Tobacco Abuse and Dependence

Jul 15, 2007 Issue
Varenicline (Chantix) for Smoking Cessation [STEPS]

For every nine highly-motivated patients who use varenicline instead of placebo, one will not be smoking one year later. Although the cost of therapy is a limitation (total cost is approximately $360 for a three-month course), the easy dosage titration, lack of drug interactions, and favorable side-...

Mar 1, 2007 Issue
Telephone Counseling Improves Smoking Cessation Rates [Cochrane for Clinicians]

Telephone counseling can improve long-term smoking cessation rates. Multiple proactive calls are more effective than a single reactive call.

Sep 15, 2006 Issue
CDC Reports on Tobacco Use in Adolescents [Practice Guidelines]

Using data from the Global Youth Tobacco Survey, the Centers for Disease Control and Prevention (CDC) compared tobacco use among adolescents 13 to 15 years of age from 1999 to 2005.

Jul 15, 2006 Issue
Interventions to Facilitate Smoking Cessation [Article]

Tobacco use, primarily cigarette smoking, is the leading cause of preventable morbidity and mortality in the United States, and nearly one third of those who try a cigarette become addicted to nicotine. Family physicians, who see most of these patients in their offices every year, have an important ...

Jan 1, 2005 Issue
Antidepressants and Smoking Cessation [Cochrane for Clinicians]

Bupropion and nortriptyline increase the likelihood of smoking cessation, but selective serotonin reuptake inhibitors (SSRIs) do not.

Mar 15, 2002 Issue
Smoking Cessation: Integration of Behavioral and Drug Therapies [Article]

Family physicians should take advantage of each contact with smokers to encourage and support smoking cessation. Once a patient is identified as a smoker, tools are available to assess readiness for change. Using motivational interviewing techniques, the physician can help the patient move from the ...

Dec 1, 2001 Issue
Counseling for Tobacco Cessation [Putting Prevention into Practice]

Case study: JT is a 54-year-old man who presents for a follow-up office visit. He requests refills on his prescriptions for enalapril and atorvastatin. You are aware that he is a smoker. Before you can initiate a discussion about his tobacco use, he excitedly reports that he has set a quit date for ...

Jun 1, 2001 Issue
Should We Recommend Nicotine Replacement Therapy? [Cochrane for Clinicians]

Yes. The patient is highly nicotine-dependent, and for smokers with moderate to severe nicotine dependence, nicotine replacement therapy with or without bupropion should be offered as part of an intensive program of physician advice, counseling and follow-up. This answer is based on an evaluation of the Cochrane review summarized below.

Apr 15, 2001 Issue
PHS Updates Smoking Cessation Guideline [Practice Guidelines]

The Public Health Service of the U.S. Department of Health and Human Services (HHS) has released an update of the 1996 smoking cessation guideline that was developed by the Agency for Healthcare Research and Quality (AHRQ).

Aug 1, 2000 Issue
Assessing Nicotine Dependence [Article]

Family physicians can assess the smoking behavior of their patients in a few minutes, using carefully chosen questions. The CAGE questionnaire for smoking (modified from the familiar CAGE questionnaire for alcoholism), the "four Cs" test and the Fagerström Test for Nicotine Dependence help make the...

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