Supported by an Unrestricted
Educational Grant from
Calcutta Medical Institute, Kolkata
</b>So where the smoking is concerned, it is a biobehavioral problem, so it should tackled in the way any biobehavioral disease is controlled. So there will have to be interaction not only between the physician and the patients or the smokers, we will have to have the support of various other agencies or stakeholders we call it, like the media, community service providers, nurses, then health service providers and also the persons who are related with the delivery of the health care. smoking actually gives a pleasure due to the fact that dopamine is secreted after the smoking. Now if that does not give rise to dopamine secretion by some measures in the form of deep breathing exercise , then yogic meditation, then start drops and pharmacological devices like electronic cigarettes. If these does not give the incentive to have the good sort of feeling, then possibly the person will be smoking less. But more important than these, is the followup of the patients or the smokers. So we will have to give the explanation why smoking is very bad. Smoking is bad not only in terms of the various side effects like sore throat and bronchial asthma or airway disease, cancers and peptic ulcers and all, it can cause severe cardiac diseases like hypertension, like coronary artery disease, peripheral vascular disease, these are very, very important diseases and they kill the patients. Now, smoking causes actually the rise in the catecholamines in the system and thereby they vasoconstrict and that is how the hypertension is generated. So if the antismoking devices are taken up along with the antismoking biobehavioral therapies with continuous followup then definitely the smoking incidence can be reduced.