Smoking cessation

Question 1

What are the symptoms of withdrawal from smoking?

Answer 1

• irritability/aggression
• depression
• restlessness
• poor concentration
• increased appetite
• light-headedness
• disturbed sleep
• nicotine cravings

Question 1

What are the conservative measures that should be taken when stopping smoking?

Answer 1

• set a date and stop completely
• tell everyone that you are giving up smoking
• be prepared for withdrawal symptoms
• get rid of ashtrays etc
• aticipate a cough
• be positive
• write a list of reasons why you want to stop

Question 2

How and when do you prescribe buproprion?

Answer 2

1. When patient still smoking - advise to stop within 7-14 days
2. 150mg OD for 6 days then BD for 7-9weeks - use lower dose in those with mild-mod liver impairment/elderly /low GFR <50

Question 3

What are the contraindications to buproprion?

Answer 3

• Recurrent seizures
• History of seizure
• CNS tumour
• Severe hepatic cirrhosis
• BIpolar disorder
• Anorexia nervosa
• Bulimia