Dr. Michael Fiore, founder and director of the University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI), discusses the latest updates and best practices for prescribing medication for patients to help them quit smoking or other tobacco use.
The clinic visit presents an incredible opportunity to help our patients quit smoking and unlike just a few years ago we now have an extensive array of tools to achieve that goal i’m dr. michael fiore director of the university of wisconsin’s center for tobacco research and intervention and i want to share how to use some of those tools for you today the united
States public health service clinical practice guideline says that we could be most effective when we combine some brief counseling with the use of one of the fda-approved medications for smoking cessation i want to describe how to use those medications in a busy clinic visit the fda has approved seven medications to help our patients quit smoking these include
Five nicotine medicines the patch the gum the laws inge the inhaler in the nasal spray and tune on nicotine medications pills that work at the sight of nicotine addiction the brain these are you pro prion or varenicline also known as chantix because that’s such a long list of agents to use i’m gonna focus in today on four approaches to help our patients to quit
These are the nicotine patch by itself the nicotine mini lozenge by itself and the two most effective agents varenicline or chantix in combination nicotine replacement therapy i’m gonna start with those latter two because they’re so effective first combination nicotine replacement therapy in this approach we prescribed the nicotine patch that provides patients
With a round-the-clock delivery of nicotine to blunt overall withdrawal symptoms but then they have something to turn to when they have a strong urge to have a cigarette and that is a nicotine mini lozenge something that looks like a tic-tac in an individual could put it in their mouth let it dissolve and help blunt that urge to have a cigarette this combination
The patch with the many laws inch heel some of the highest quit rates we’ve achieved with smokers motivated to quit the second agent that is particularly effective is varenicline the non nicotine pill also known as chantix varenicline acts at the sight of nicotine addiction on the brain if both serves as a nicotine agonist and antagonist and in that way helps to
Blunt withdrawal symptoms while mimicking the fact effects of cigarettes the third medication option i’d like to discuss is using the nicotine patch alone the nicotine patch is a tried-and-true and highly effective agent the fourth option is using the nicotine many laws inch alone this is an evolution from the prior laws anja’s which are large shocky and not well
Tolerated by patients these instead are small mint flavored and dissolved quickly in the mouth they’re great for smokers who particularly smoke fewer cigarettes per day and smokers who have really strong urges to smoke one mini lozenge often blunts withdrawal symptoms i want to share with you some of the tools that are available on the center for tobacco research
And intervention website to help you with prescribing these medications all of these tools are in the public domain feel free to download them use them and even put your clinic logo on them if they serve you possibly the most relevant one for this video is our chart of how to prescribe the seven fda-approved medications here is a shot of what that chart looks like
In a link to how you can get that chart it’ll describe exactly how to prescribe varenicline the nicotine patch the nicotine mini lozenge and the other fda-approved medications helping our patients quit smoking may be the most effective way that we can improve their health today and tomorrow
Transcribed from video
Prescribing Medications to Help Patients Quit Smoking By UW-CTRI Quit Smoking Videos
