We all know that using harmful substances like alcohol, tobacco, and drugs can be very dangerous. Most people understand the damage that drinking too much, smoking, or using drugs can cause. But knowing the risks is just the first step. The real challenge is making changes and stopping these habits, which can be hard to do.

Smoking

You likely already know that smoking is harmful, but you might not realize just how much it affects your body and every aspect of your life.

From your physical health and mood to the well-being of your loved ones, smoking has a far-reaching impact—often bigger than you think.

The good news? The moment you quit, your body begins to heal, and you’ll start noticing positive changes almost immediately. It’s proof that it’s never too late to quit!

Smoking in Pregnancy

If you’re finding it difficult to quit smoking during pregnancy, the smoke free pregnancy team can help. The support they can offer includes

Personalized Quit Plan: They will work with you to create a plan that fits your lifestyle.
Postpartum Support: Receive ongoing support for up to 12 weeks after your baby is born.
Free Resources: Access free e-cigarette starter packs and an 8-week supply of e-liquid.
Nicotine Replacement Therapy (NRT): Get advice on the best NRT options for you.
Prescriptions for Quit Aids: Health Coaches can prescribe NRTs, including gums, patches, and inhalators.
Regular Check-Ins: Benefit from one-to-one phone or video calls for continued support.

Quitting smoking is one of the best things you can do for both you and your baby. Let us help you take this important step toward a healthier, smoke-free future. Please click the blue button below to sign up:

Medications to Help You Quit Smoking:

A variety of medications are available to support people in quitting smoking. These options can make it easier to manage cravings and withdrawal symptoms, increasing your chances of success.

Nicotine Replacement Therapy (NRT)

• The primary reason people smoke is due to nicotine addiction. NRT provides a low level of nicotine without the harmful tar, carbon monoxide, and other toxic chemicals found in tobacco smoke. NRT can help reduce unpleasant withdrawal effects, such as mood swings and cravings, when you stop smoking. A variety of forms can be purchased over the counter:
  • Skin patches: Release nicotine slowly; some are worn continuously, while others are removed at night.
  • Chewing gum: Offers quick nicotine release to manage cravings.
  • Inhalators: Plastic cigarette-like devices for rapid nicotine delivery.
  • Tablets, oral strips, and lozenges: Convenient options to curb cravings.
  • Nasal and mouth sprays: Deliver nicotine quickly into your system.
• NRT treatment usually lasts 8–12 weeks. During this time, the dose is gradually reduced until you can stop using it altogether.

Prescription only Medications:

• Varenicline (Champix)
  • Works in two ways: reduces nicotine cravings and blocks the rewarding effects of smoking.
  • Unfortunately, this medication is not currently commissioned on the NHS, but it may be available privately.
• Bupropion (Zyban)
  • Originally developed to treat depression, this medication has been found to help people quit smoking.
  • Like Varenicline, it is not currently available through the NHS but may be purchased privately.

E-Cigarettes:

• E-cigarettes are electronic devices that deliver nicotine in a vapor, allowing you to inhale it without most of the harmful effects of smoking, such as tar and carbon monoxide. Research suggests e-cigarettes can help people quit smoking, especially when combined with support from an NHS Stop Smoking Service. Unfortunately, currently, no e-cigarettes are available on prescription. You’ll need to purchase one if you choose this method, but e-cigarettes are generally much cheaper than smoking traditional cigarettes.

Alcohol

Alcohol misuse occurs when drinking becomes harmful or leads to dependency.

Recommended Limit: Both men and women should not exceed 14 units of alcohol per week.
Spreading Consumption: Spread drinking over 3 or more days if consuming 14 units weekly.
Alcohol-Free Days: Include several alcohol-free days in your routine.
During Pregnancy: Avoid alcohol completely to minimize risks to the baby.

Alcohol Units

• Half a pint of lower-strength beer (3.6% ABV) = 1 unit
• Single shot of spirits (25ml, 40% ABV) = 1 unit
• Small glass of wine (125ml, 12% ABV) = 1.5 units

To calculate how many units you drink please click the blue button below:

Risks of Alcohol Misuse

• Short-Term Risks
  • Accidents, injuries, or alcohol poisoning.
  • Reckless behaviours such as unprotected sex or violence.
  • Loss of possessions like keys or phones.
• Long-Term Risks
  • Health conditions: heart disease, stroke, liver disease/cancer, various cancers, pancreatitis, brain damage.
  • Social issues: unemployment, divorce, domestic abuse, homelessness.
• Alcohol Dependence (Alcoholism)
  • Leads to physical and psychological withdrawal symptoms: tremors, sweating, hallucinations, depression, anxiety, and insomnia.
  • Can result in “relief drinking” to avoid withdrawal symptoms.

Signs of Alcohol Misuse

• For Yourself:
  • Feeling the need to cut down.
  • Guilt or criticism related to drinking.
  • Drinking first thing in the morning.
• For Others:
  • Regularly exceeding 14 units per week.
  • Forgetting events from the night before due to drinking.
  • Failing responsibilities due to alcohol use.

Quitting or reducing alcohol intake can significantly improve your physical, mental, and social well-being. Please click blue buttons below for further help and support:

Recreational Drug Use

In addition to legal substances, many of our patients may also face challenges with misuse or addiction to illegal substances (such as cannabis/ cocaine/heroin).

We understand that there can be a stigma surrounding the use of these drugs, but please know that we are here to help. At Mayfield Surgery, we are committed to providing non-judgmental care and support. You will always be treated with respect and understanding, regardless of your circumstances.

Your well-being is our priority, and we are here to support you on your journey to recovery.

If you would like some support regarding your drug use then the resources below will be helpful: