Smoking Cessation
A sk
A ssess
A dvise
A ssist
A rrange
Source
Australian Family Physician Vol. 31, No. 12, December 2002
Australian therapeutic guidelines 2013
- Smoking status
A ssess
- 1-10/10, how ready to quit?
- What will make it 8-9/10?
- 1-10/10, how confident you are on quitting?
- Previous quit attempts?
- Nicotine dependence screen (2/2)
- How many cigs a day? >/= 15
- Do you smoke your first 30 min after waking?
A dvise
- Benefits of quitting
- Address Risks:
- Withdrawl sx
- Habit
- Negative emotions
- Set a quit date
A ssist
- Handouts
- Referral (Quit Line)
- Pharmacotherapy
- Nicotine replacement therapy (gums, lozenges, patches, sublingual tablets, inhalation cartridges)
- Varenicline (nicotine receptor partial agonist --> reduces withdrawal sx, double rate of quitting)
- Bupropion (antidepressant)
- Nortriptyline (antidepressant)
A rrange
- Follow up within 1st 7 days (most likely to give up within 1st 7 days)
Source
Australian Family Physician Vol. 31, No. 12, December 2002
Australian therapeutic guidelines 2013