Smoking cessation

Question 1

What are adverse effects of nicotine replacement therapy?

Answer 1

Nausea and vomiting
Headache
Flu symptoms

Question 2

What are the formulations of nicotine replacement therapy?

Answer 2

Recommend a patch and another form e.g. gum/spray/lozenger

Question 3

What is the mode of action of Varenicline

Answer 3

Nicotinic receptor partial agonist

Question 4

What is the course of Varenicline?

Answer 4

Should start 1 week before patients target date to stop
Course is 12 weeks

Question 5

What are adverse effects of Varenicline?

Answer 5

Nausea
Headache
Insomnia

Question 6

What are cautions of varenicline use?

Answer 6

Caution if history of depression or self harm

Contraindicated in pregnancy and breastfeeding

Question 7

What is the mode of action of Bupropion?

Answer 7

Norepinephrine and dopamine reuptake inhibitor and nicotinic antagonist

Question 8

What is the course of Bupropion?

Answer 8

Start 1-2 weeks before proposed stop date

Question 9

What are contraindications to Bupropion?

Answer 9

Epilepsy- increases risk of seizures
Pregnancy
Breastfeeding
Eating disorder