smoking cessation Flashcards
5 A’s Model
Ask (about tobacco use) Advise (to quit) Assess (willingness to quit) Assist (with quitting, within 2 weeks set quit date) Arrange (for follow up)
Major CYP Inducer Acronym
PS PORCS
Phenytoin Smoking Phenobarbital Oxcarbazapine Rifampin Carbamazapine St. John's wort
Major drugs that smoking induces metabolism of
warfarin, contraceptives containing estrogen, caffiene, theophyline
vaccination in smokers
influenza and Pneumovax 23 (just like asthma and COPD)
Who should not get NRT
pregnant people, adolescents, and light smokers
Nicoderm
Nicotine Patch
Nicorette
Nicotine gum or lozenge
Nicorette mini
Lozenge
Zyban
Buproprion SR
Chantix
Varencycline
cutoff for higher dose of nicotine patch
10 cigs go up to 21mg
cutoff for higher dose of gum or lozenge
1st sicurette within 30 min of waking 4 mg otherwise 2
patch instructions
must remove before NRI, may cause vivid dreams, avoid in immediate post MI, arrhythmias, angina, and pregnancy ,never cut, avoid hairy area
buproprion MOA
blocks neuronal uptake of dopamine and norepinephrine
varencicline moa
partial nicotinic receptor agonist
when to start oral meds and instructions for use
1 week before quit date, do not need to be tapered
wellbutrin
buproprion
buproprion dosing
300 mg per day max dose, SR 150qam for thee days then increase to twice daily
contraindication for buproiprion
seizures, anorexia, mao, linezolid, methyleneblue
major side effects of bupripion
dry mouth, insomnia, tremors, weight loss
Chantix warnings
neuropsychiatric events, seizures
chantix side effects
nausea, insomnia, abnormal dreams, headache
chantix administration
with a full glass of water
