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Z A Pharm III > Smoking Cessation > Flashcards

Smoking Cessation Flashcards

1
Q

How many US adults use tobacco

A

1 in 5

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2
Q

How many smokers want to quit

A

70% only 5% do

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3
Q

How work with smokers that want to quit

A 
Ask
Advise
Assess
Assist
Arrange
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4
Q

How work with smokers that don’t want to quit

A 
Relevance
Risks
Rewards
Roadblocks
Repetition
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5
Q

What are txt options for smokers

A

Behavior therapy
nicotine replacement therapy
bupropion
varenicline

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6
Q

What is the transdermal nicotine Systems

A

patch
rotate different site every day
nicotine continues being delivered after removal

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7
Q

What are adverse effects of transdermal nicotine systems

A

erythema

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8
Q

What are transdermal meds

A

Habitrol (21 mg taper to 7 mg)
Nicoderm (21 mg taper to 7 mg)
Nicotrol (15 mg taper to 5 mg)
ProStep (22 mg taper to 11 mg)

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9
Q

What is nicotine polacrilex

A

nicotine gum

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10
Q

How to use nicotine gum

A

chew slowly

park and chew every 30 min

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11
Q

What is dosing for nicotine gum

A 
4 mg (>25 cigs) 20 pieces/day max
2 mg (<25 cigs) 30 pieces/day max
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12
Q

What is nicotine nasal spray

A 
deliver fast nicotine
AE: nasal and throat irritation
rhinitis
sneezing
coughing
watering eyes
Dose: 1-2 sprays per hour
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13
Q

What is nicotine inhaler

A

inhale 4 mg nicotine

taper required

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14
Q

What is nicotine lozenge

A

Dose based on time to first cig
4 mg if early morning
2 mg if later in morning

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15
Q

What are adverse effects of bupropion for smoking

A 
seizure
antidepressant
insomnia
dry mouth
ha
weight gain/loss
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16
Q

How dose bupropion for smoking

A

150 mg SR po qd 3 days then
increase 150 mg SR bid 7 - 12 weeks
set quit smoking date 7 days after start med

17
Q

How does varenicline MOA

A

block nicontine binding

18
Q

What are adverse effects for varenicline for smoking

A 
Don't use with other nicotine replacement therapy
N/V
ha
constipation
unusual violent behavior
19
Q

what is dosing for varenicline for smoking

A

Days 1-3 - .5 mg qd
Days 4-7 - .5 mg bid
Days 8 - EOT - 1 mg bid

20
Q

What is recommended treatment

A

Behavior therapy + NRT
OR
bupropion or varenicline

Z A Pharm III (17 decks)

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