Aswad
Posts: 9374
Joined: 4/4/2007 Status: offline
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quote:
ORIGINAL: SassySarijane Doctors said his lungs could give out in a year if he doesn't get off the smokes. Here's the solution: snus. It's a Swedish product that has zero risk of lung damage, a low risk of oral cancer, and a moderate risk of worsening preexisting cancer of one of the digestive organs (can't recall which; gall bladder, I think). Over the course of years, it will cause discoloration of the teeth if he's not careful to use a suitable toothpaste (e.g. Clinomyn is a brand up here, not sure what it's called over in the US). It will also, again over the course of years, cause the gums to retract in the incisor region, and raise the roof of the cavity between the front upper teeth and the upper lip. It comes in small "tea bags" that are placed between the upper lip and the front upper teeth, typically over the incisors or canines, on one side. In short, it solves the lung problem, and the drawbacks are preventable cosmetic issues. If he is not taking additional medication, or if he has a competent doctor that can oversee the interaction potential, he can benefit from taking four to six standard 10mg tablets of l-deprenyl (Selegiline, Eldepryl) once some four hours after his last cigarette. That will allow the monoamine oxidase levels to return to normal at a slower pace than would be the case for cold turkey (he must not combine snus and smokes, or he'll worsen the addiction). Side effects are really quite benign, but he must adhere to dietary restrictions for a week, and any medications (including OTC) must be screened for interactions by a qualified doctor for two weeks. He'll crave chocolate. Don't give him any. That's a minor comfort thing, though, nothing that makes a major difference. Note that this is harm reduction. He has an acute lung problem. I am suggesting a way to save his lungs at the expense of leaving the addiction untouched. In fact, the addiction itself may be worsened. But he will no longer be damaging his lungs. At all. Unlike common substitution therapies, snus can and will successfully substitute for smokes. Permanently. I've yet to meet anyone for whom it didn't. And at his age, the harmful effects are unlikely to be relevant in a normal life expectancy, anyway. Mind you, it might still be worth trying to simply tie him down for 72 hours, until the worst of the cravings pass. Otherwise, snus is the way to go. I hate the stuff, but it solves the immediate problem. Health, al-Aswad.
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"If God saw what any of us did that night, he didn't seem to mind. From then on I knew: God doesn't make the world this way. We do." -- Rorschack, Watchmen.
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