TOBACCO USE AND DEPENDENCE

Question 1

Buproprion

Answer 1

dopamine/norepinephrine reuptake inhibitor
has nicotinic cholinergic receptor antagonist properties
side effect: dry mouth, and insomnia
CONTRAINDICATION: seizures, eating disorder or other similar drug

Question 2

Nicotine replacement

Answer 2

VERY EFFECTIVE

Nicotine patch is safe for CAD!! still use with caution

Question 3

Varenicline (CHANTIX)

Answer 3

first line med
use with caution in pts with kidney disease
cr clearance < 30ml/min or HD
SIDE EFFECTS: insomnia, altered dreams