,” says Dr Akshat.
As dopamine levels begin to adjust, cravings can feel intense. However, most cravings last only a few minutes and can often be managed with nicotine replacement products and distraction techniques.
Changes in the body's stress response system can trigger anxiety and sleep difficulties. Regular exercise and a consistent sleep schedule can help ease symptoms.
Many people experience brain fog or temporary mood changes as the brain recalibrates. These symptoms typically improve over time.
Because nicotine suppresses appetite and boosts metabolism, quitting often leads to increased hunger. Healthy snacks and regular meal planning can help prevent excessive weight gain.
Although cravings linked to routines, stress or social situations may persist longer, ongoing counselling and support can help individuals navigate these triggers successfully.
The health advantages of quitting tobacco start sooner than many people realise. Beyond lowering the risk of future cancers and cardiovascular disease, quitting can also improve outcomes for patients already diagnosed with cancer.
Dr Akshat points out that even among patients with lung cancer, stopping tobacco use remains critically important.
“Stopping tobacco use can improve treatment response and support outcomes across therapies including surgery, chemotherapy, targeted therapy, immunotherapy and radiation treatment,” he says.
“Quitting tobacco at any stage helps improve lung function, reduces cancer risk, and enhances overall quality of life,” concurs Dr Kundan.
Understanding that addiction is rooted in biological changes within the brain rather than a lack of willpower can help reduce stigma and encourage more people to seek help.