Breaking free: Guide to kicking the unhealthy habit
Cigarette smoking has long been a deeply ingrained habit in Malaysia, often associated with social settings such as coffee shops and roadside eateries. Despite the presence of 'No Smoking' signs in certain areas, compliance had historically been inconsistent. However, in recent years, the landscape has shifted following the implementation of stricter tobacco control laws. While the prevalence of traditional cigarette use has shown a decline, the emergence and increasing popularity of electronic cigarettes (e-cigarettes) and vapes present a new public health concern.
Why is it time to quit smoking for good?
Smoking poses a significant threat to both public health and the economy. In Malaysia, approximately 20,000 deaths annually are attributed to smoking-related illnesses. Tobacco use harms nearly every organ in the body and is a major cause of lung cancer and chronic obstructive pulmonary disease (COPD). It also contributes to coronary heart disease, stroke, and numerous other cancers and chronic health conditions.
Exposure to secondhand smoke is also harmful at any level, as it increases the risk of heart disease, lung cancer, and other serious illnesses. Secondhand smoke, also known as passive smoke, consists of the smoke exhaled by smokers and the smoke released from the burning end of a cigarette. Children and other vulnerable groups are especially affected, with exposure linked to respiratory infections, ear infections, asthma attacks, and sudden infant death syndrome (SIDS).
In addition to its health consequences, smoking imposes a heavy financial burden on the nation. A significant portion of the national gross domestic product is allocated to healthcare expenses for treating diseases related to smoking. This situation highlights the need for coordinated efforts aimed at preventing smoking initiation, particularly among the younger population, and providing effective support for individuals who wish to quit smoking.
The benefits of nicotine replacement therapy (NRT)
Whether in the form of traditional cigarettes or e-cigarettes, smoking products contain nicotine, which is a highly addictive substance that reinforces the habit and makes quitting especially difficult. According to the Global Adult Tobacco Survey (GATS) 2023, 59.7 per cent of smokers in Malaysia have expressed a desire to quit smoking. However, many face challenges such as nicotine dependence and limited access to support services. Therefore, it is crucial to increase public awareness about the treatment options and support systems that are available to help individuals overcome addiction and successfully quit smoking.
Nicotine is the key addictive component in smoking products; meanwhile, the other toxic substances found in traditional cigarettes are responsible for the health issues and deaths linked to smoking. Nicotine works by stimulating receptors in the brain, which triggers the release of dopamine hormone. Photo for illustration purposes only.
Nicotine Replacement Therapy (NRT) is an effective treatment designed to assist individuals in quitting smoking by providing controlled amounts of nicotine without exposing the body to the harmful substances present in cigarettes. This helps alleviate withdrawal symptoms and reduce cravings, gradually decreasing physical dependence on cigarettes.
Over time, the dosage of NRT is reduced, allowing the body to adjust and ultimately quit nicotine use entirely. There is strong evidence supporting the effectiveness of NRT in helping individuals quit smoking, and it is widely recommended by clinical guidelines as a first-line treatment for those seeking pharmacological support.
The Health Ministry (MOH) reclassified NRT products, such as gum and patches, from the 'Group C poison' category under the First Schedule of the Poisons Act 1952 to the non-poison group. These changes have made these products more accessible, allowing for widespread over-the-counter sales in pharmacies across Malaysia.
The appropriate ways to use NRT products
Each NRT product should be used with specific instructions to maximize its effectiveness and minimize potential side effects.
Nicotine gum
Nicotine gum is designed to release nicotine gradually while being chewed, helping to manage cravings effectively. Nicotine gum should be used for up to 12 weeks, with a maximum of 24 pieces per day. Nicotine gum should be chewed slowly until a peppery or mint taste or tingling sensation is felt. The gum should then be held between the cheek and gum until the tingling sensation fades. This chew-park cycle should be repeated for up to 30 minutes. To ensure proper absorption of nicotine, it is advisable to avoid eating or drinking anything except plain water for 15 minutes before and during the use of the gum. Common side effects of nicotine gum may include mouth soreness, hiccups, dyspepsia, and jaw aches which are usually mild and temporary.
Nicotine patches
Nicotine patches are transdermal devices designed to release nicotine steadily throughout the day, helping individuals manage cravings and reduce dependence. Nicotine patches should be applied once daily to clean, dry, and non-hairy skin, such as the upper arm, hip, back, or chest. The patch should be pressed firmly for approximately 10 seconds to ensure proper adhesion. To prevent skin irritation, it is advisable to rotate the application sites with each new patch and avoid applying the patches on the same spot.
