Making major changes to your lifestyle is no easy undertaking. In
order for anyone to succeed they need to combine patience,
commitment, and the ability to ask for support. For some people a
portion of that support may come from their pharmacist. There are
several products currently available to help people break habits
that are harmful to their health. Pharmacological aids address our
habits by targeting their source, i.e. nicotine addiction with
smoking, depression with some cases of overeating. Even with these drugs
the woman must be committed to making
difficult changes in their lifestyle.
Weight Loss
Weight loss drugs have come and gone. Stimulants seem to be "gone" hopefully for good this
time. Today's drugs take different tactics. All are still for those who qualify as clinically
obese, which is more than 30 pounds overweight for most. Even so, the weight loss due to the
drugs is quite small, usually a few pounds and/or less than 10% more than those who used
diet alone.
The most recent and well-known diet drug is Orlistat. It works by blocking
fat absorption in the intestines. Sounds great, except when you realize what undigested fat
moving through your intestines is like. Gas, cramping, loose stools, and even incontinence are
common with Orlistat. It also interferes with the absorption of fat soluable vitamins. The long
term effects of this aspect of the drug are not known. Its true effectiveness has been
questioned. Many suspect that this drug works by discouraging its users from eating fat in the
first place.
Meridia is a drug that works on the brain. It decreases cravings or desire to eat. It makes the
person taking it feel satisfied. It is somewhat similar to anti-depressants, like Prozac. Side
effects include dry mouth, headaches, constipation, and insomnia. No major life or health
threatening side effects have come to light, so far.
Smoking
If quitting cold turkey or slowly decreasing the number of cigarettes
smoked a day just doesn't work there are a few other options
available. Using nicotine replacement therapy in combination with
a person's efforts to quit can help. There are several products
currently on the market. One is a patch that transfers small doses
of nicotine through the skin. (Nicotrol, Nicoderm, Habitrol, Prostep
are all nicotine patches) The strength of the patch is slowly tapered
off until it is no longer needed. It is quite simple to use and can help
make a person's withdrawal from nicotine both bearable and
possible. It is important to note though that smoking while wearing
the patch is dangerous and can possibly lead to a nicotine
overdose. Programs that are longer (8-12 weeks or more),
stepwise and with 24-hours patches are more effective.
The second option is nicotine gum, Nicorette. The gum is most
helpful in controlling a person's cravings for nicotine. It is often
used in combination with the patch, if a person is still having
problems. Like the patch, it works by providing a person with tiny
amounts of nicotine.
Zyban is an oral drug. It is not a nicotine based drug. It works
directly on the brain to decrease cravings for nicotine. It is the same drug as the anti-
depressants Welbutrin.
None of these works alone, however. Traditional behavior
modification techniques must be used as well to have a
reasonable hope of success. Spending time with friends and
family who smoke is the situation that leads to the most failures of
stop-smoking programs.
Decreasing Alcohol Intake
It is important for anyone with an addiction to alcohol to seek
support from their doctor, friends, family, or a local support group.
This is a lifelong effort that is difficult to maintain without any
support system in place. There is a drug available that can be
prescribed to a person who is struggling with alcoholism,
disulfiram. It works by causing nausea in those who take it and
also drink alcohol.
It is often given to people who suffer from chronic alcoholism,
rather than those who wish to simply decrease their intake of
alcohol. A medical evaluation is required before a person is given
this drug as taking disulfiram with even small doses of alcohol
causes serious reactions, including hypotension, and increased
heart rate. This drug can also have some serious side effects, and
is for this reason only used by people who face even greater risks
from their alcoholism.
Treating an Underlying Mental Condition
Most people's unhealthy habits are the result of learned behavior,
rather than an underlying mental disorder. But for those people
who present a mental condition as an unbreakable habit,
pharmacological treatments are available. Again, a person with a
condition such as depression or obsessive compulsive disorder
should seek a combination of treatments that includes in person
therapy. This is essential to both diagnosis and treatment. If a
woman is suffering from a mental illness, making a New Year's
resolution to stop expressing this condition will only lead to failure
and frustration. "Habits" such as binge eating, or obsessive
cleaning need to be addressed more fully, and with the support of
a professional. Drugs such as Prozac, Zoloft, or other
antidepressants can work well in combination with therapy, but
they also carry side effects and should not be taken as a quick fix
to a bad habit.