Test 3 Smoking Cessation

Question 1

Nicoderm CQ®

Answer 1

• if someone smokes more than a half pack a day, start on 21mcg
• less than half a pack, start on 14mcg
• precautions: arrythmia, post MI, angina, pregnancy, nursing mothers, depression
• taper down to 7mcg

Question 2

Nicorette®

Answer 2

• gum
• chew and park
• if smoke more than 25, 4mg
• if smoke less than 25, 2mg
• use at least 9 times a day to be successful

Question 3

Nicotrol®

Answer 3

• Nasal Spray
• need prescription
• be careful in pts who has asthma or any respiratory problems

Question 4

Chantix®

Answer 4

• varenicline
• partial nicotine agonist
• start drug before quit date; titrate up
• if pt has not quit within 12 weeks, it’s probably not working
• adverse effects: weird dreams, depression, psychotropic risks

Question 5

Zyban®

Answer 5

• bupropion
• start drug one week before quit date
• if it doesn’t work at 7 weeks, probably unsuccessful; if successful at 7 weeks, can continue going for 6 months