Nicotine mouth sprays
Nicotine mouth sprays deliver nicotine directly to the mouth lining for quick relief of cravings, making them a fast-acting option for those looking to curb their nicotine urges. When cravings emerge or when an individual would typically smoke, one or two sprays should be used. The maximum recommended usage is four sprays per hour to avoid excessive nicotine intake.
Nicotine lozenges
Nicotine lozenges are available in two strengths, with 2 mg for smokers who consume fewer than 20 cigarettes per day, and 4 mg for those who smoke more than 20 cigarettes daily. The maximum duration for using nicotine lozenges is 24 weeks. It is important not to chew or swallow the lozenge, and one should also refrain from eating or drinking while it is in the mouth to ensure proper absorption. Common side effects may include nausea, vomiting, dry mouth, and oral discomfort.
Advice for smokers before using NRT products
Before starting any nicotine replacement therapy (NRT), it is highly recommended to consult healthcare professionals, such as doctors or pharmacists. They can help to assess the suitability of NRT by identifying any allergies or health conditions that may interfere with its use. They will also guide smokers in selecting the most appropriate form of NRT (patches, gum, sprays, or lozenges) and the correct dosage based on their smoking habits and lifestyle. In many cases, combining long-acting NRT (like patches) with short-acting options (such as gum or sprays) can be more effective in managing cravings.
Healthcare professionals such as doctors and pharmacists can provide detailed instructions on the proper use of the chosen NRT product to ensure maximum effectiveness. They will monitor progress through regular follow-ups, help manage any side effects, and adjust the treatment plan as needed. These will subsequently increase the chances of long-term success.
Individuals who wish to quit smoking are also encouraged to seek help from the Smoking Cessation Services available at most MOH healthcare facilities. In addition, similar support is provided through the mQuit programme, which is offered by selected private healthcare facilities.
In conclusion, quitting smoking is a challenging but achievable goal. With the right support and treatment, individuals can break free from nicotine addiction. The combination of effective NRT, guidance from healthcare professionals, and a commitment to making lasting lifestyle changes can significantly improve the chances of success.
If there are any inquiries regarding medicines, please call the National Pharmacy Call Centre (NPCC) at the toll-free number 1-800-88-6722 during weekdays from 8am to 5pm, except on public holidays.
Jolene Tay Luen Ling is a pharmacist. The views expressed in this article are her own and do not necessarily reflect those of Sinar Daily.
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Sinar Daily
3 days ago
- Sinar Daily
Breaking free: Guide to kicking the unhealthy habit
Cigarette smoking has long been a deeply ingrained habit in Malaysia, often associated with social settings such as coffee shops and roadside eateries. Despite the presence of 'No Smoking' signs in certain areas, compliance had historically been inconsistent. However, in recent years, the landscape has shifted following the implementation of stricter tobacco control laws. While the prevalence of traditional cigarette use has shown a decline, the emergence and increasing popularity of electronic cigarettes (e-cigarettes) and vapes present a new public health concern. Why is it time to quit smoking for good? Smoking poses a significant threat to both public health and the economy. In Malaysia, approximately 20,000 deaths annually are attributed to smoking-related illnesses. Tobacco use harms nearly every organ in the body and is a major cause of lung cancer and chronic obstructive pulmonary disease (COPD). It also contributes to coronary heart disease, stroke, and numerous other cancers and chronic health conditions. Exposure to secondhand smoke is also harmful at any level, as it increases the risk of heart disease, lung cancer, and other serious illnesses. Secondhand smoke, also known as passive smoke, consists of the smoke exhaled by smokers and the smoke released from the burning end of a cigarette. Children and other vulnerable groups are especially affected, with exposure linked to respiratory infections, ear infections, asthma attacks, and sudden infant death syndrome (SIDS). In addition to its health consequences, smoking imposes a heavy financial burden on the nation. A significant portion of the national gross domestic product is allocated to healthcare expenses for treating diseases related to smoking. This situation highlights the need for coordinated efforts aimed at preventing smoking initiation, particularly among the younger population, and providing effective support for individuals who wish to quit smoking. The benefits of nicotine replacement therapy (NRT) Whether in the form of traditional cigarettes or e-cigarettes, smoking products contain nicotine, which is a highly addictive substance that reinforces the habit and makes quitting especially difficult. According to the Global Adult Tobacco Survey (GATS) 2023, 59.7 per cent of smokers in Malaysia have expressed a desire to quit smoking. However, many face challenges such as nicotine dependence and limited access to support services. Therefore, it is crucial to increase public awareness about the treatment options and support systems that are available to help individuals overcome addiction and successfully quit smoking. Nicotine is the