Smoking cessation Flashcards
if unsuccessful using Nicotine Replacement Therapy (NRT), varenicline or bupropion, do not offer a repeat prescription within 6 months. TRUE/FALSE?
TRUE
Adverse effects of NRT
nausea & vomiting
headaches
flu-like symptoms
What NRT do NICE recommend offering to patients who show a high level of dependence on nicotine or who have found single forms of NRT inadequate in the past?
combination of nicotine patches and another form of NRT
(e.g. gum, inhalator, lozenge or nasal spray)
Mechanism of action of varenicline
nicotinic receptor partial agonist
Recommended treatment course length of varenicline
12 weeks
Most common side effects of varenicline
nausea
headache
insomnia
abnormal dreams
In what patients should varenicline be used with CAUTION
history of depression or self-harm
Can varenicline be used during pregnancy/breastfeeding?
No
Mechanism of action of bupropion
a norepinephrine and dopamine reuptake inhibitor, and nicotinic antagonist
When should bupropion be started in relation to the patients desired stop smoking date?
should be started 1 to 2 weeks before the patients target date to stop
Contraindications to bupropion
- epilepsy (small seizure risk)
- pregnancy and breast feeding
- eating disorders
What can be used for smoking cessation in pregnancy if varenicline and bupropion are contraindicated
- CBT
- motivational interviewing
- structured self-help
- NRT used if above measures fail
(remove patches before bed)
