Smoking Cessation Flashcards
(50 cards)
What year did NICE release guidance on the management of smoking cessation?
2008
What medications should patients be offered for smoking cessation according to NICE?
- Nicotine replacement therapy (NRT)
- Varenicline
- Bupropion
Should clinicians favor one smoking cessation medication over another?
No
What is the target stop date in smoking cessation management?
A particular date by which the patient commits to stop smoking
How long should prescriptions of NRT, varenicline, or bupropion last after the target stop date?
Until 2 weeks after the target stop date
What should be done if a patient is unsuccessful using NRT, varenicline, or bupropion?
Do not offer a repeat prescription within 6 months unless special circumstances have intervened
Is it recommended to offer NRT, varenicline, or bupropion in combination?
No
What are common adverse effects of nicotine replacement therapy?
- Nausea
- Vomiting
- Headaches
- Flu-like symptoms
What combination of nicotine replacement therapy does NICE recommend for high dependence patients?
Combination of nicotine patches and another form of NRT
What type of drug is varenicline?
A nicotinic receptor partial agonist
When should varenicline be started in relation to the target stop date?
1 week before the target date
What is the recommended course of treatment for varenicline?
12 weeks
What is the most common adverse effect of varenicline?
Nausea
What should varenicline be used with caution in patients with?
A history of depression or self-harm
Is varenicline contraindicated in pregnancy?
Yes
What type of drug is bupropion?
A norepinephrine-dopamine reuptake inhibitor and nicotinic antagonist
When should bupropion be started in relation to the target stop date?
1 to 2 weeks before the target date
What is the small risk associated with bupropion?
Seizures (1 in 1,000)
Is bupropion contraindicated in pregnancy?
Yes
What should all pregnant women be tested for regarding smoking?
Using carbon monoxide detectors
What CO reading indicates a referral to NHS Stop Smoking Services?
7 ppm or above
What are the first-line interventions in pregnancy for smoking cessation?
- Cognitive behaviour therapy
- Motivational interviewing
- Structured self-help
- Support from NHS Stop Smoking Services
What is the evidence regarding the use of NRT in pregnancy?
Mixed
What should pregnant women do with nicotine patches before going to bed?
Remove the patches
