Smoking Cessation

Question 1

Nicorette

• Max
• Preg Cat:
• SE

Answer 1

Nicotine gum - OTC

• Max: 24 pieces/d. Up to 12 weeks

SEs:

• Dyspepsia, mouth soreness, hiccups
• Caution: arrhythmia
• Preg: Cat D

Question 2

NicoDerm CQ
Habitrol

• Worn duration
• Dosage
• ADEs

Answer 2

Nicotine patch

• Worn for 24H, or for 16H to avoid insomnia

Dosages: If > 10 cigarettes/day

• 21 mg/24H x 4 wks (6 wks NicoDerm CQ)
• 14 mg/24H x 2 wks
• 7 mg/24H x 2 wks

ADEs

• Local skin rash
• Insomnia/vivid dreams

Question 3

Commit

• Age
• Dosage
• Taper
• Max:

Answer 3

Nicotine Lozenge

• For > 18 y.o
• Don’t eat/drink 15 min b/4 and during dose
• Dissolves within 20-30min

Dosage: choosing dose 2mg or 4mg

• First cigarette w/in 30min: 4mg
• First cigarette > 30 min: 2mg

Taper schedule

• Week 1-6: 1 lozenge Q1-2H ( 6wks)
• Week 7-9: 1 lozenge Q2-4H (3 wks)
• Week 10-12: lozenge Q4-8H (3 wks)

Max: 20mg lozenges/day

Question 4

Nicotrol Inhaler

• Dosage
• ADEs
• Preg Cat

Answer 4

Nicotine inhaler - Rx

Dosage:

• 6-16 cartridges daily
• Up to 6 mo

ADEs

• Local irritant, coughing, rhinitis
• Caution: arrhythmia

Preg cat: D

Question 5

Nicotrol NS

• Dosage
• Max
• ADEs
• Preg Cat:

Answer 5

Nicotine Nasal spray - Rx

Dosage:

• 1 dose - 2 sprays (1 spray in each nostril)
• 1-2 doses per hr prn symptom relief
• Max: 8-40 doses/d (80 sprays/d)

ADEs

• Nasal irritation
• Caution: arrhythmia

Pre Cat: D

Question 6

Zyban

• MOA
• Benefit
• Dosage
• ADEs
• CI

Answer 6

SR Bupropion - Rx

• MOA: blocks repute of dopamine and NE

Benefit:

• Smokers with depression
• CVD
• Helps in delaying wt gain

Dosage:
- Start 1-2 wks b/4 quit date
150mg QAM for 3d then 150mg BID AM n b/4 5PM
- Up to 6mo

ASEs: insomnia, dry mouth

CI: Sz, eating disorder

Question 7

Chantix

• Dosage
• ADEs
• Caution
• Preg Cat:

Answer 7

Verenicline - Rx

Dosage

• Start 1 week b/4 set quit date for 12 wks total
• Day 1-3: 0.5mg QD - after eating with full glass of water to decrease cause
• Day 4-7: 0.5 mg BID: take 2nd dose at supper rather than HS to reduce insomnia
• Day 8 to end of tx: 1mg BID
• Additional 12 wks f failed to quit after 1st 12 weeks.

ADEs:

• NAUSEA, sleep disturbances, vivid dreams, HA
• Imp of the ability of operate machinery
• Depressed mood, agitation, suicide

Caution:

• Renal
• Psychiatric disorder
• Driving or operating machinery
• Dont combine with NRT

Preg Cat: C

Question 8

Quit smoking referral line

Answer 8

1-800-NO-BUTTS (258-9090)