Smoking Cessation Flashcards Preview

Z A Pharm III > Smoking Cessation > Flashcards

Flashcards in Smoking Cessation Deck (20):
1

How many US adults use tobacco

1 in 5

2

How many smokers want to quit

70% only 5% do

3

How work with smokers that want to quit

Ask
Advise
Assess
Assist
Arrange

4

How work with smokers that don't want to quit

Relevance
Risks
Rewards
Roadblocks
Repetition

5

What are txt options for smokers

Behavior therapy
nicotine replacement therapy
bupropion
varenicline

6

What is the transdermal nicotine Systems

patch
rotate different site every day
nicotine continues being delivered after removal

7

What are adverse effects of transdermal nicotine systems

erythema

8

What are transdermal meds

Habitrol (21 mg taper to 7 mg)
Nicoderm (21 mg taper to 7 mg)
Nicotrol (15 mg taper to 5 mg)
ProStep (22 mg taper to 11 mg)

9

What is nicotine polacrilex

nicotine gum

10

How to use nicotine gum

chew slowly
park and chew every 30 min

11

What is dosing for nicotine gum

4 mg (>25 cigs) 20 pieces/day max
2 mg (<25 cigs) 30 pieces/day max

12

What is nicotine nasal spray

deliver fast nicotine
AE: nasal and throat irritation
rhinitis
sneezing
coughing
watering eyes
Dose: 1-2 sprays per hour

13

What is nicotine inhaler

inhale 4 mg nicotine
taper required

14

What is nicotine lozenge

Dose based on time to first cig
4 mg if early morning
2 mg if later in morning

15

What are adverse effects of bupropion for smoking

seizure
antidepressant
insomnia
dry mouth
ha
weight gain/loss

16

How dose bupropion for smoking

150 mg SR po qd 3 days then
increase 150 mg SR bid 7 - 12 weeks
set quit smoking date 7 days after start med

17

How does varenicline MOA

block nicontine binding

18

What are adverse effects for varenicline for smoking

Don't use with other nicotine replacement therapy
N/V
ha
constipation
unusual violent behavior

19

what is dosing for varenicline for smoking

Days 1-3 - .5 mg qd
Days 4-7 - .5 mg bid
Days 8 - EOT - 1 mg bid

20

What is recommended treatment

Behavior therapy + NRT
OR
bupropion or varenicline