Vague answers to questions about smoking cessation

China, the largest tobacco consumer in the world market, is working to extinguish smoking with a new zeal, as more and more people see it as a major social problem.
But there are questions about what methods to help people quit smoking and who just smoke in mirrors. Discussions are peaking on World No Tobacco Day on May 31. In the past month, 118 Chinese scholars and professors signed a petition to ban science and technology for the tobacco technology.

Controversy also surrounded the debate about whether or not medical insurance should cover smoking cessation initiatives, including health advice and products. Taobao, China’s biggest online retail platform offers over 30,000 quit smoking-aids. These include electronic cigarettes, grass, chewing gum, toothpaste, and even perfume. 320000000 the country’s smokers have also made it the largest in the world smoking cessation market and public health is growing.
About 68 percent of China’s smokers – about 220 million people – have tried to quit smoking, the Chinese Association on Tobacco Control, said. However, the report says smokers and most experts agree that quitting smoking is more entitled to freedom than medical care. In China, about 800 smoking cessation centers. But most of them are more similar to e-cigarette stores. “These funds are not needed,” says Liu cessation specialist with the first Xianyong Hospital of Tsinghua University.

“They can not do anything to stop the cravings that occur when a smoker stops.” Willpower, exercise, isolated from smokers, as well as support from family and friends are the most effective, she adds. But anti-smoking funds may reduce withdrawal symptoms and increase the success rate when used in a professional direction, experts say. There are two main types of anti-smoking drugs in China – nicotine replacement therapy (NRT) and not nicotine medications.
Nicotine is an addictive chemical in tobacco, but not the most harmful. Tar, carbon monoxide and other substances are what because most health problems. NRT allows the body to gradually lower the dose of nicotine gradually reduce cravings, deputy director of Beijing Hospital of respiratory Ke Huixing said.

Common forms of therapy recommended by the World Health Organization is a patch, gum, pills, inhalers and sprays.
But long-term effectiveness of NRT is not clear, some international research suggests.
“They can cause skin irritation,” Liu, a specialist smoking cessation, said.
NRT does not need a prescription. But you want to buy prescription drugs are not nicotine such as nicotine receptor partial agonists, and antidepressants.
Nicotine receptor partial agonists block the reception of the brain of nicotine, and nicotine receptors will decrease the release of dopamine.

Chantix, a prescription drug sold by Pfizer, was the first nicotine receptor partial agonist approved by the U.S. Food and Drug Administration in 2006.
Antidepressant sold under the brand name Zyban, also used as anti-smoking drugs.
“These drugs are effective, but they must be used under the direction,” says Ke, respiratory diseases and smoking cessation specialist.
People with a personal or family history of mental illness should not take such medicines, Ke said.

The drug is reported to lead to depression, suicidal thoughts, changes in behavior, hostility and agitation.
Two of the most popular anti-smoking drug had warnings about the risk of severe mental illness in the U.S. since 2009, at the request of FDA.
They do not appear with such warnings in China.
“All drugs have side effects,” Ke says. “The risks of side effects” must be weighed against the significant health benefits of quitting. China has a huge population of smokers. Out first priority. ”

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