Stopping Smoking: Knowledge is Power

Hi Chris, I went on the NHS Stop Smoking programme 11 months ago. They gave me Champix [Chantix in the USA]. Felt odd and stopped taking it after 4 days. Then read excerpts from your book, which made me realise I wasn’t addicted. I have never wanted a cigarette since then…

by Chris Holmes

This message came in this week:

“Hi Chris, I went on the NHS Stop Smoking programme 11 months ago. They gave me Champix [Chantix in the USA]. Felt odd and stopped taking it after 4 days. Then read excerpts from your book, which made me realise I wasn’t addicted. I have never wanted a cigarette since then.

“Many friends of mine asked me how I gave up. They didn’t really believe me at the time, but out of thirty or so smokers, around 15 had given up with no difficulty within 3 or 4 weeks of talking to me! Just from realising they weren’t addicted! I write because I am on the verge of starting a Quit Smoking Club in North East London, and I would very much like your blessing to quote your researches (with full acknowledgement, of course!) I would also like your permission to give people links to sales points for your books.

“I think you’ve done wonderful work – if it were not for you I would probably still be smoking, or at the least still wanting to smoke! I tried a cigarette 4 months ago to prove to myself I wouldn’t get “re-addicted”; but I only
managed two draws before my will to smoke failed!”

Permission granted, of course! This is why I called the second volume of the book “A Change Of Mind”. I stopped smoking in 1999 because my perception of it changed. It was easy. Since then I have helped thousands of smokers do the same, through my work as a therapist specialising in the area of tobacco, drugs, alcohol and gambling habits.

If you would like to read excerpts from my work, click on the ‘Read The Book’ button above – but give it thirty seconds to load! Or you can click on Buy The Book and get the paperback version, or download the ebook.

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Self-Administration Can Be Fun, Fun, Fun!

By Chris Holmes

The Non-Smoker Tries a Cigarette

Remember your first cigarette?  Or to be more precise, do you remember the first time you inhaled tobacco smoke properly and experienced the effect on the way you felt, physically and mentally?

If there was no alcohol in your system already at the time – or any other recreational drug like cocaine, amphetamine or cannabis – if you were – like myself – eight years old and hiding at the bottom of your friend Ian’s garden having helped him steal a (now rather crumpled) Embassy No.1 from his Mam’s packet, and a single match… after a few puffs on that, you may have felt like this:

Nauseous… head fuzzy… feel rather sick and faint… got that uncomfortable feeling like I don’t know where to put myself… feel really unwell… don’t feel safe… bowels churning… feel rotten, very definitely ill.  Poisoned.  Really want to feel normal again, regret trying this…

So I lay down on the grass and waited, feeling stunned and very sick.  It would be four whole years before I tried tobacco again.

Now of course, there are a lot of chemicals in tobacco smoke, not just nicotine.  But nicotine was certainly in there, and according to the British Medical Association’s Illustrated Medical Dictionary (Dorling Kindersley, 2002 – I have it open in front of me)… nicotine “stimulates the central nervous system, thereby reducing fatigue, increasing alertness, and improving concentration.”

Really?  Then how come I was lying there like a stuck pig watching the sky whirl round?  Also, why does the same medical dictionary include amongst the side effects of nicotine replacement therapy “nausea, headache, palpitations, cold or flu-like symptoms”?

After The Sly Smoke at School

As we headed back into the main building Stuart said, as he often did: “You know lads, I really feel ready for Double Physics now!  I feel energised, alert… the only problem is that my noticeably-increased powers of concentration might give me away this afternoon!  Better stash these cigs somewhere…”

It was a hazard of which we were all too keenly aware.  Anyone who works in a school will be able to spot the smokers – full of life, really alert, always concentratin’… come to think of it we had a bit of an unfair advantage, didn’t we?  No wonder we all did so well.

