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Smoking Cessation Oz Edition

The document provides guidance on smoking cessation including assessing a patient's readiness to quit, advising them to quit, educating them on the benefits of quitting and risks of continued smoking, and outlining a treatment plan involving both pharmacological and non-pharmacological approaches with follow up.

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johnlau90
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23 views1 page

Smoking Cessation Oz Edition

The document provides guidance on smoking cessation including assessing a patient's readiness to quit, advising them to quit, educating them on the benefits of quitting and risks of continued smoking, and outlining a treatment plan involving both pharmacological and non-pharmacological approaches with follow up.

Uploaded by

johnlau90
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Smoking Cessation Oz edition

Assess: Stage of contemplation, readiness to attempt:


- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance/Relapse

Advise: please quit

Educate:
- Benefits of quitting smoking (eg. CO decline in 24 hr, smell/taste in 6 days, 6 months
for lung function decline to slow, halves CV risk in 1 year vs continuing smoking)
- Most smokers have tried >1x to quit (so don’t despair)
- Weight gain - ~2-3kg expected, but will still be healthier
- Set a clear date ->abrupt cessation better than gradual

Treatment plan: pair nonpharm + pharm


Non-pharmacological:
- Behavioral counselling
o Clinic/support program eg. weekly/biweekly, total 6 months
o Individual counselling > minimal support
- Encourage social support (eg. Friends/family)
- Provide resources (websites, pamphlets, apps)
o Eg. Quitline, free Quitpack to help quit (all states)

Pharmacological:
- Nicotine replacement therapy: reduce cravings
o Gum/patch/spray same, use together

- Varenicline: nicotinic ACh partial agonist, reduces cravings


o Weight gain due to smoking cessation and not drug, safe for IHD
o SE: Nausea, insomnia, strange dreams
o 3-6 month course

- Bupropion: noradrenaline + dopamine reuptake inhibitor


o C/I in seizure, eating disorder, taking MAO-I
o SE : insomnia, agitation, dry mouth, headache, small risk of seizures

NB: E-cigs role unclear, nicotine not legal in Oz, minimal data on usage in cessation

Followup :
Arrange followup: commencing interventions without follow-up -> no effect

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