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Patient education: Quitting smoking – ED discharge instructions (The Basics)

Patient education: Quitting smoking – ED discharge instructions (The Basics)

What are discharge instructions? — 

Discharge instructions are information about how to take care of yourself after getting medical care in the emergency department ("ED").

What should I know? — 

Quitting smoking can dramatically improve your health and help you live longer. It lowers your risk of many different health problems.

Quitting is not easy for most people. It might take several tries to completely quit. But help and support are available. Quitting smoking will improve your health no matter how old you are, even if you have smoked for a long time.

As you stop smoking, it is normal to have "withdrawal" symptoms. These will get better over time. Withdrawal symptoms can include:

Trouble concentrating

Being irritable

Feeling anxious or restless

Mood changes

Trouble sleeping

Increased appetite

Weight gain

Your doctor can give you medicines to help with these.

How do I care for myself at home? — 

Ask the doctor or nurse what you should do when you go home. Make sure you understand exactly what you need to do to care for yourself. Ask questions if there is anything you do not understand.

You should also do the following:

Call your regular doctor and tell them you were in the ED. Make a follow-up appointment to get help to quit smoking.

Set a date to quit smoking.

Tell your family and friends about your plan to quit smoking.

Plan ahead about what you will do instead of smoking when you have cravings.

Remove cigarettes from your home, car, and work.

You might want to talk with a counselor to help you learn about:

What triggers you to smoke

How to resist cravings

Things to raise your chance of quitting

Counseling can be in person alone or in a group, over the phone, through texting, or online.

Talk with your regular doctor about medicines to help you stop smoking.

Exercise regularly. This can help lower stress. Going for a walk is good exercise.

Chew sugar-free candy or gum, if it helps you resist cravings.

Stay away from people and places that make you want to smoke. If others close to you smoke, ask them to quit with you or to not smoke around you.

Sometimes, people wonder if vaping ("e-cigarettes") can help them quit smoking. In general, doctors do not recommend using vaping as a way to quit smoking. Even though it might be less harmful than smoking regular cigarettes, vaping still comes with risks. Talk to your doctor if you are having trouble quitting smoking, even with medicines and counseling.

When should I call the doctor? — 

Call for advice if you have:

Symptoms of depression, like:

Feeling sad, down, hopeless, or cranky most of the day, almost every day

Losing or gaining weight without trying to

Sleeping too much or too little

Feeling tired or like you have no energy

Acting restless, or having trouble staying still

New or worsening symptoms

More on this topic

Patient education: Quitting smoking for adults (The Basics)
Patient education: Quitting smoking for teens (The Basics)
Patient education: Harmful health effects of smoking (The Basics)
Patient education: Smoking in pregnancy (The Basics)

Patient education: Quitting smoking (Beyond the Basics)

This topic retrieved from UpToDate on: May 11, 2025.
Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2025© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.
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