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Prepare to quit Get ready! Talk to your healthcare professional about how to quit Set a date for quitting. Choose a date that is within the next 2 weeks and make a strong commitment to quit on that day Tell your family, friends, and coworkers that you are quitting Get rid of any tobacco products from your home, work, or car (for example, any lighters, ashtrays, matches, and cigarettes) TRIM LINE FOR INSIDE FLAP (7.125 IN) Make a list of things that may trigger your smoking. These things might include being around other smokers, drinking coffee, drinking alcohol, taking a break from work, or feeling stressed. Make a plan for how you will deal with these triggers What if I slip up? If you slip up and smoke, don t give up. Here are some ways to try again: Don t be too hard on yourself, but don t be too easy either. It is important to get back on track Find the trigger that led you to smoke. Decide how you will deal with the trigger the next time it comes up Stay positive. Learn from your experience of not smoking, and remember what has kept you on track If you are taking a medicine to help you quit, talk to your healthcare professional before deciding to stop taking your medication Questions to ask your healthcare professional As you prepare to quit, you may have lots of questions. Here are some questions you might want to ask your healthcare professional: Will I feel better right away? Or worse? What antismoking medical treatments are available to help stay on track? Are there local support groups that help people trying to quit? What should I do if my friends and family smoke around me?

DISEASE MANAGEMENT Internet links for support Smokefree.gov: an online guide to help you quit Created by The National Cancer Institute and Centers for Disease Control and Prevention www.smokefree.gov/quit-guide.aspx Telephone: 1-800-QUITNOW (1-800-784-8669) US Department of Health and Human Services www.surgeongeneral.gov/tobacco Telephone: 1-877-696-6775 National Heart, Lung, and Blood Institute www.nhlbi.nih.gov/health/public Telephone: 1-301-592-8573 National Cancer Institute Smoking cessation fact sheet www.cancer.gov/cancertopics/factsheet/tobacco/cessation Telephone: 1-800-4-CANCER (1-800-422-6237) Centers for Disease Control and Prevention, including Tobacco Information and Prevention Source (TIPS) www.cdc.gov/tobacco/how2quit.htm Telephone: 1-800-CDC-INFO (1-800-232-4636) American Cancer Society www.cancer.org Telephone: 1-800-ACS-2345 (1-800-227-2345) Global Initiative for Chronic Obstructive Lung Disease. GOLD Patient Guide: What You Can Do About a Lung Disease Called COPD www.goldcopd.org COPD Foundation www.copdfoundation.org Boehringer Ingelheim Pharmaceuticals, Inc. has no ownership interest in any other organization that advertises or markets its disease management products and services. A patient educational resource provided by Boehringer Ingelheim Pharmaceuticals, Inc. Printed on recycled paper in the U.S.A. Copyright 2011 Boehringer Ingelheim Pharmaceuticals, Inc. All rights reserved. (03/11) COPD84635MHC BI00000

You Can Do It! Commit to quit smoking. DISEASE MANAGEMENT

Reasons for you to quit! If you need reasons to quit consider these! Quitting Smoking May: Stop more damage to your lungs Help you breathe easier Give you more energy Help make your home cleaner and healthier Save you money Quitting Smoking May Reduce Your Risks for Diseases, Such as: Chronic obstructive pulmonary disease A lung disease that includes both chronic bronchitis and emphysema Cancer (including cancers of the lung, throat, bladder, kidney, and pancreas) Stroke Coronary heart disease, heart attack, chest pain Stopping smoking makes a difference Why should you stop smoking? Here s why. Your body starts to change for the better within 20 minutes Time After Quitting 20 minutes Your heart rate drops 12 hours 2 weeks to 3 months Carbon monoxide (car-bun mun-ox-ide) levels in your blood drop to normal Your heart attack risk begins to drop Your lung function begins to improve 1 to 9 months You have less coughing and shortness of breath 1 year You have half the added risk of coronary heart disease as a smoker 5 to 15 years Your stroke risk goes down to that of a nonsmoker 10 years 15 years Your lung cancer death rate is about half the rate of a smoker You have less risk of many kinds of cancers (mouth, throat, esophagus, bladder, kidney, and pancreas) Your risk of coronary heart disease is now the same as a nonsmoker s

Coping with withdrawal Be ready to deal with withdrawal symptoms. The chart below shows some of the symptoms and what you can do. Withdrawal Symptoms Ways to Cope Nervous or on edge Take deep breaths Soak in a hot tub Fatigue Take a nap Get a good night s sleep Insomnia Avoid caffeinated drinks after 12 pm Read a book before bedtime Increased desire to eat* Drink water and liquids low in calories Eat vegetables and other healthy foods Chew gum Trouble staying focused Tobacco cravings Constipation or upset stomach Take a walk to relax Try not to do anything too demanding during the first few days Take your mind off the craving with a hobby or other interest Breathe deeply Remember that the craving will pass Add fruit, cereals, and grains to your diet Increase fluids in your diet* See a dietitian if you need more help *Talk to your healthcare professional about any diet, fluid, or activity restrictions you may have.

Taking medicines that help you quit Ask your healthcare professional whether you should consider a treatment to help you quit smoking. Some things or some places may make you want to smoke. You will find it easier to stop if you have a quit plan. Some medicines may be helpful. You can ask for help from your healthcare professional, a counselor, or a support group. There are medicines in pill form that decrease your desire to smoke, and there are nicotine replacement products. Pills to reduce your desire to smoke Pills can help with withdrawal Some pills can block the effects of nicotine Tell your healthcare professional about any other medications you are taking and all medical conditions you have The medicine should be started about a week before you quit smoking Nicotine replacement products These products provide nicotine to your body to reduce your withdrawal symptoms Start taking a nicotine replacement product on your quit date Nicotine Replacement Product Nicotine gum The gum releases nicotine in your mouth The nicotine takes several minutes to reach your blood vessels Prescription Yes No TRIM LINE FOR INSIDE FLAP (7.125 IN) Nicotine nasal spray Nicotine gets into your bloodstream quickly through your nose Nicotine inhaler The inhaler is a small device that you hold like a cigarette Nicotine goes into your mouth when you inhale Nicotine patch The patch is placed on your skin Nicotine is released slowly and evenly through your skin into your bloodstream Nicotine lozenges They come in the form of a hard candy The candy dissolves in your mouth and releases nicotine