Smoking Cessation

Question 1

According to CADTH, what it the most cost-effective therapy?

Answer 1

Varenicline

Question 2

Which pharmacare plan provide 100% coverage for Rx smoking cessation drugs?

Answer 2

Plan C, Plan G, Plan B

Question 3

Which patients should start on the 14mg/day patch?

Answer 3

smokes 10 or less cigarettes/day; CVD;

Question 4

Which patients should use 4mg gums? and which patients should use 2mg gums?

Answer 4

If you smoke more than 25 cig/day, use 4mg gums

Question 5

How long does it take for the gum to take effect?

Answer 5

15-30 minutes so plan ahead

Question 6

When can you d/c the gums?

Answer 6

When down to using 1-2 pieces/day

Question 7

Which patients should use Thrive 2mg lozenge and which patients should use 1mg lozenge?

Answer 7

Patients who smoke more than 20 cig/day, use 2mg lozenge

Question 8

For nicorette lozenges, who should use the 4mg lozenge, and who should use the 2mg lozenge?

Answer 8

Use 4mg if first cigarette is

Question 9

What’s the recommended regimen for nicotine inhalers?

Answer 9

Start with 6-12 cartridges/day (max 12) then self titrate

Question 10

For nicotine mouth sprays, what are the maximum doses?

Answer 10

1-2 sprays at a time; 4 sprays per hour and not more than 64 sprays per day

Question 11

What’s the regimen for nortriptyline?

Answer 11

start 1-4 weeks before stop date: 25mg po hs then increase by 25mg every few days until 75-100mg daily

Question 12

What is the initial dosing of clonidine?

Answer 12

0.1mg BID and increase weekly by 0.1mg/day