1. Quit Tips and Resources To Help State Employees Quit Tobacco Use Brought to you by the 2009 NCDPH NC Division of Public Health Great American Smoke-out Committee

2. No. 1: Know Why You Want to Quit To get motivated, you need a powerful, personal reason to quit. To get motivated, you need a powerful, personal reason to quit.

3. No. 2: Don't Go Cold Turkey Among those who try to stop smoking without a quit coach or medication, 95% end up relapsing. Among those who try to stop smoking without a quit coach or medication, 95% end up relapsing.

4. No. 3: Try Nicotine- Replacement Therapy (NRT) Nicotine gum, lozenges, and patches can help double your chances of quitting successfully when used with the Quitline. Nicotine gum, lozenges, and patches can help double your chances of quitting successfully when used with the Quitline.

5. No. 4: Ask About Prescription Pills There are pills that reduce cravings by altering the areas of the brain affected by nicotine. There are pills that reduce cravings by altering the areas of the brain affected by nicotine.

6. No. 5: Don't Go It Alone Tell your friends, family, and co-workers that you're trying to quit. Tell your friends, family, and co-workers that you're trying to quit. Combine Quitline with nicotine- replacement products or medication to boost your odds of success. Combine Quitline with nicotine- replacement products or medication to boost your odds of success.

7. No. 6: Manage Stress One reason people smoke is that the nicotine helps them relax. Once you quit, you'll need another way to cope with stress. One reason people smoke is that the nicotine helps them relax. Once you quit, you'll need another way to cope with stress.

8. No. 7: Avoid Alcohol & Other Triggers Certain activities may boost your urge to smoke Certain activities may boost your urge to smoke Alcohol Alcohol Coffee Coffee After eating After eating

9. No. 8: Clean House Toss all of your ashtrays and lighters Toss all of your ashtrays and lighters Wash clothes Wash clothes Clean your carpets, draperies, and upholstery Clean your carpets, draperies, and upholstery Use air fresheners to help rid your home of that familiar scent Use air fresheners to help rid your home of that familiar scent

10. No. 9: Try and Try Again It's very common to have a relapse. Many smokers try several times before giving up cigarettes for good. It's very common to have a relapse. Many smokers try several times before giving up cigarettes for good.

11. No. 10: Get Moving Physical activity can reduce nicotine cravings and ease some withdrawal symptoms. Physical activity can reduce nicotine cravings and ease some withdrawal symptoms.

12. No. 11: Eat Fruits & Veggies A Duke University study suggests these foods make cigarettes taste terrible. A Duke University study suggests these foods make cigarettes taste terrible. Also, drink more water! Also, drink more water!

13. No. 12: Choose Your Reward Reward yourself by spending part of the money you save on something fun. Reward yourself by spending part of the money you save on something fun.

14. No. 13: Do It for Your Health Smoking cessation has immediate health benefits. It lowers your blood pressure and reduces your pulse after only 20 minutes. Smoking cessation has immediate health benefits. It lowers your blood pressure and reduces your pulse after only 20 minutes.

15. North Carolina Tobacco Use Quitline 1-800-QUIT-NOW (1-800-784-8669) 1-800-QUIT-NOW (1-800-784-8669) Deaf Access TTY: 1-877-777-6534 Deaf Access TTY: 1-877-777-6534 Expert Quit Coaches – 8 a.m. to 3 a.m. Expert Quit Coaches – 8 a.m. to 3 a.m. 7 days a week 7 days a week Toll-free Toll-free Confidential Confidential All North Carolinians - youth and adult All North Carolinians - youth and adult Web Coach; Discussion Forums Web Coach; Discussion Forums www.quitlinenc.com www.quitlinenc.com Funded by: NC Health and Wellness Trust Fund Administered by: Tobacco Prevention and Control Branch

16. Tobacco Cessation Medications – First Line Long acting: Long acting: -Patch (NRT) (OTC) -Zyban (bupropion) (Rx) -Chantix (varenicline) (Rx) Short acting Short acting - Gum (NRT) (OTC) - Gum (NRT) (OTC) - Lozenge (NRT) (OTC) - Lozenge (NRT) (OTC) - Inhaler (NRT) (Rx) - Inhaler (NRT) (Rx) - Nasal Spray (NRT) (Rx) - Nasal Spray (NRT) (Rx) NRT - Nicotine Replacement Therapy OTC – Over the counter; can purchase without a prescription Rx – Prescription medication

17. SHP Cessation Medication Coverage – starting Jan. 2010 Nicotine Replacement Therapy Patches with prescription: Nicotine Replacement Therapy Patches with prescription: $10 generic copay $10 generic copay $5 over-the-counter generic copay $5 over-the-counter generic copay Buproprion (generic for Zyban): $10 generic copay Buproprion (generic for Zyban): $10 generic copay Nicotine Nasal Spray: $35 copay Nicotine Nasal Spray: $35 copay Nicotine Inhaler: $35 copay Nicotine Inhaler: $35 copay Varenicline (Chantix): $35 copay Varenicline (Chantix): $35 copay

