Table of Contents
NICOTINE REPLACEMENT THERAPY IN SMOKING CESSATION
CIGARETTE SMOKING RELATED MORTALITY
SMOKING ATTRIBUTABLE HEALTH CARE COSTS:
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IN 1995...
INCIDENCE of SMOKING: NORTH CAROLINA
CAN PHYSICIANS HELP SOLVE THIS PROBLEM?
UNFORTUNATELY...
OBSTACLES TO HELPING PATIENTS QUIT SMOKING
METHODS TO HELP PATIENTS STOP SMOKING:
NICOTINE REPLACEMENT THERAPY
NICOTINE GUM
NICOTINE GUM
EFFICACY of NICOTINE GUM
HIGHER DOSING OF NICOTINE GUM
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AT 2 YEAR FOLLOW-UP...
WHAT ABOUT PATIENTS IN A PRIMARY CARE SETTING?
RESULTS AT ONE YEAR:
PROPER USE OF NICOTINE GUM
EATING AND DRINKING:
DOSING:
WATCH OUT...
ADVERSE EFFECTS
NICOTINE PATCH
FIVE FDA-APPROVED TRANSDERMAL PATCHES:
EFFICACY
META-ANALYSIS:
ANALYSIS ALSO FOUND...
REGARDING DOSING...
In 1995, Dale et al looked at percentage of nicotine replacement and smoking cessation
Current Dosage Recommendations:
PROPER USE OF THE NICOTINE PATCH
ADVERSE EFFECTS:
NICOTINE NASAL SPRAY
NICOTINE NASAL SPRAY
EFFICACY
Main end point was biochemically validated complete abstinence from smoking
WARNING!
PROPER USE
DOSING...
SIDE EFFECTS
NICOTINE INHALER
NICOTINE ORAL INHALER
EFFICACY
RESULTS...
NICOTINE DELIVERY
DOSING AND USE
SIDE EFFECTS
SMOKING CESSATION CLINICAL PRACTICE GUIDELINES
Inclusion criteria for each article:
Panel Recommendations Address Three Audiences:
STRATEGIES FOR IMPLEMENTATION
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In Regard to Nicotine Replacement...
Panel opinion was that the patch was preferable to gum in routine clinical use.
QUESTIONS YET TO BE ANSWERED
Which form of nicotine replacement is the most effective?
CONCLUSIONS
AN UNSUCCESSFUL QUIT ATTEMPT SHOULD BE SEEN AS A LEARNING OPPORTUNITY FOR THE NEXT TIME !
SPECIAL THANKS TO RAMON VELEZ, MD AMANDA EBRIGHT, MD
HAPPY GROUND HOG’S DAY!
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