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Therapeutics > Smoking Cessation > Flashcards

Smoking Cessation Flashcards

1
Q

What is the average age for someone who starts smoking?

A

15

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2
Q

How are we currently dosing smoking products right now?

A

We are basing it off of the number of cigarretes they are currently taking.

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3
Q

If someone smokes within the first 30 minutes of waking up how does that affect outcome of quitting?

A

Heavily decreases ability to quite smoking. Still possible just requires more therapy

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4
Q

What are the aspects of smoking?

A

Mood altering effects
Instant reinforcement
Nicotine–> dopamine

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5
Q

What occurs with nicotine withdrawal

A

Cranky, irritability

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6
Q

What are the two ends of the psychological spectrum that smoking affects?

A

Calms people down
Makes people less depressed

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7
Q

What is the rule of 3?

A

First 3 minutes. Can you go 3 minutes to overcome your nitfit?

3 days to try and squash the nic addiction

3 weeks to try and reevaluate the psych addiction

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8
Q

How does nicotine work in terms of metabolism?

A

Increases Catecholamines and increases the rate of metabolism.

Hence people drop weight when they smoke

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9
Q

What does smoking do to the enzymes?

A

Increases enzyme production

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10
Q

What does an increase in enzyme production lead to?

A

Leads to a decreased drug concentration as we have increased metabolism of drug products

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11
Q

Would we worry about an individual who is taking a chronic medication and quits smoking?

A

Generally no, things like psychotropic agents, methadone and some oncology agents we might be concerned with.

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12
Q

What is the 1st smoking cessation method that generally works for some individuals?

A

Cold Turkey. Just one day decides to quite without the addition of NIT therapy

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13
Q

Why do we avoid failure in smoking cessation/

A

Mood and mentality. Instead celebrate and dig into if you stopped smoking for this long (ie 4 days) HOW did you do that!

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14
Q

What are the impacts of counselling to stop smoking>?

A

Available, may or may not work,.

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15
Q

What is a primary goal with smoking cessation?

A

Celebrate the little strives in the attempt to quit

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16
Q

What are the two types of counselling that may occur with somking cessation?

A

Addictions and pharmacist counselling

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17
Q

What is the roles of gimmicks?

A

People who just tried something, says it helped. We would more so see it as a crutch then an actual therapy though.

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18
Q

What is Lobelia plant?

A

Used to be an old historical treatment that was a nicotine like substance that was used to tease the nicotine recpetors to hopefully have some impact.

Not used anymoreW

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19
Q

What is bantron?

A

Lobelia plant herbal. Not around anymore

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20
Q

What is Nikoban

A

Lobelia plant herbal. Not around anymore

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21
Q

What is Butt-Out

A

Lobelia plant herbal. Not around anymore

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22
Q

What was the usage of silver acetate?

A

Supposedly smoking stopping product historical and not used anymore

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23
Q

What is Tabinil?

A

Historical contained silver acetate

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24
Q

What is Smokerette lozenges?

A

Historial contained silver acetate

25
Q

What is a primary method needed for quitting?

A

Motivation required

26
Q

What is the issue with the smoking cessation program in pharmacy

A

Developing a PLAN takes a long time! sometimes we have to tell patients to refer to product monograph

27
Q

What NTR is available in Canada?

A

Gum, Mist, Lozenge, Patch, Inhaler

28
Q

What two strengths do we get for nicotine gum>

A

2mg and 4mg

29
Q

How is nicotine gum meant to be used (How do u use it)

A

Chew chew, park

30
Q

What is the issue with the usage of nicotine gum?

A

Its the lag time associated with the gum.

31
Q

What is recomended for duration of use for each piece of gum?

A

30 minutes

32
Q

How do we determine nicotine gum dosage?

A

we focus on the number of cigs used in a day Higher number (25) means more mg

33
Q

How should we schedule Nic gum?

A

We generally want to try and schedule it to a frequency that decreases the amount of Nic fits an individual has.

34
Q

What is the benefit of scheduled nic gum?

A

Decreases the next urge

35
Q

How do we generaly taper the dose of nic gum?

A

Half it every month of usage, Its very flexible though

36
Q

What are side effects of using Nic gum?

A

Throat Irritation
Jaw fatique
Burping/hiccups.
Nausea

37
Q

What might occur using the gum?

A

Addiciton to the gum

38
Q

Smoking during the gum use?

A

More supported as we are possibly decreasing the number of cigs used in a day which is a bonus.

39
Q

What is a transdermal nicotine option?

A

This is for someone who wants to have a consistent level of nicotine throughout the day.

40
Q

What type of level do we see with the usage of the patch?

A

Flat line

41
Q

Where can we apply the patch?

A

Anywhere needs to be dry and hair freee though?

42
Q

How long should we wait between applicaiton of the patch in a specific area?

A

7 days. So we need to rotate the patch each day

43
Q

What are the side effects of the patch?

A

Irritation to area, local reaction

headache insomnia nausea (Patch or withdrawal?)

44
Q

What is a question we may ask with regards to side effects before giving a patch?

A

How do you react with bandaids?

45
Q

What are the signs of withdrawal when using the patch?

A

Should dose according to the need. If someone is irritabl, headaches the dose may not be enough

46
Q

What are some side effects that arent as common with the patch?

A

Dreams/nightmares, may need to consider taking off patch at night, but issue is we wake up with withdrawal

47
Q

What is the schedule for a patch?

A

Whenever they feel the need to use it for that duration. Step 1 Step 2 Step 3. ALl schedules are a good schedule

48
Q

What are some components we need to consider when weaning off of the patch?

A

Eliminate dependency
Allow for behaviour changes
Become aware of cessation benefits
Get over stress from quitting smoking

49
Q

What is the success rate of using a patch vs other products?

A

20% more as compared to the usage of other products year over year

50
Q

Can you use other products while on the patch?

A

Yes and no, other products are rescue at this point and provide more nicotine in the moments that we may need it a bit more. The issue is that you would need to have it.

(Chew gum while on patch during times of stress)

51
Q

While on patch do we schedule other therapy?

A

NO it is prn to get you over the hurdle

52
Q

What is the nic inhaler?

A

Inhaled that is buccal absorbed. we suck on it in short breaths to deliver instant nicotine to the back of throat

53
Q

What are Nic lozenges?

A

Parked in the cheek between the hits and it lasts about 30 minutes.

54
Q

Should Nic lozenges be scheduled?

A

Yes, similar to the gum

55
Q

With then ic mini lozenges how many does one use?

A

weeks 1-5 8-15/day
Weeks 7-9 4-8 day
Weeks 10-12 2-4 a day

56
Q

What is the fastest method for delivering nicotine?

A

Quickmist, this is sprayed into the mouth and is absorbed into the buccal areas of cheak.

57
Q

How fast does toe Quikcmist Nic work?

A

60 seconds

58
Q

How long after using quickmist should food or drink be avoided?

A

15 minutes. This is because we are decreasing the amount of nicotine absorbed as it is washed away down the throat

Therapeutics (10 decks)

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