Smoking cessation

The most effective strategies

Research output: Contribution to journalArticle

Abstract

Effective smoking cessation strategies typically encompass the use of some pharmacotherapy with counseling by physicians. Patients who want to quit smoking should be given the Fagerstrom test to determine their degree of nicotine dependence. For low-nicotine-dependent smokers, the use of 1 smoking cessation product for a short period has proved successful; for high-dependence smokers, a combination of products, such as nicotine gum and nicotine patch, can be used. Other available smoking cessation products are the nicotine nasal spray, the nicotine inhaler, and sustained-release bupropion. Increasing the dose or duration of nicotine gum and patch has improved abstinence rates among high-dependence smokers. Quit rates have also been shown to increase with the dose of bupropion. Special consideration should be given before using pharmacotherapy in patients with medical contraindications, patients who are pregnant or breast-feeding, and adolescent smokers. For some patients, the cost of pharmacotherapy may be a barrier to quitting.

Original languageEnglish (US)
Pages (from-to)496-502
Number of pages7
JournalJournal of Respiratory Diseases
Volume23
Issue number10
StatePublished - Oct 1 2002

Fingerprint

Tobacco Use Cessation Products
Smoking Cessation
Nicotine
Bupropion
Drug Therapy
Tobacco Use Disorder
Nebulizers and Vaporizers
Breast Feeding
Counseling
Smoking
Physicians
Costs and Cost Analysis

Keywords

  • Nicotine dependence test
  • Pharmacotherapy
  • Specific regimens
  • The 5 A's of smoking cessation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Smoking cessation : The most effective strategies. / Karnath, Bernard.

In: Journal of Respiratory Diseases, Vol. 23, No. 10, 01.10.2002, p. 496-502.

Research output: Contribution to journalArticle

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