nicotine Flashcards

1
Q

major non-addictive metabolite

A

cotinine

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2
Q

nicotine is metabolised by which enzyme

A

CYP2A6

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3
Q

cause induction of

A

1A2 / 2B6

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4
Q

smoking will increase the clearance for which antipsychotics

A

clozapine
olanzapine
haloperidol

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5
Q

smoking will increase the clearance for which antidepressant

A

fluvoxamine
tricyclic antidepressant

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6
Q

smoking will decrease the clearance for rivastigmine Y/N

A

N

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7
Q

smoking will increase the clearance for tacrine Y/N

A

Y

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8
Q

effect of nocotine

A

decreased appetite
increased cognition function
reduced anxiety

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9
Q

typical withdrawl sx

A

insomnia
craving
irritablity

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10
Q

5 R principle.

A

relevance
risk
reward
roadblock
repetition

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11
Q

5A principle

A

ask
advice
assess
assist
arrange

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12
Q

AAH principle

A

Ask
advice
help

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13
Q

5 ways to assess the level of dependece

A

expired CO level
Fargerstrom
HSI
carboxyHb
urine, saliva or blood cotinine

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14
Q

HSI focus on

A

how soon do u smoke the first cigarette after u waking up

how many cigarette perday ?

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15
Q

forms of NRT

A

patch
lozenge
spray (mouth / nasal)
inhalation

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16
Q

minimal duration of NRT

A

8 wks

17
Q

MOA for varenicline

A

partial agonist for alpha-4 / beta-2 receptor—reduce the pleasurable effect

18
Q

can be used for psychiatric patients
Y/N

A

N

19
Q

duration for varenicline

A

12 wks

20
Q

MOA for bupropion

A

receptor antagonist
DA / Norad re-uptake inhibitor

21
Q
A