The Non-Smoker Tries A Nicotine Patch

Many years later, long after I had ditched tobacco I found myself putting the finishing touches to a book about nicotine and smoking (working title: Whose Stupid Idea Was All That Then?) when it suddenly occurred to me that although I had tried tobacco when I was a non-smoker and found it stunningly nauseating… experienced tobacco smoke as a regular smoker and grown accustomed to it but it never seemed beneficial… and also tried Nicotine Replacement Poisoning as a regular smoker and found it slightly weird and pointless, I had never tried nicotine alone as a non-smoker. What would it be like?  Perhaps, all those years ago in Ian’s garden I had been overwhelmed by all the other poisons in the smoke.  Maybe, if I just tried “therapeutic nicotine” all by itself, nicotine would indeed “stimulate the central nervous system, thereby reducing fatigue, increasing alertness, and improving concentration.” After all, that’s what the British Medical Association say it does.

The Experiment

So I obtained a single nicotine patch, a NiQuitin CQ 21mg 24-hour patch.  I also put by a pen and some paper upon which to make notes of the experience as I went along. I didn’t really intend to leave it on for the full 24 hours but I did aim to leave it on for most of the day, just to monitor the experience.  As it turned out, it didn’t quite happen that way.  What follows is directly quoted from Nicotine: The Drug That Never Was:

“This was at 10.15 on a Sunday morning, April 22nd 2007.  We were planning to take the kids to the park at about eleven, which I was looking forward to because it was a nice day.  This is an exact transcript of the notes I made at the time.

10.15 am.  Stuck patch on inside upper left arm.

10.20 am.  Tingling in both hands, mild tightening feeling in the throat.

10.25 am.  Feel nauseous, patch burning skin a bit.

10.30 am.  Feel like blood pressure is up, not a pleasant feeling.  Tense.  Uncomfortable, want to take it off actually.  More nauseous, feel a bit ill.  Patch really burning.  Bowels upset a bit.

10.35 am.  Head fuzzy.  Feel rather sick.  Got that feeling like I don’t know where to put myself.  Feel really uncomfortable and irritable now.

10.37 am.  Took patch off.  Don’t feel safe.  Big red mark on arm.  Hands/wrists aching.  Feel sick and faint, balance and even speech abnormal.  Wrists and hands quite red.  Bowels churning.  Feel rotten, very definitely ill.  Poisoned.  Really want to feel normal again, regret trying this.

10.50 am.  Still feel just as rotten, but feeling of real alarm that made me take it off now subsiding.  Just feel ill.

“The patch was only in contact with my skin for 22 minutes.  Before I began the experiment I felt fine – healthy and in good spirits.  Now I felt absolutely terrible, really unwell and although I don’t usually scare easy…” [as a former intravenous drug user over many years, I’ve done some pretty mad and dangerous things] “…actually afraid to leave the patch on any longer.  But here’s the thing – according to the B.M.A., nicotine:

“stimulates the central nervous system, thereby reducing fatigue, increasing alertness, and improving concentration.”

“So, did “therapeutic nicotine” make me feel more alert, able to concentrate better, as the B.M.A. described?  Well, by the time I took the patch off I was very nauseous, anxious, irritable and no longer able or willing to hold a normal conversation – so I would have to say no, it certainly did not.  Well, why not?  If that is what nicotine does, that is what it does.  I would have noticed.  It just made me feel poisoned, and actually it did remind me of the first cigarette I ever tried, when I was eight.  My pal Ian Coates stole a single Embassy No.1 from his mum, and we hid at the bottom of his garden and smoked it.  It left me feeling pretty much like the experience I described above, but with a foul taste in my mouth as well.  It was years before I tried one again, and even then it wasn’t because I liked it the first time.  It was just because I wasn’t allowed to, and because smoking makes you look grown-up and cool, despite being twelve and pimply with awful hair and silly clothes.  And feeling very queasy, if not actually vomiting.

