Tobacco Cessation Flashcards

1
Q

Provider Requirements + 5 A’s

A
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2
Q

Treatment Principles

A
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3
Q

Drug Interactions and Special Populations

A
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4
Q

NicoDerm CQ

A

Nicotine Patch

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5
Q

Nicoderm CQ Dosing

A
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6
Q

Nicorette

A

Nicotine polacrilex gum

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7
Q

Nicorette polcrilex lozenge

A

Nicorette

Nicorette mini

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8
Q

Nicorette Dosing

A
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9
Q

Nicotrol

A

Nicotine Inhaler

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10
Q

Nicotrol Dosing

A

Puff in short, frequent breaths. Each cartridge provides ~20mins of continuous puffing. Clean mouthpiece with soap & water

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11
Q

Nicotrol NS

A

Nicotine nasal spray

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12
Q

Nicotrol NS dosing

A

Blow nose before use. Tilt head back and insert tip into nostril. Spray once in each nostril; breath through mouth. Do not sniff, swallow or inhale through nose. Wait 5 mins before driving or operating heavy machinery.

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13
Q

NicoDerm CQ Key features

A
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14
Q

Nicorette gum key features

A
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15
Q

Nicorette lozenge key features

A
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16
Q

Nicotrol Inhaler Key features

A

ADR: Mouth & throat irritation

17
Q

Nicotrol NS - key features

A

ADR: Nasal irritation

18
Q

Nicotine Replacement Therapy - Safety

A
19
Q

Zyban

A

Bupropion SR

20
Q

Zyban - Dosing

A

Start atleast 1 week before quit date

Max: 300mg/day

Dose: 150mg QAM for 3 days then 150mg BID

▪ Take 2nd dose 8hrs after 1st dose to ↓insomnia

21
Q

Zyban - Key features

A

MOA: Blocks DA ± NE reuptake → ↓craving

▪ Tapering NOT required for DC

22
Q

Zyban - Safety

A
23
Q

Chantix

A

Varenicline

24
Q

Chantix - Dosing

A

Start at least 1 week before quit date

Take after eating and with a full glass of water.

Not recommended to take with other smoking cessation meds

25
Q

Chantix - Key features

A

MOA: α4-β2 nicotinic receptor agonist → ↓withdrawal sx & inhibits surges of DA (reinforcement & reward associated w/smoking)

▪ Tapering NOT required for DC

26
Q

Chantix - Safety

A

Warning: Serious neuropsychiatric events, Seizures

ADR: Nausea, Insomnia, Abnormal dreams, HA