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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.
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.
The Kentucky Tobacco Prevention and Cessation Program offers several free resources for Kentuckians who want to quit using tobacco products, including cigarettes, e-cigarettes and vapes, cigars and dip, chew and other forms of smokeless tobacco. Our most popular service is Quit Now Kentucky, (800) QUIT-NOW.
5 Stages to QuittingPre-contemplation (not thinking about quitting)Contemplation (thinking about quitting but not ready to quit)Preparation (getting ready to quit)Action (quitting)Maintenance (remaining a non-smoker)16-Feb-2009
The Northern Kentucky Health Department reminds residents of Boone, Campbell, Grant and Kenton Counties that they can receive four free weeks of nicotine patches from Kentucky's Quitline program to help them quit smoking. Contact 1-800-QUIT-NOW for more information or to receive the free supply of nicotine patches.
The clinician can motivate patients to consider a quit attempt with the "5 R's": Relevance, Risks, Rewards, Roadblocks, and Repetition. Relevance - Encourage the patient to indicate why quitting is personally relevant.
There is no one right way to quit.Cold turkey and gradual withdrawal.Filters.Smoking deterrents.Electronic cigarettes (e-cigarettes)Tobacco lozenges and pouches.Other forms of nicotine not approved by the FDA.Hypnosis.Acupuncture.More items...?
The Ottawa Model for Smoking Cessation in 120 hospitals across Canada identifies the smoking status of all admitted patients, followed by brief advice, personalised bedside counselling, timely nicotine replacement therapy and/or pharmacotherapy, and follow-up after discharge 27.
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)
The US Preventive Services Task Force (USPSTF) recommends using the 5 As model; ask, advise, assess, assist and arrange.