Reducing Tobacco Dependence Flashcards
1
Q
Markers for addiction
A
- use despite knowledge of harmful consequences
- cravings during abstinence
- failure of attempts to stop
- withdrawal symptoms during abstinence
2
Q
Treatment of tobacco dependency
A
- screen for tobacco dependence
- advise on role of nicotine
- initiate combination NRT ASAP
- complete a referral to on site tobacco dependency advisor
- provide accurate + consistent information about vaping
- discuss, offer + prescribe nicotine analogue meds
3
Q
Examples of tobacco related diseases
A
- lung cancer
- COPD
- asthma
- stroke
- vascular disease
- crohn’s diseases
- infection
- blindness
4
Q
Pharmacological treatment of smoking
A
- Nicotine replacement therapy: short acting - gums, inhalers, lozenges - help with cravings |long acting - patches 16 or 24 hours
- nicotine free medications: varenicline (nicotine receptor antagonist) or bupropion (NA + dopamine reuptake inhibitor)
5
Q
What withdrawal symptoms may be expected when someone stop smoking?
A
- irritability, frustration, anger
- difficulty concentrating
- increased appetite
- restlessness
- depressed mood
- insomnia
6
Q
Harm reduction approach for smoking
A
- stopping smoking but continuing to use NRT
- cutting down before stopping smoking, w/wo NRT
- smoking reduction w/wo NRT
- temporary abstinence, w/wo NRT