18. Free NRT Patches in Jan. 2010! For SHP employees enrolled in: NC Tobacco Use Quitline:1-800-QUIT-NOW NC Tobacco Use Quitline:1-800-QUIT-NOW 1-800-784-8669; TTY 1-877-777-6534 1-800-784-8669; TTY 1-877-777-6534 No need for a prescriptionNo need for a prescription 8 weeks of patches in two shipments8 weeks of patches in two shipments For those enrolled in 4 call programFor those enrolled in 4 call program Sent directly to your doorSent directly to your door Link to Instructions: http://www.shpnc.org/pdf/tobacco-cessation-benefits.pdf

19. SHP Help with NRT Patches – through Dec. 31. 2009 SHP Help with NRT Patches – through Dec. 31. 2009 Co-pay waived if receiving quit coaching from NC Quitline or your healthcare provider. Co-pay waived if receiving quit coaching from NC Quitline or your healthcare provider. Verification of quit support: Verification of quit support: Quitline or HCP completes form: Quitline or HCP completes form: www.shpnc.org/pdf/nrt-provider-cert.pdf www.shpnc.org/pdf/nrt-provider-cert.pdf www.shpnc.org/pdf/nrt-provider-cert.pdf Have SHP ID # ready for NC QuitlineHave SHP ID # ready for NC Quitline Provider/Quitline faxes completed form to Medco: 1-319-896-5904Provider/Quitline faxes completed form to Medco: 1-319-896-5904 Obtain prescription for OTC generic NRT patches Obtain prescription for OTC generic NRT patches Visit participating pharmacy to pick up NRT patches in two business days Visit participating pharmacy to pick up NRT patches in two business days Link to Instructions: http://www.shpnc.org/pdf/tobacco-cessation-benefits.pdf

20. Become an Ex www.becomeanex.org www.becomeanex.org Web-based cessation program for adults Web-based cessation program for adults Fun, edgy, interactive Fun, edgy, interactive Personalized quit plan to: Personalized quit plan to: Relearn life without cigarettes Relearn life without cigarettes Relearn habit Relearn habit Relearn addiction Relearn addiction Relearn support Relearn support Free and in English and Spanish Free and in English and Spanish

21. Two booklets created by American Legacy Foundation in cooperation with Mayo Clinic – Ex Easy Read Booklet and Fotonovella

22. National Cancer Institute Fact Sheets: Quitting Tobacco: Challenges, Strategies and Benefits Find them all at : Find them all at : http://www.cancer.gov/cancertopics/tobacco/quittingtips http://www.cancer.gov/cancertopics/tobacco/quittingtips Handling Irritability and Frustration Handling Stress Handling Anxiety Handling Depression Facing the Morning Facing Boredom Driving or Riding in a Car Being Around Other Smokers Enjoying Meals Enjoying Coffee and Tea Having a Drink Short-term and Long-term Health Benefits

23. Government Tobacco Information Websites: www.cdc.gov/tobacco www.cdc.gov/tobacco www.cdc.gov/tobacco www.surgeongeneral.gov/tobacco www.surgeongeneral.gov/tobacco www.surgeongeneral.gov/tobacco

24. NC Prevention Partners http://www.quitnownc.org/quitnow http://www.ncgoodhealthdirectory.com

25. You quit. Two quit. www.youquittwoquit.com www.youquittwoquit.com Informational website for and about working with Informational website for and about working with women who: Are pregnant, planning a pregnancy Are pregnant, planning a pregnancy New mothers struggling to quit or stay quit New mothers struggling to quit or stay quit For friends and family For friends and family Health Professionals Health Professionals UNC Center for Maternal and Infant Health Funded by North Carolina Health and Wellness rust Fund

27. You Quit. Two quit.

28. Healthy Start Foundation www.nchealthystart.org www.nchealthystart.org Oh Baby! We Want To Keep You Safe From Secondhand Smoke If You Smoke And Are Pregnant

29. Positively Smoke Free Specially for people living with HIV Specially for people living with HIV Prepares you for your 4 week quit date Prepares you for your 4 week quit date Focuses on your issues Focuses on your issues Quotes, facts, & lots of interesting info Quotes, facts, & lots of interesting info Total of 8 sessions – one per week Total of 8 sessions – one per week Wont let you jump ahead Wont let you jump ahead www.positivelysmokefree.com www.positivelysmokefree.com www.positivelysmokefree.com Jonathon Shuter, MD, Montifiore Medical Center, Bronx, NY 2009 Jonathon Shuter, MD, Montifiore Medical Center, Bronx, NY 2009

30. Resources for Youth Project Aspire – A smoking prevention interactive experience for youth: www.mdanderson.org/aspire My Last Dip – An on line program for age 14 - 25 who use spit or smokeless tobacco: www.mylastdip.com www.mylastdip.com

31. The more websites, books, articles, quitlines, etc. used for a quit attempt the higher the likelihood of success. Medications plus Quitline can more than double your chances of quitting for good.

32. Tobacco Prevention and Control Branch Division of Public Health North Carolina Department of Health and Human Services Main Ph: 919-707-5400 Fax: 919-870-4844 www.tobaccopreventionandcontrol.ncdhhs.gov