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Pulmonology: MEDICATIONS for CESSATION (Day 3) Questions With Complete Solutions
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Pulmonology: MEDICATIONS for CESSATION (Day 3) Questions With Complete Solutions
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Pulmonology: MEDICATIONS for CESSATION (Day 3)Questions With Complete Solutions
review slide #2 and #3 that has already previously been learned
review slide #2 and #3 that has already previously been learned
PHARMACOTHERAPY: What should clinicians encourage all patients?
"Clinicians should encourage all patients attempting to quit to use effective medications for tobacco dependence treatment, except where contraindicated or for specific populations* for which there is insufficient evidence of effectiveness."
True or false: Medications significantly improve success rates.
True
PHARMACOTHERAPY: Use in SPECIAL POPULATIONS, Pharmacotherapy is not recommended for...? (first two populations)
1. Pregnant smokers
-Insufficient evidence of effectiveness
2. Smokeless tobacco users
-No FDA indication for smokeless tobacco cessation PHARMACOTHERAPY: Use in SPECIAL POPULATIONS, Pharmacotherapy is not recommended for...? (last two populations)
3. Individuals smoking fewer than 10 cigarettes per day
4. Adolescents
-Nonprescription sales of nicotine replacement therapy (NRT) products (i.e., patch, gum, lozenge) are restricted to adults ≥18 years of age
-NRT use in minors requires a prescription
What is the recommended treatment?
Recommended treatment is behavioral counseling.
FDA-APPROVED MEDICATIONS for CESSATION (what are the first three)?
1. Nicotine polacrilex gum*
-Nicorette (OTC)
-Generic nicotine gum (OTC)
2. Nicotine lozenge*
-Nicorette (OTC)
-Generic nicotine lozenge (OTC)
3. Nicotine transdermal patch*
-Habitrol (OTC)
-NicoDerm CQ (OTC)
-Generic nicotine patches (OTC) FDA-APPROVED MEDICATIONS for CESSATION (what are the last four)?
4. Nicotine inhaler *
-Nicotrol (Rx)
5. Nicotine nasal spray *
-Nicotrol NS (Rx)
6. Bupropion SR
-Generic (Rx)
7. Varenicline
-Chantix (Rx)
NICOTINE REPLACEMENT THERAPY (NRT) RATIONALE
for USE?
-Reduces physical withdrawal from nicotine
-Eliminates the immediate, reinforcing effects of nicotine that is rapidly absorbed via tobacco smoke
-Allows patient to focus on behavioral and psychological aspects
of tobacco cessation
True or false: NRT products approximately doubles quit rates?
True
review slide #8
review slide #8 NRT: PRECAUTIONS?
1. Patients with underlying cardiovascular disease
-Recent myocardial infarction (within past 2 weeks)
-Serious arrhythmias
-Serious or worsening angina
NRT products may be appropriate when?
-NRT products may be appropriate for these patients
if they are under medical supervision.
NICOTINE GUM
Nicorette; generics, whats in the resin complex?
1. Resin complex
-Nicotine
-Polacrilin
NICOTINE GUM
Nicorette; generics, what is the base?
-Sugar-free chewing gum base
NICOTINE GUM
Nicorette; generics, what does it contain?
-Contains buffering agents to enhance buccal absorption of nicotine
NICOTINE GUM
Nicorette; generic, what is it available in?
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