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Treating Tobacco Use and Dependence: A Quick Reference Guide - healthquality va

Treating Tobacco Use and Dependence: A Quick Reference Guide - healthquality va 2025

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The document is a Quick Reference Guide for Clinicians based on the 2008 update of the Clinical Practice Guideline for Treating Tobacco Use and Dependence. It provides evidence-based strategies and recommendations for healthcare providers to assist patients in quitting tobacco use. The guide emphasizes the importance of identifying tobacco users, assessing their willingness to quit, and offering appropriate interventions, including counseling and medication. It outlines the '5 A's' approach (Ask, Advise, Assess, Assist, Arrange) for treating tobacco dependence as a chronic health condition and highlights effective treatments available for different categories of tobacco users.

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What is the new treatment for nicotine addiction?

Bupropion and varenicline are medicines which work in a different way from nicotine replacement. The new medicines reduce cravings for nicotine without supplying a nicotine substitute, thereby supporting people in quitting tobacco use and reducing nicotine dependence.

What will replace Chantix?

Besides Chantix and Wellbutrin, nicotine replacement therapy (NRT) products are other options to help you quit smoking. The following NRT products are available: Nicotine patch (Nicoderm CQ) Nicotine lozenges and gum (Nicorette)

What are the 4 Ds of tobacco cessation?

Use the 4Ds to tide over cravings: distract, delay, deep breathing, and drinking water.

What are the new advances in tobacco cessation?

WHO recommends varenicline, Nicotine Replacement Therapy (NRT), bupropion, and cytisine as effective treatments for tobacco cessation. In 2023, WHO initiated a prequalification procedure for medicinal products against disorders caused by tobacco use to improve global access to recommended tobacco cessation medications.

What are the 5 Rs in tobacco cessation?

The clinician can motivate patients to consider a quit attempt with the 5 Rs: Relevance, Risks, Rewards, Roadblocks, and Repetition.

What is the most successful nicotine replacement therapy?

Varenicline, formerly produced as Chantix, is the most effective single product to help you quit smoking. Varenicline is a medication taken in pill-form. It cuts cravings by acting like nicotine on the brain without actually containing any.

What is the 5 As model for treating tobacco use and dependence?

Successful intervention begins with identifying users and appropriate interventions based upon the patients willingness to quit. The five major steps to intervention are the 5 As: Ask, Advise, Assess, Assist, and Arrange. Ask - Identify and document tobacco use status for every patient at every visit.

What is the new treatment for nicotine dependence?

Cytisinicline (historically known as cytisine) is a naturally occurring plant-based alkaloid that binds selectively to nicotinic receptors in the brain that regulate nicotine dependence, alleviating the urge to smoke and reducing the severity of nicotine withdrawal symptoms.

Treating Tobacco Use and Dependence: A Quick Reference Guide - healthquality va 2025

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