nicotine replacement therapy administration and overview
Download
Skip this Video
Download Presentation
Nicotine Replacement Therapy: Administration and Overview

Loading in 2 Seconds...

play fullscreen
1 / 15

Nicotine Replacement Therapy: Administration and Overview - PowerPoint PPT Presentation


  • 80 Views
  • Uploaded on

Nicotine Replacement Therapy: Administration and Overview. Barbara Hart, MPA and Claudia Lechuga , MS Bronx BREATHES T: (718)430-2601 E: [email protected] / [email protected] www.bronxbreathes.org June 15, 2009. Smoker Assessment. History of usage Previous quit attempts

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Nicotine Replacement Therapy: Administration and Overview' - urbano


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
nicotine replacement therapy administration and overview

Nicotine Replacement Therapy: Administration and Overview

Barbara Hart, MPA and Claudia Lechuga, MS

Bronx BREATHES

T: (718)430-2601

E: [email protected] / [email protected]

www.bronxbreathes.org

June 15, 2009

smoker assessment
Smoker Assessment
  • History of usage
  • Previous quit attempts
    • Withdrawal/abstinence symptoms
  • Motivational level for quit attempt
  • Current social environment
    • Stressors
    • Triggers
    • Biological/medical assessment
    • Family and friend support/sabotage
previous quit attempts
Previous Quit Attempts
  • Dates
  • Age
  • Method used to quit
    • Medications or counseling used (if any)
  • Duration of that method
  • Problems and successes experienced
  • Reason for relapse
  • Withdrawal/Abstinence Symptoms
current quit attempt
Current Quit Attempt
  • Motivational Level
    • Confidence
  • Main reason for considering/wanting to stop
  • Concerns about quitting
    • Weight gain concerns
use of nrt
Use of NRT

Reasons for using NRT

Reasons for NOT using NRT

Medical conditions requiring caution/physician input

i.e. recent MI, pregnancy, current arrythmia

Age

Under 18s require physician/parental input

Specific issues

Allergy to patches

Personal aversion to medication

Questionable efficacy

i.e. those smoking less than 10pd

  • Doubles the success rate
  • Treats nicotine withdrawal
    • Helps patient feel more comfortable
  • Safe
    • Patient receiving same drug (nicotine) in a less addictive form over a relatively short period
tobacco cessation medications
Tobacco Cessation Medications

Nicotine Replacement

Non-nicotine medication

Bupropion ^

(Zyban/Wellburtrin)

Varenicline ^

(Chantix)

  • Patch *
  • Gum *
  • Lozenge *
  • Oral Inhaler ^
  • Nasal Spray ^

* Available OTC ^ prescription only

use and efficacy of combination therapy
Use and Efficacy of combination therapy
  • Multiple patch therapy (42 vs 21mg)
    • 20% increased abstinence
    • No significant increased sleep disturbances
    • (Dale 1995; Jorenby 1995)
  • Patch + Gum
    • Kornitzer 1995; Puska 1995
      • Early better rates
        • 7% increase at 6 months
      • Not sustained at 1 year
      • No increase in adverse events
    • 2008 OHS Guidelines Meta-analysis
      • Path + Gum/Spray OR = 1.9
        • Compared to patch alone (OR=1)
    • Fiore 2008
      • Abstinence rates
        • Nicotine Patch = 23.4%
        • Nicotine Gum = 19.0%
        • Long term Patch + Gum = 36.5%
important points about nrt
Important Points about NRT
  • Nicotine is the addictive part of tobacco smoke but NOT the most dangerous part
  • People do NOT generally become addicted to medication
  • People DON’T use enough medication or stop TOO EARLY
    • Medications are SAFE and EFFECTIVE
    • Plan on minimum of 2 months of medication
  • Combinations
    • Work better than single medications
      • Use Long acting + Short acting
nrt kits available
NRT Kits Available

Moderate Smokers

Heavy Smokers

  • Smoke 10-20 per day
  • Includes:
    • Novartis Step 1
      • 28 count 21 mg patches
  • Smoke 20+ per day
  • Includes:
    • Nicorelief Gum
      • 110 pieces of 4mg gum
    • Novartis Step 1
      • 28 count of 21mg patches
nrt enrollment forms
NRT Enrollment Forms
  • Necessary for each course distributed
  • Full information required
  • Fax or email back to Bronx BREATHES
ad