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Oral Path 100 > Smoking Cessations Kerr! > Flashcards

Smoking Cessations Kerr! Flashcards

1
Q

For Smoking Cessations

List the Nicotinic Drugs

(memorize Generic Names)

A

Nicotine Patch Generic Name

-Nicodern CQ/Habitrol

Nicotine Gum Generic Name

-Nicorette

Nicotine lozenge

  • Commit

Nicotine Inhaler

-Nicotrol lnholer

Nicotine Nasal Spray

  • Nicotrol NS
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2
Q

For Smoking Cessations

List Non-Nicotinic Drugs

(memorize the generic names)

A
  • Buprorpion Sustained release (Buprorpion SR)

Zyban or Wellbutrin
Can be used
w/NRT

Start 1-2 weeks
before quit date.

  • Varenicline

Tartrate

Chontix

Start 1 week
before quit date

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3
Q

What are the adverse effects of Nicotine Inhaler?

A
  • Mouth and throat irritation
  • Cough

• Side effem generally caused by
inappropriate use

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4
Q

What are the adverse effects of Nicotine Nasal
Spray?

A
  • Nasal irrttation
  • Sneezing
  • Cough
  • Teary eyes
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5
Q

What are the adverse effects of Nicotine Patch?

A
  • local skin irritation
  • insomonia
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6
Q

What are the adverse effects of Nicotine Gum?

A
  • hiccups
  • Dyspepsia
  • mouth sorness
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7
Q

What are the adverse effects of Nicotine lozenge?

A
  • Dyspepsia
  • local irrttation mouth & throat
  • Rarely causes coughing & hiccups
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8
Q

What are the adverse effects of Sustained release
bupropion (Zyban or Wellbutrin)?

A
  • Insomnia
  • Dry mouth
  • Anxiety
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9
Q

What are the adverse effects of Varenidine
tartrate Chontix ?

A
  • Nausea
  • Insomnia
  • Abnormal dreams
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10
Q

Nicotine inhaler

Precautions/Contraindications

A

Reactive Airway Disease

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11
Q

Nictotine Nasal Spray

Precautions

A

Reactive Ariway diseases

Not recomended for pts with Chronic Nasal diseases ( nasal polyps & sinusitis)

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12
Q

Sustrained Release Buprooion

Contraindications

A
  • Seizure disorders
  • Current use of bullrin or MAO inhibitor
  • Eating disorder (bulimia, anorexia)
  • Alcohol
  • Head trauma

Moniter Blood presssure

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13
Q

Varenicline Tartlrate

Precaustions

A
  • women breasfeeding should avoid
  • pt with kidney problems -adjust dose
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14
Q

Nictoine Patch

Precutions

A
  • Caution with 6 months of MI
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15
Q

Nictotine Gum

Precuations

A
  • poor dentition
  • maybe inappropriate for use for pts with compelete or partial denture (hard for them to chew)
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16
Q

Nictotine Lozenge

Precautions

A
  • Xerostomia
17
Q

TREATING TOBACCO DEPENDENCE:
A 2-PART PROBLEM

A
18
Q

Why is it so hard to quit: Nicotine addiction?

A
19
Q

What are the symptoms of Nicotine Withdrawal?

A

■Irritability/frustration/anger

■Anxiety

■Difficulty concentrating

■Restlessness/impatience

■Depressed mood/depression

■Insomnia

■Impaired performance

■Increased appetite/weight gain

■Cravings

20
Q

WHAT WORKS (5A’s)

A
  • Ask about tobacco use and secondhand smoke exposure
  • Advise to quit
  • Assess interest in quitting
  • Assist in quit attempt (referral and or pharmacotherapy)
  • Arrange for a follow-up
21
Q

Is Treating Tobacco is within the
Scope of Practice of dentists?

A

Yes

•New York State Education Department has deemed that treating tobacco use is part of the scope of practice for dentistry, this includes prescribing smoking cessation products.

22
Q

Nicotine replacement therapy (NRT)

&

FDA labeling

Is it Safe?

A
  • NO safety concerns association with using more than one NRT
  • NO significant safety concerns association with using NRT at the same time as a cigarettes
  • Use for longer than 12 weeks is safe
23
Q

Assist-Prescribe FDA-Approved Medications

A
24
Q

First Line Pharmacotherapy

in combatting smoking?

A
  • Combination long- and-short acting Nicotine Replacement Therapy (NRT) (e.g., patch and gum, patch and inhaler)
  • Varenicline alone
  • Bupropion SR with NRT (long- or short-acting)
25
Q

•What is NRT at the POC?

•Rationale for NRT at the POC

•Who will hand the patient NRT?

•What kind of NRT will be on stock?

•How to distribute NRT at POC?

A

•What is NRT at the POC?

–Distribution of a free starter pack of NRT to all smokers by clinic staff during the clinic visit

•Rationale for NRT at the POC

–NRT doubles the success rate of patients’ quit attempts

–Inconvenience of purchasing RNT or filling a prescription creates barriers

–The clinic is an opportune time to intervene

•Who will hand the patient NRT?

–Dental Students

•What kind of NRT will be on stock?

•Nicotine Patch, Gum, and Lozenge

•How to distribute NRT at POC?

–Take faculty-approved NRT request form to dispensary, where NRT is stored.

26
Q

What is the The most effective treatment for
smoking cessation

A

a combination
of pharmacotherapy and counseling

Oral Path 100 (23 decks)

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