key addictive component in smoking products; meanwhile, the other toxic substances found in traditional cigarettes are responsible for the health issues and deaths linked to smoking. Nicotine works by stimulating receptors in the brain, which triggers the release of dopamine hormone. Photo for illustration purposes only. Nicotine Replacement Therapy (NRT) is an effective treatment designed to assist individuals in quitting smoking by providing controlled amounts of nicotine without exposing the body to the harmful substances present in cigarettes. This helps alleviate withdrawal symptoms and reduce cravings, gradually decreasing physical dependence on cigarettes. Over time, the dosage of NRT is reduced, allowing the body to adjust and ultimately quit nicotine use entirely. There is strong evidence supporting the effectiveness of NRT in helping individuals quit smoking, and it is widely recommended by clinical guidelines as a first-line treatment for those seeking pharmacological support. The Health Ministry (MOH) reclassified NRT products, such as gum and patches, from the 'Group C poison' category under the First Schedule of the Poisons Act 1952 to the non-poison group. These changes have made these products more accessible, allowing for widespread over-the-counter sales in pharmacies across Malaysia. The appropriate ways to use NRT products Each NRT product should be used with specific instructions to maximize its effectiveness and minimize potential side effects. Nicotine gum Nicotine gum is designed to release nicotine gradually while being chewed, helping to manage cravings effectively. Nicotine gum should be used for up to 12 weeks, with a maximum of 24 pieces per day. Nicotine gum should be chewed slowly until a peppery or mint taste or tingling sensation is felt. The gum should then be held between the cheek and gum until the tingling sensation fades. This chew-park cycle should be repeated for up to 30 minutes. To ensure proper absorption of nicotine, it is advisable to avoid eating or drinking anything except plain water for 15 minutes before and during the use of the gum. Common side effects of nicotine gum may include mouth soreness, hiccups, dyspepsia, and jaw aches which are usually mild and temporary. Nicotine patches Nicotine patches are transdermal devices designed to release nicotine steadily throughout the day, helping individuals manage cravings and reduce dependence. Nicotine patches should be applied once daily to clean, dry, and non-hairy skin, such as the upper arm, hip, back, or chest. The patch should be pressed firmly for approximately 10 seconds to ensure proper adhesion. To prevent skin irritation, it is advisable to rotate the application sites with each new patch and avoid applying the patches on the same spot. Nicotine mouth sprays Nicotine mouth sprays deliver nicotine directly to the mouth lining for quick relief of cravings, making them a fast-acting option for those looking to curb their nicotine urges. When cravings emerge or when an individual would typically smoke, one or two sprays should be used. The maximum recommended usage is four sprays per hour to avoid excessive nicotine intake. Nicotine lozenges Nicotine lozenges are available in two strengths, with 2 mg for smokers who consume fewer than 20 cigarettes per day, and 4 mg for those who smoke more than 20 cigarettes daily. The maximum duration for using nicotine lozenges is 24 weeks. It is important not to chew or swallow the lozenge, and one should also refrain from eating or drinking while it is in the mouth to ensure proper absorption. Common side effects may include nausea, vomiting, dry mouth, and oral discomfort. Advice for smokers before using NRT products Before starting any nicotine replacement therapy (NRT), it is highly recommended to consult healthcare professionals, such as doctors or pharmacists. They can help to assess the suitability of NRT by identifying any allergies or health conditions that may interfere with its use. They will also guide smokers in selecting the most appropriate form of NRT (patches, gum, sprays, or lozenges) and the correct dosage based on their smoking habits and lifestyle. In many cases, combining long-acting NRT (like patches) with short-acting options (such as gum or sprays) can be more effective in managing cravings. Healthcare professionals such as doctors and pharmacists can provide detailed instructions on the proper use of the chosen NRT product to ensure maximum effectiveness. They will monitor progress through regular follow-ups, help manage any side effects, and adjust the treatment plan as needed. These will subsequently increase the chances of long-term success. Individuals who wish to quit smoking are also encouraged to seek help from the Smoking Cessation Services available at most MOH healthcare facilities. In addition, similar support is provided through the mQuit programme, which is offered by selected private healthcare facilities. In conclusion, quitting smoking is a challenging but achievable goal. With the right support and treatment, individuals can break free from nicotine addiction. The combination of effective NRT, guidance from healthcare professionals, and a commitment to making lasting lifestyle changes can significantly improve the chances of success. If there are any inquiries regarding medicines, please call the National Pharmacy Call Centre (NPCC) at the toll-free number 1-800-88-6722 during weekdays from 8am to 5pm, except on public holidays. Jolene Tay Luen Ling is a pharmacist. The views expressed in this article are her own and do not necessarily reflect those of Sinar Daily.
