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respiratory > Smoking cessation > Flashcards

Smoking cessation Flashcards

1
Q

Where should peopel who wish to stop smoking be referred?

A

Smoking cessation services

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2
Q

What can be given to people who do not wish to be reffered to these services?

A

Medications

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3
Q

What medications can be given to patients who wish to stop smoking?

A

Nicotine replacement therapy (NRT)

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4
Q

In what forms can people have nicotine replacement therapies?

A

Patches and oral preparations

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5
Q

For how long can nicotine replacement therapy be given?

A

8 weeks

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6
Q

What are adverse effects of nicotine replacment therapy?

A

nausea & vomiting, Headaches
Flu-like symptoms

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7
Q

What can nicotine replacement therapy NOT be given in combination with?

A

Varenicline
Bupropion

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8
Q

When shoudl nicotine replacement therapy be started?

A

On the day the person quits

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9
Q

When should Varenicline be started?

A

7-14 days before the quit date

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10
Q

In who is varenicline contraindictaed?

A

Pregnant and breastfeeding women

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11
Q

What is the most common side effect of Varenicline?

A

Nausea

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12
Q

What are the other possible side effects of Varenicline?

A

Headache
Insomnia
Anormal dreams

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13
Q

How long is the recommended course of treatment with Varenicline?

A

12 weeks

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14
Q

What is Varenicline more effective than?

A

Bupropion

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15
Q

When should Bupropion be started?

A

7-14 days before stopping

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16
Q

What is Bupropion contraindicated in?

A

Epilepsy
Pregnancy
Breast feeding
Having an eating disorder is a relative contraindication

17
Q

What is there a small increased risk of with Bupropion?

A

Seizures
Severe hypersensitivity

18
Q

What is used first line to help people stop smoking?

A

Behavioural therapies

19
Q

What is the mechanism of bupropion?

A

Inhibits reuptake of dopamine, noradrenaline and serotonin in the brain.

20
Q

What is the mechanism of varenicline?

A

Nicotinic receptor partial agonist

21
Q

What is the first line management of a pregnant woman who wants to quit smoking?

A

CBT (main)
Motivational interviewing
Structured self-help and support from NHS Stop Smoking Services

22
Q

Which medications are contraindictaed in pregnancy?

A

Bupropion
Varenicline

respiratory (47 decks)

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