Smoking cessation Flashcards
what is second hand or passive smoking
Second-hand smoke (SHS) is inhalation of other people’s tobacco smoke
How does smoking affect drug metabolism
increase the activity of several liver enzymes which results in faster clearance of medication from the body reducing serum drug levels and decreasing efficacy.
this may be fatal for drugs such as antipsychotic or theophylline
Describe the BENEFITS of smoking cessation
Short -Term
- decrease in BP and pulse rate fall
- Help brings O₂ levels return to normal
- CO eliminated from body, lungs start to clear mucus and smoking debris
- Improved taste and smell
- Easier breathing
Long- Term
- reduce risk of heart attack and lung cancer compared to a smoker
- improve lung function
Discuss the role of pharmacist in smoking cessation
- Explain support that can be offered
- Highlight benefits of stopping smoking to health, children, grandchildren
- Provide personalised care
- Discuss smoking habits
- Understand their challenges to stop smoking
- Understand how important it is to them to give up smoking
What are FIVE D TIPS used to help smokers
Delay even for a short while
Drink water
Deep breathing
Do something different
Discuss the cravings with another person
State the role of NRT products
To reduce the need of smoking
NRT should be used for at least 8 – 12 weeks for the best success of stopping smoking
Name SIX NRT product
Sublingual tablets
Lozenges
Gum (can be used in pregnancy and lactation)
Nasa spray
Patches
Inhalator
Quick mist mouth spray
what are the POM drugs used in smoking cessation
Buproprion
Long half life
side effects: insomnia, fever, dry mouth
Verenicline
interferes with receptors in brain that nicotine stimulates reducing craving and promoting withdrawal
effects
side effects : insomnia, headache, nausea,
How would you determine choice of NRT
- The number of cigarettes smoked per day
- The time of 1st cigarette of the day
- Ease of use
- Ability to adjust and titrate the dose
- Local irritant effect
