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Tobacco Cessation

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munsele's version from 2016-06-28 12:28

Section

Question Answer
Five A's of Smoking CessationAsk, Advise, Assess, Assist, Arrange
Meds to expect supratherapeutic levels after smoking cessationCaffeine, Theophylline, Fluvoxamine, Olanzapine, Clozapine
Vaccination for smokersPPSV23
Contradindications to NRTMI (within 2 weeks), life threatening arrhythmia, severe or worsening angina
NRT pregnancy categoryC
NRT available as Rx onlyInhaler and nasal spray (Nicotrol inhaler and Nicotrol NS)
Bupropion Boxed warningsNeuropsych events
Bupropion ContraindicationsSeizure disorder, hx of anorexia/bullemia, abrupt d/c of alcohol, BZDs, barbiturates, antiepileptics, concurrent use of Linezolid or methylene blue
Do not use Bupropion within 14 days of d/c MAOI
Bupropion PG CatC
Chantix warningsSeizure risk, increase effects of alcohol
Chantix SEnausea, abnormal dreams, constipation
Bupropion SEDry mouth, insomnia, sweating, agitation, anxiety, tachy, tremors, dizziness
Chantix admin instructionsTake after eating and with a full glass of water
Nicotine inhaler instructionsContinuous puffing for 20min, once open only good for one day. Clean mouthpiece with soap and water, delivery declines at temps below 40*F
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