You need to enable JavaScript to run this app.
☰
×
About
Methodology
The Team
News
Conference
Contact Us
About
Methodology
The Team
News
Conference
Contact Us
Adult Tobacco Use Disorder
Adult Tobacco Use Disorder
Diagnosis
Medication
Recommendation
Evaluate patients Stages of Change:
Pre-contemplation
Contemplation
Preparation
Action
X
use with
caution
Tobacco Use Disorder
Routinely inquire about tobacco use
and advise quitting using motivational
interviewing techniques
Assess stage of change
Pre-contemplation
Continue to Ask and Advise
on cessation using
motivational interviewing
Contemplation
Preparation/action
Ideally
set quit date
Combination psychotherapy
and pharmacotherapy
Connect to resources
e.g., 1-800-QUIT-NOW,
smokefree.gov
Smoking cessation
counseling
Pharmacotherapy
Special populations
CVD
SOR C
Stable
CVD
Recent
ACS
Varenicline
Shared discussion with
patient/clinician;
consider cardiology consultation;
use supported by American College
of Cardiology
NRT
Pregnancy
SOR C
NRT
Bupropion
(after 12wk GA)
Concerned about
weight gain
Bupropion
Counsel on
nutrition/exercise
MDD
Consider Varenicline
SOR A
General population
First choice
Varenicline
SOR A
Follow patients with
neuropsych symptoms closely
Continued nicotine
cravings?
Cognitive impairment
upon tobacco cessation?
Varenicline
+
Bupropion
Follow up in
2-4 weeks
(visit, phone, MyChart)
Second choice
SOR B
Nicotine replacement
therapy
Use combination therapy (SOR A)
long acting (i.e., patch) +
short acting (i.e., lozenge/gum)
Bupropion
*Avoid in
seizure disorders
Third choice
Nortriptyline
SOR C
