Smoking Cessation and Nicotine Replacement Therapy (NRT)

Smoking is the leading cause of preventable death and a known risk factor for multiple cancers, CV disease, stroke, COPD, and others.

Combination of counseling & medication is more effective than either alone

Women 35 years of age who smoke should NOT be taking estrogen-containing oral contraceptives, due to ↑ CV events

The "5 A's" of Smoking Cessation

 • Ask about Tobacco use

 • Advise to quit

 • Assess willingness to quit

 • Assist in quitting

 • Arrange follow up

E-Cigarettes

 • Carcinogens & other chemicals can be present

 • NOT recommended for smoking cessation

Pharmacotherapy:

 • Nicotine Replacement Therapy (NRT): Patch, Gum, Lozenge, Inhaler, Spray

 • Bupropion (Wellbutrin SR)

 • Varencicline (Chantix)



By Kyle Fischer, PharmD @Kfischer_10



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