Daily Express
4 days ago
- Daily Express
Make smoking, vaping Syariah offences
Published on: Sunday, June 08, 2025 Published on: Sun, Jun 08, 2025 Text Size: The government should strongly consider making smoking cigarettes or other substances associated to it like vape as part of Syariah criminal offence and prohibited for Muslim in the country. Such suggestion should be seen part of the ongoing efforts to combat and eradicate smoking and addiction within our society especially among Muslim. Advertisement Everyone is aware over the negative impact of smoking. The most common type of smoking activity involved the use of cigarettes. With the advance of modern technology, smoking activity nowadays has been transformed into modern form like electronic cigarette or vape. A cigarette is a narrow cylinder containing a combustible material, typically tobacco, that is rolled into thin paper for smoking. The harm from smoking comes from the many toxic chemicals in the natural tobacco leaf and those formed in smoke from burning tobacco. Advertisement According to many researches, about half of smokers die from a smoking-related cause. Smoking harms nearly every organ of the body. According to many studies, smoking leads most commonly to diseases affecting the heart, liver, and lungs, being a major risk factor for heart attacks, strokes, chronic obstructive pulmonary disease (COPD) (including emphysema and chronic bronchitis), and cancer (particularly lung cancer, cancers of the larynx and mouth, and pancreatic cancer). The World Health Organization (WHO) estimates that tobacco kills 8 million people each year as of 2019 and 100 million deaths over the course of the 20th century. Meanwhile, an electronic cigarette is an electronic device that simulates tobacco smoking. It consists of an atomizer, a power source such as a battery, and a container such as a cartridge or tank. Instead of smoke, the user inhales vapor. As such, using an e-cigarette is often called vaping. In 2019 and 2020, an outbreak of severe vaping lung illness occurred in the United States. The regular use of e-cigarettes has been linked with damage to the lungs, cardiovascular system as well as the brain. In a 2022 study Western researchers found that frequent inhalation of the vapors in e-cigarettes have a positive correlation with the frequency and severity of asthma and obstructive lung disease. In the same study they also found a positive correlation between the use of e-cigarettes and medical conditions such as myocardial infarctions, coronary artery disease and strokes. In regards to the brain, the vapors in e-cigarettes can cause damage to the neurons in developing brains. This can impair the decision-making process leading to more frequent impulse decisions. The rule pertaining to smoking has been made clear in Islam itself and there is also a clear fatwa (a nonbinding but authoritative legal opinion) on this issue in the country. The Fatwa Committee of the National Council for Islamic Religious Affairs of Malaysia on 23 March 1995 had discussed the issue on 'Smoking from the view of Islam' and agreed to decide 'Smoking is forbidden in Islam because in it there is harm'. It been declared forbidden because it can bring harm to the smoker own health and the health of others through the smoke it generates. The habit of smoking is also wasteful from many aspects especially from financial aspect. Similar stand has also been taken for the use of vape. The ruling by the National Fatwa Council in 2015 stated that smoking electronic cigarettes or vaping is forbidden. Though Islam has clearly explained the danger of smoking and vaping through the fatwa which been produced there are still Muslims in the country which take the issue lightly. As such, drastic step needs to be taken by the government on this issue. This can be easily be done by having a clear and proper legislation on this point namely by making smoking and vaping a Syariah offence. Though currently we already have Syariah Offences Act and Enactments in the country which stipulates many Syariah crimes but nothing specific being mentioned on smoking and vaping. The only part which speak about smoking is only been stipulated under Section 15 on the offence for being disrespectful during the holy month of Ramadhan. Section 15 of the Syariah Criminal Offences (Federal Territories) Act 1997 [Act 559] for instance clearly states that 'Any person who during the hours of fasting in the month of Ramadhan (a) sells to any Muslim any food, drink, cigarette or other form of tobacco for immediate consumption during such hours; or (b) openly or in a public place is found