Smoking cessation Flashcards
Where should peopel who wish to stop smoking be referred?
Smoking cessation services
What can be given to people who do not wish to be reffered to these services?
Medications
What medications can be given to patients who wish to stop smoking?
Nicotine replacement therapy (NRT)
In what forms can people have nicotine replacement therapies?
Patches and oral preparations
For how long can nicotine replacement therapy be given?
8 weeks
What are adverse effects of nicotine replacment therapy?
nausea & vomiting, Headaches
Flu-like symptoms
What can nicotine replacement therapy NOT be given in combination with?
Varenicline
Bupropion
When shoudl nicotine replacement therapy be started?
On the day the person quits
When should Varenicline be started?
7-14 days before the quit date
In who is varenicline contraindictaed?
Pregnant and breastfeeding women
What is the most common side effect of Varenicline?
Nausea
What are the other possible side effects of Varenicline?
Headache
Insomnia
Anormal dreams
How long is the recommended course of treatment with Varenicline?
12 weeks
What is Varenicline more effective than?
Bupropion
When should Bupropion be started?
7-14 days before stopping
What is Bupropion contraindicated in?
Epilepsy
Pregnancy
Breast feeding
Having an eating disorder is a relative contraindication
What is there a small increased risk of with Bupropion?
Seizures
Severe hypersensitivity
What is used first line to help people stop smoking?
Behavioural therapies
What is the mechanism of bupropion?
Inhibits reuptake of dopamine, noradrenaline and serotonin in the brain.
What is the mechanism of varenicline?
Nicotinic receptor partial agonist
What is the first line management of a pregnant woman who wants to quit smoking?
CBT (main)
Motivational interviewing
Structured self-help and support from NHS Stop Smoking Services
Which medications are contraindictaed in pregnancy?
Bupropion
Varenicline
