Smoking Cessations & medications Kerr! Flashcards
For Smoking Cessations
List the Nicotinic Drugs
(memorize Generic Names)
Nicotine Patch Generic Name
-Nicodern CQ/Habitrol
Nicotine Gum Generic Name
-Nicorette
Nicotine lozenge
- Commit
Nicotine Inhaler
-Nicotrol lnholer
Nicotine Nasal Spray
- Nicotrol NS
Combination NRT therapy is : NICTOINE Patch + Nictoine (gum,, or spray, or lozenge)
For Smoking Cessations
List Non-Nicotinic Drugs
(memorize the generic names)
- Buprorpion Sustained release (Buprorpion SR)
Can be used
w/NRT
Start 1-2 weeks
before quit date.
- Varenicline
Tartrate
Start 1 week
before quit date
give simple prescription for FDA approved
nicotone drug
(easier to memorize 1 for the exam)
Nicotine Nasal Spray
Max dosage: 40 spray for a day
Duration: 6 months, tapers 6 week
give simple prescription for FDA approved
Non-nicotone drug
(easier to memorize 1 for the exam)
Varencline (tablet)
First 3 days: 0.5 mg a day (QD)
Next 4 days: 0.5 mg twice a day (TID)
after 7 days: 1 mg a day twice a day (TID)
Duration: No tapering needed, can take up to 6 months
What are the adverse effects of Nicotine Inhaler?
- Mouth and throat irritation
- Cough
• Side effem generally caused by
inappropriate use
What are the adverse effects of Nicotine Nasal
Spray?
- Nasal irrttation
- Sneezing
- Cough
- Teary eyes
What are the adverse effects of Nicotine Patch?
- local skin irritation
- insomonia
What are the adverse effects of Nicotine Gum?
- hiccups
- Dyspepsia
- mouth sorness
What are the adverse effects of Nicotine lozenge?
- Dyspepsia
- local irrttation mouth & throat
- Rarely causes coughing & hiccups
What are the adverse effects of Sustained release
bupropion (Zyban or Wellbutrin)?
- Insomnia
- Dry mouth
- Anxiety
What are the adverse effects of Varencline
tartrate Chontix ?
- Nausea
- Insomnia
- Abnormal dreams
Nicotine inhaler
Precautions/Contraindications
Reactive Airway Disease
Nictotine Nasal Spray
Precautions
Reactive Ariway diseases
Not recomended for pts with Chronic Nasal diseases ( nasal polyps & sinusitis)
Sustained Release Bupropion
Contraindications
- Seizure disorders
- Current use of bullrin or MAO inhibitor
- Eating disorder (bulimia, anorexia)
- Alcohol
- Head trauma
Moniter Blood presssure
Varenicline Tartlrate
Precaustions
- women breasfeeding should avoid
- pt with kidney problems -adjust dose
Nictoine Patch
Precutions
- Caution with 6 months of MI
Nictotine Gum
Precuations
- poor dentition
- maybe inappropriate for use for pts with compelete or partial denture (hard for them to chew)
Nictotine Lozenge
Precautions
- Xerostomia