to be eating, drinking or smoking, shall be guilty of an offence and shall on conviction be liable to a fine not exceeding one thousand ringgit or to imprisonment for a term not exceeding six months or to both. And for a second or subsequent offence to a fine not exceeding two thousand ringgit or to imprisonment for a term not exceeding one year or to both'. It would be much better if we can insert specific section in the Syariah Offenses Act and Enactments to makes smoking and vaping as criminal offense in order to send a strong signal or reminder to everybody especially to Muslim in the country about the danger and the prohibition of smoking and vaping. Dr. Muzaffar Syah Mallow Associate Professor, Faculty of Syariah & Law, Universiti Sains Islam Malaysia (USIM) The views expressed here are the views of the writer and do not necessarily reflect those of the Daily Express. If you have something to share, write to us at: [email protected]
Borneo Post
7 days ago
- Borneo Post
Don: Make smoking, vaping Syariah criminal offences
Muzaffar said a 2022 study conducted by several Western researchers found a positive correlation between vaping and the frequency and severity of asthma and obstructive lung disease.- AFP file photo KUCHING (June 5): The government is urged to consider making smoking and vaping Syariah criminal offences in the country. In making this call, Universiti Sains Islam Malaysia's Faculty of Syariah and Law associate professor Dr Muzaffar Syah Mallow said such a move should help eradicate smoking habit and addiction, particularly among Muslims nationwide. Muzaffar pointed out that many studies have indicated that about half of smokers die from smoking-related causes. 'Smoking harms nearly every organ in the body. Many studies show that smoking leads to diseases affecting the heart, liver and lungs, and emerges as a major risk factor for heart attacks, strokes, chronic obstructive pulmonary disease (COPD) (including emphysema and chronic bronchitis) and cancer (particularly lung cancer, cancers of the larynx and mouth and pancreatic cancer),' he said in a statement today. Muzaffar stated the World Health Organisation estimated that tobacco killed eight million people annually as of 2019, with 100 million deaths recorded over the course of the 20th century. He said an outbreak of severe vaping lung illness occurred in the United States in 2019 and 2020, adding that vaping has been linked with damage to the lungs, cardiovascular system as well as the brain. A 2022 study conducted by several Western researchers found a positive correlation between vaping and the frequency and severity of asthma and obstructive lung disease, he said. He added that the same study also found a positive correlation between the usage of e-cigarettes and medical conditions such as myocardial infarctions, coronary artery disease and strokes. 'Regarding the brain, vapors from e-cigarettes can damage neurons in developing brains, impairing the decision-making process and leading to more frequent impulsive decisions,' he said. According to Muzaffar, the Fatwa Committee of the National Council for Islamic Religious Affairs of Malaysia had in March 1995 agreed that 'Smoking is forbidden in Islam because in it there is harm.' 'A similar stance has also been taken for vaping. In 2025, the National Fatwa Council in 2015 ruled that vaping is forbidden. Although Islam has clearly explained the dangers of smoking and vaping through Fatwa, many Muslims in the country still take the issue lightly,' he said. As such, he called for drastic measures, including proper legislation to address the matter. He pointed to Section 15 of the Syariah Criminal Offences (Federal Territories) Act 1997 [Act 559] states: 'Any person who during the hours of fasting in Ramadan sells to any Muslim any food, drink, cigarette or other form of tobacco for immediate consumption during such hours; or (b) openly or in a public place is found to be eating, drinking or smoking, shall be guilty of an offence.' He explained that upon conviction, offenders would be liable to a fine not exceeding RM1,000, or to a jail term of not more than six months, or both; and for a subsequent offence, to a fine not exceeding RM2,000, or to a jail term of not more than one year, or both. 'It would be much better if we could insert a specific section in the Syariah Offences Act and Enactments to make smoking and vaping criminal offences. 'This is to send a strong signal or reminder to everybody, especially to Muslims in the country, about the health hazards of smoking and vaping,' he said. Dr Muzaffar Syah Mallow lead smoking syariah offences vaping