“At eleven o’clock, we all left for the park.  Sure enough I felt very queasy, delicate and anxious that I might suddenly need the toilet – that IBS feeling.  I really didn’t want to go out at all now, I felt more like going for a lie down, which I hardly ever feel like doing even when I am ill.  Of course, some fool might suggest that the dose was too high for a non-smoker, or that I was irresponsible to try that without medical advice, as if that were the reason it made me ill.  But that’s ridiculous: none of us took medical advice before we tried our first cigarette, did we?  And very few kids start with a low-nicotine cigarette – certainly not my generation anyway, or the previous one.  So it was, in fact, an experiment that roughly replicated many initial, real smoking experiences but this time focussing entirely on nicotine itself – and guess what?  Nicotine just makes you feel ill, because it is nothing but a poison.  I’m not saying you can’t get used to it – professional boxers get used to being slammed in the face with a fist to the point where they hardly notice it, and I’m sure that stimulates the central nervous system too, but that don’t make it medicinal, baby.”

Talking of Crazy Experiments That Aren’t Exactly Scientific…

Who discovered penicillin?  That’s right, Fleming.  Who invented the hypodermic syringe?  Louis Pasteur, correct.  Both well known names in the history of medicine because the things they gave us are used by millions of people all over the world.  So: who invented nicotine replacement therapy?

You don’t know, do you?

Well, he was also the man who insisted that tobacco smoking was not just a filthy habit, as everyone had been quite happy to regard it for several centuries.  He insisted it was a drug addiction, and he claimed in a letter to The Lancet that he had ‘proven’ this by gathering together a group of 35 habitual smokers and – with their permission – injected them with 1mg of nicotine whenever they felt like they wanted a cigarette.  He insisted that because the impulse to reach for a cigarette then subsided, this proved that the reason they smoked was because they were addicted to nicotine.

The man was a Glaswegian GP called Dr. Lennox Johnston (1899-1986) and the main reason you have never heard of him is because everyone thought he was loopy.  He isn’t credited with inventing Nicotine Replacement Poisoning because he wasn’t suggesting using nicotine to get people OFF smoking.  In fact, that would be an insane suggestion from anyone who was insisting that the smoking problem was a result of addiction to that very poison.  No, he simply used that method to try to demonstrate his theory that smokers’ cravings are in fact a physical “need” for nicotine itself – but the experiment doesn’t even do that in reality.  If I had still been a smoker when I tried that patch experiment, I certainly wouldn’t have wanted to smoke for quite some time after that, just as I never wanted one when I had a hangover or felt under par for any other reason.  Lennox Johnston’s 35 volunteers were habitual smokers so they were more used to being poisoned than I was, but if they didn’t feel much inclined to smoke for a bit after an injection of a lethal insecticide (nicotine) then we shouldn’t be surprised.

Short-term reactions to interventions of that sort are no proof of anything.  This is why the Advertising Standards Agency recently blocked an advert by the NHS Stop Smoking Services which tried to use reported cessation rates at four weeks as if they were real success rates.  They said it was misleading, and I have already shown in the Evidence section of this site how the difference between those short-term results and the real outcomes at a one-year interval can be as great as 90% short-term, falling to 8% by the end of the year we have to conclude that the ASA are right to object.

Since I started this Campaign in March 2008, I have often heard it suggested that NRT products have been ‘properly’ tested in scientific trials, so I must be talking nonsense when I say they are utterly bogus and have no long-term effectiveness to speak of at all.  Did any of those people suggesting that know that in the original trials that got NRT passed as if it were a medication in the first place, it was passed on the basis of it’s performance at SIX WEEKS.  In smoking cessation that is NOT proof of efficacy and it should never have happened at all.

practice website


Champix/Chantix

The scariest Champix reports were those that involved unexpected changes to mental well-being, including one woman who told me that she stopped taking it because she was having time-lapses in her day she could not account for, including whilst driving. A five-minute journey seemed to have taken twenty-five minutes, for no reason she could remember or explain, and she was deeply concerned.

