39 cessation tabagisme Flashcards

1
Q

Motivational interviewing steps (5A)

A

Ask (ouvre le sujet)

Assess (readiness to change)

Advice - clear tell pt to stop smoking is

Assist: self help ou ressources

Arrange follow up

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2
Q

Stade du changement de Prochaska

A

precontemplation
contemplation
preparation
action
maintenance

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3
Q

Pharmacotherapy choices (4)

A

Varenicline

Buproprion

Nicotine replacement therap:
- Nicotine patch
- gums
- lozenge (aka pastilles)
- inhaler

Nortriptyline

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4
Q

Pharmacotherapy combination (prefered choices to start with)

A

Varenicline plus Nicotine patch > Varenicline alone > NRT or Buproprion

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5
Q

Varenicline when to start

A

1w before quit date 0.5mg/d x3d

and increase dose to BID then increase to 1 mg

ad 12 months

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6
Q

Varenicline effets secondaires

A

headache
Insomnia
abnormal dreams
GI upset

Note: NO evidence that varenicline increases neuropsychaitric adverse events

self harm ?? myth?

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7
Q

Varenicline brand name

A

champix

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8
Q

Nicotine replacement therapy options:

A
  • Nicotine patch
  • gums
  • lozenge (aka pastilles)
  • inhaler
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9
Q

how to choose dose of the Nicotine replacement therapy

A

depedning how many cigarets a day

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10
Q

nicotine patch adverse effect

A

local irritation

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11
Q

bupropion when to start and what dosage

A

begin 1w before quit date at 150mg/d x 3d

then 150mg BID

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12
Q

bupropion side effects

A

Insomnia, headache, dizziness,
xerostomia,
tachycardia
weight loss

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13
Q

bupropion counter indications

A

Avoid in seizure disorder, eating disorder, alcohol withdrawal

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14
Q

Nortriptyline (2nd line) side effects

A

Sedation, dry mouth

Second-line due to side effects

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15
Q

most effectice therapy is when

A

there is a combination

either nicotine replacement theries together or NRT + other med

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