Cardiovascular Risk Reduction: Smoking Cessation Flashcards
Each cigarette smoked shortens the lifespan by how many minutes?
11
What was the NNT for smoking cessation to prevent one death?
12
What is the 5-A strategy for smoking cessation counseling from the USPSTF?
Ask about tobacco use
Advise to quit through clear personalized messages
Assess willingness to quit
Assist to quit
Arrange follow-up and support
True or false: pharmacotherapy and counseling are better than either alone.
true (duh)
What are the three first-line medication options for smoking cessation?
nicotine replacement therapy
Buproprion (Zyban)
Varenicline (Chantix)
What are two second-line agents?
clonidine
nortriptyline
Nicotine replacement increases quit rates by what percent?
50-75%
What are the different forms of Nicotine replacement therapy?
patch gum lozenge inhaler nasal spray
What is the NNT for buproprion?
9-19
When should you start buproprion in relation to when they actually quit smoking?
start 1-2 weeks before quit date
What are the adverse effects of buproprion?
insomnia and dry mouth most common
What are the contraindications for buproprion?
seizures disorder or eating disorder
What is the blackbox warning for buproprion?
may increase suicide in patients with suicidal ideation
How does varenicline work?
it’s a selective alpha4-beta2 nicotinic receptor partial agonist that reduces cravings and withdrawal symptoms while blocking the binding of smoked nicotine centrally so you don’t get the same feeling when you do smoke
What is the NNT for varenicline?
6-9
