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EVIDENCE-BASED ANSWER Among pharmacotherapy options, dual nicotine replacement therapy (NRT) and varenicline (Chantix) are equally effective for smoking cessation at six months and more effective than single NRT and bupropion (SOR A, meta-analysis of RCTs).
When counseling your patients about smoking, the Agency for Healthcare Research recommends a brief smoking cessation intervention known as the "5 A's": Ask, Advise, Assess, Assist, and Arrange.ASSIST.Capitalize on teachable moments to discuss healthy lifestyle choices.
The options include:Prescription nicotine in a nasal spray or inhaler.Over-the-counter nicotine patches, gum and lozenges.Prescription non-nicotine stop-smoking medications such as bupropion (Zyban) and varenicline (Chantix)
AdvertisementWrite down your reasons for quitting. Make a list of all the reasons you want to quit smoking.Make a plan. Make a plan to quit.Consider other ways to quit.Talk to your doctor about treatments.Find a counseling service.Tell your family and friends.Avoid smoking triggers.Manage your stress.More items...
Initial therapy selection First-line pharmacotherapies for smoking cessation include nicotine replacement therapy (NRT), varenicline, and bupropion (table 1) 1,2,7-9. These treatments aim to reduce symptoms of nicotine withdrawal, thereby making it easier to stop using cigarettes.
Set Your Quit Date. The first step to becoming smokefree is to choose when you want to quit.
Here are 10 ways to help you resist the urge to smoke or use tobacco when a tobacco craving strikes.Try nicotine replacement therapy. Ask your doctor about nicotine replacement therapy.Avoid triggers.Delay.Chew on it.Don't have 'just one'Get physical.Practice relaxation techniques.Call for reinforcements.More items...
Efficacy The efficacy of varenicline for smoking cessation has been demonstrated in many studies. A meta-analysis of randomized trials found that varenicline was more effective for smoking cessation than placebo (RR 2.27, 95% CI 2.02-2.55) 12.
There are a number of interventions to help people stop smoking. Different cessation tools, including prescribed medication, nicotine replacement therapy (NRT) and e-cigarettes, will work better for different individuals, but we know that quit attempts are more likely to be successful with behavioural support.
Successful intervention begins with identifying users and appropriate interventions based upon the patient's willingness to quit. The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange. Ask - Identify and document tobacco use status for every patient at every visit.