smoking cessation Flashcards
drugs for smoking cessation ?
varenicline or bupropion should normally be prescribed as part of a commitment to stop smoking on or before a particular date (target stop date)
prescription guidelines to NRT?
NRT THERAPPY T BE STARTED 1 WEEK BEFORE STOP DATE
2 weeks of NRT therapy, and 3-4 weeks for varenicline and bupropion
Further prescriptions should be given only to people who have demonstrated that their quit attempt is continuing
if patient unsuccessful using if unsuccessful using NRT, varenicline or bupropion can we repeat this programme ?
do not offer a repeat prescription within 6 months unless special circumstances have intervened
what is Varenicline
nicotinic receptor partial agonist
when should Varenicline / bupropion be started ?
1 week before the patients target date to stop
And prescription should only last 2 weeks after the target stop date
Varenicline side effects
NAUSEA
insomnia, abnormal dreams
varenicline should be used with caution in patients with?
depression or self-harm.
what is Bupropion
norepinephrine and dopamine reuptake inhibitor, and nicotinic antagonist
side effects of Bupropion
small risk of seizures (1 in 1,000)
bupropion is contraindicated in
epilepsy,
pregnancy
and breast feeding.
Having an eating disorder
Varenicline is contraindicated in ?
pregnancy and breast feeding
nice recommendation for pregnant women ?
all pregnant women should be tested for smoking using carbon monoxide detectors, partly because ‘some women find it difficult to say that they smoke
which pregnant women referred to NHS Stop Smoking
who smoke,
or have stopped smoking within the last 2 weeks, or those with a CO reading of 7 ppm
first-line interventions in pregnancy should be
cognitive behaviour therapy, motivational interviewing or structured self-help
if unsuccessful using NRT, varenicline or bupropion?
do not offer a repeat prescription within 6 months unless special circumstances have intervened
