Ramadan 2019: how to continue the health kick and quit smoking for good

After a month of limiting nicotine in take, Ramadan can be a great time to quit smoking for good

ABU DHABI, UNITED ARAB EMIRATES, Mar. 23, 2015:  
A man sits down for a smoke while spending time with family on a cool, windy evening following a cloudy, rainy day on Monday, Mar. 23, 2015, at the Breawater Corniche in Abu Dhabi. (Silvia Razgova / The National)  (Usage: Mar. 23, 2015, Section: NA, Reporter: standalone) *** Local Caption ***  SR-150323-secondhandsmoke04.jpg
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As Ramadan draws to an end, those fasting will begin to reflect on the holy month and how their bodies feel.

For some, Ramadan will have been a time to embrace a healthier lifestyle, with the positive effect fasting can have on the body becoming apparent.

And for smokers, Ramadan will have likely been a time of cutting down, something that many will hope to carry through into the rest of the year.

Kick-starter to quitting

Ramadan introduces a “tapering method”, which sees many smokers naturally reduce the amount they smoke each day, says Dr Iyaad Hasan, staff associate from the medical subspecialties institute at Cleveland Clinic Abu Dhabi.

Not being able to smoke during daylight hours can also lead to many questioning their reasons for smoking, something that can help people quit in the long term. “Ramadan is a great way to teach yourself how to go through your regular daily routine and to avoid the triggers that make you smoke,” says Dr. Hasan.

A cigarette smoker is pictured on March 1, 2018, in Lille, northern France, on the day when the price of a packet of cigarettes was increased by one euro to fight against smoking.
The government plans regular increases to bring the cost of a packet to 10 euros by 2020. / AFP PHOTO / PHILIPPE HUGUEN
Smokers have to abstain between sunrise and sunset during Ramadan / AFP

Reasons to quit

Giving up completely can seem daunting, especially for long-term smokers, but there are many health benefits to quitting, many of which are evident within the first few days of being smoke-free, Dr Hasan says.

“Your body begins to change within the first 20 minutes of quitting. Your blood pressure starts to drop. Within a few days to a few weeks, your blood circulation improves. Your sense of taste and smell comes back. Breathing improves tremendously, possibly up to 30 per cent within the first week,” he says.

Tips for successfully quitting

Opting for a strategy that combines support and medication will double your chances of successfully giving up smoking, Dr Hasan says.

Support can help you to identify the cues or triggers that cause you to smoke and to develop a strategy for avoiding or dealing with those triggers, while medication can help with the physical effects.

“We often prescribe nicotine patches, which you are allowed to place on your skin while fasting,” he explains. “We also use tablets which help reduce cravings and decrease the pleasurable effects of tobacco products. These are taken twice a day, once just before you start fasting in the morning, and then again in the evening, just after you break your fast.”

A woman smokes waterpipe (Shisha) at a cafe in Dubai on May 31, 2008. The Gulf emirate of Dubai banned the sale of tobacco to anyone under the age of 20 with immediate effect and barred young people from public areas in which smoking is allowed. The announcement was made in public advertisements in Arabic-language newspapers as part of a "Youth Without Tobacco" campaign. The campaign was launched to coincide with World No Tobacco Day on May 31. AFP PHOTO/MARWAN NAAMANI (Photo by MARWAN NAAMANI / AFP)
Shisha can be even more damaging to your health than cigarettes. AFP

It’s not just cigarettes

While cigarette consumption may go down during Ramadan, other forms of smoking such as shisha and medwakh remain just as popular and can be just as damaging to your health.

Medwakh may deceive smokers as it lacks a smell, but its nicotine concentration is a lot stronger than a cigarette, says Dr. Hasan. Shisha can be even more dangerous.

“The problem with shisha isn’t the nicotine content, it is the chemicals,” he says. “The chemical content that comes off the smoke is 100 times that of a cigarette. You are taking in the same amount of chemicals during a 60-minute shisha session as you would be smoking 100 cigarettes.”

With most smokers having lower level of nicotine in the blood after cutting back for Ramadan, it can mean lesser cravings in the period following, making it easier to fight temptations.

Latest statistics from the Tobacco Atlas show that 900,000 adults in the Emirates use tobacco every day, with smoking deemed responsible for one in eight male deaths.