 

*Update 1: If you or a loved one has suffered a bad reaction to Champix and you are based in the U.K., you can report it to the Medicines and Healthcare Products Regulatory Agency (MHRA) here. The more people do that the clearer the true picture will become. Protect others! Report it.*

**Update 2, 4th November 2011:

The American Food & Drug Administration (FDA) were reported recently in the Business section of the Washington Post as reassuring smokers that Chantix (known as Champix everywhere outside the USA) “does not increase psychiatric problems”, according to two small studies involving 26,000 smokers.  Since this flies in the face of everything else they know about Chantix already, it is surely irresponsible to say such a thing at this time, because the caveats added to the story further down do not carry anything like the weight of the inevitable headline.  Meanwhile, this article in the Daily Mail reports a study which states exactly the opposite.

Why?  Because the Daily Mail is not bending over backward to assist the pharmaceutical industry – even at the expense of smokers’ lives, if that’s what it takes – whereas the FDA very clearly is.  The testing and approvals system is corrupt as hell, using every possible means of dragging their feet so that Chantix/Champix stays of the market and remains ‘approved’ regardless of how many individual smokers’ lives are ruined by the drug.

The Truth Will Out Campaign has been trying to alert smokers (and doctors) to the dangers of this drug since Autumn of 2008, but just imagine the frustration of this commentator on the new Daily Mail report:

“Oh now they make this a huge statement. My mom used it in mid 2007. She ended up in a mental hospital. Thanks Champix. This stuff shouldn’t even be on the market!!! I still can’t understand why it is, with all these accounts of suicide! I read horror story’s back then after this happened to my mom about people killing themselves or having illness such as bi-polar disorder activated in them. My rule with all drugs is, if it hasn’t been on the market for more then 10 years…DO NOT take it. You never want to be the guinea pig. Sorry for all those who ended their lives because they were manipulated this drug.

– Danielle, USA,
3/11/2011 6:08″**

 

Champix/Chantix

by Chris Holmes

*Update: If you or a loved one has suffered a bad reaction to Champix and you are based in the U.K., you can report it to the Medicines and Healthcare Products Regulatory Agency (MHRA) here. The more people do that the clearer the true picture will become. Protect others! Report it.*

 

At the very end of the book Nicotine: The Drug That Never Was, in the final section called A Pause For Breath which you can read here on the site, I mentioned the announcement of the coming of a new magic pill to stop people smoking, which coincided with my completion of the book in May 2007. What I didn’t know at the time I was writing that last section was that the number of smoking clients I was used to getting every week was about to drop by around 50% as thousands of would-be quitters raced off to try the new medication instead.

People want magic pills. They want to believe the doctor can make their problems go away, just by swallowing a little tablet and then getting on with their day. So as soon as the headlines hit – “New Pill to Stop Smoking! Available on the NHS within weeks!” – hypnotherapists like myself who specialise in smoking cessation encountered an unexpected drought that went on from June 2007 right through to the end of the year. Now we’re pretty much back to normal, as everyone has learned that the latest magic pill isn’t magic after all – surprise, surprise – in fact it has turned out to be a horrible nightmare for some.

Champix is supposed to work by ‘blocking the nicotine receptors so that smokers no longer enjoy smoking’, which is actually nonsense because habitual smokers don’t smoke for enjoyment anyway. Some may believe they do, but if you ask any smoker to focus on the pleasure of smoking, and then describe it to you, they will find themselves unable to do that.  Then ask them what their first cigarette was like – most smokers remember that it was disgusting.  So, if there is a pleasure in smoking, how come none of us noticed it straight away?

The truth is that the pleasure is all in the moment, none of it is coming from the cigarette.  Only smoke is coming from the cigarette, which we all found nauseating to begin with, but it’s amazing what you can become accustomed to.  Simply because habitual smokers tend to smoke at moments of repose – which are usually pleasant moments because they are no longer stressed or exerting themselves – many smokers adopt the idea that they enjoy smoking.  Even so, there will be moments when that illusion falters, and the original nausea and disgust becomes noticeable again. Nicotine itself is not pleasant in any way, as all smokers noticed on the first day they ever inhaled the smoke – and apparently, neither is Champix.

Only a few weeks after Champix became available on prescription in the U.K. I began hearing reports from the only people I really trust these days when it comes to quit products: smokers themselves.  The most common remark about the drug was that it caused quite severe nausea, but there have also been much more severe reactions too.  If you have taken Champix yourself, or someone close to you has, feel free to add comments at the end of this post.

Some reports I have heard suggest that although the urge to smoke seems to disappear whilst taking Champix, it returns once the drug is out of your system.

The course of nausea-inducing tablets is twelve weeks, which is a long time to put up with nausea. Not everyone is nauseous for that long apparently, some only reported that for a short period after taking the tablet, but others seem to be regularly heaving or actually vomiting. Since when is medicine supposed to make you ill? Does it really just ‘work’ by making you feel too rough to face smoking, rather like a hangover does? That’s a bit unsophisticated, isn’t it? Sounds a bit dangerous, too. Hypnotherapy – by contrast – isn’t nauseating or dangerous, and the whole process usually only takes a couple of hours. For the majority, that’s it: you’re a non-smoker again. No cravings, no willpower needed, no bad moods and no weight gain. That’s one hell of a lot better than taking tablets that make you ill for weeks on end, isn’t it? Not to mention safer, and with a much higher success-rate, when it’s done properly.

Champix Scary Side-Effects

The scariest Champix reports were those that involved unexpected changes to mental well-being, including one woman who told me that she stopped taking it because she was having time-lapses in her day she could not account for, including whilst driving. A five-minute journey seemed to have taken twenty-five minutes, for no reason she could remember or explain, and she was deeply concerned. A report published in The Telegraph (24.10.07) warned that people taking Champix had been told by the Medicines and Healthcare products Regulatory Agency (MHRA) not to drive when taking the medication, following two accidents blamed on the drug. Dizziness and sleepiness are two side-effects of Champix, made by Pfizer.

Okay, so how is that going to work in reality? Smokers are put on this for twelve weeks, or even twenty-four weeks if they are still smoking after the first twelve. Does the GP say: “By the way, don’t drive for the next six months”? No, they are much more likely to just say: “Don’t drive if you don’t feel well”, but the trouble is, most people on Champix feel unwell daily. Still got to get to work, haven’t they? So the MHRA have issued a warning that few working smokers can possibly heed in practice. How many people are driving about under the effects of a drug that is known to cause dizziness and/or sleepiness – and even memory loss – for anything up to six months?  Given to them by their doctor.

Recent Updated Warnings by Pfizer

At the beginning of 2008 Pfizer added more warnings to the medication suggesting that users should be monitored for erratic behaviour, suicidal thoughts or personality changes whilst on the drug. Okay – by whom? Since the only people likely to see that warning at all are the user and their GP, how is that supposed to work in practice? The people most likely to notice those changes are family and work colleagues – all of whom will probably be unaware of Pfizer’s warning and some of whom may be subordinate to the user in some crucial way which makes swift and effective response unlikely or impossible if indeed any sudden erratic behaviour occurs.

What if the user is a police officer, or in the armed forces? What if they are an air-traffic controller, a crane driver, a rail signalman or a pilot? **Update: Pilots and air-traffic controllers have now been banned from taking Champix** Memory lapses, sudden personality changes or suicidal thoughts take on a whole new angle in such cases, and even the driving issue makes Champix a potential threat to anyone even trying to cross a road. The mass-prescribing of Champix to smokers is actually a gigantic experiment, and what that updated warning from Pfizer really means is this:

“We’ve covered our asses now, you’ll just have to chance it in practice unless you can afford to quit work for a few months… and if anything terrible happens to you or your loved one, and you try to blame the medication, our well-paid legal team will create just enough uncertainty to make sure you get the blame for the disaster, sucker!”

If you have a story to tell about Champix, let us know. If you would like to know more about how hypnotherapy can help with smoking, or any other issue, visit the Central Hypnotherapy Website.

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