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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide151.html
October 01, 2014 - 151. Treatment Recommendations: Medications-Clonidine
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a second-line medication for treating tobacco use
Precautions, warnings, contraindications and side effects (s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide157.html
October 01, 2014 - 157. Treatment Recommendations: Medications-Relative Effectiveness
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication Number of arms Estimated odds ratio (95% C. I.)
Medication
Number of arms
Estimated odds ratio (95% C. I.)
Nicotine Patch (re…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide164.html
October 01, 2014 - 164. Treatment Recommendations: Intensive Treatment (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensive counseling is especially effective. There is a strong dose-response relation between counseling intensity and quitting success. In general, the m…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide176.html
October 01, 2014 - 176. Systems-Clinician Training and Reminder Systems
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation: All clinicians and clinicians-in-training should be trained in effective strategies to assist tobacco users willing to make a quit attempt and to motiv…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide182.html
October 01, 2014 - 182. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of training combined with charting on providing materials ("Assist") (n = 2 studies)
Intervention
Number of ar…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide188.html
October 01, 2014 - 188. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit Recommendation (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Estimated abstinence rates for individuals who received tobacco use interventions as a …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide193.html
October 01, 2014 - 193. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
Lesbian, gay, bisex…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide199.html
October 01, 2014 - 199. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
Racial/ethnic minoritie…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide209.html
October 01, 2014 - 209. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical practice
Rationale
Motivate quit attempts by providing educational messages about the impact of smoking on both maternal and…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide220.html
October 01, 2014 - 220. Helpful Web Sites (All Web sites listed are either government-sponsored organizations or nonprofit foundations) (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco Cessation Leadership Network: www.tcln.org
Tobacco-Free Nurses: www.tobaccofreen…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide16.html
October 01, 2014 - 16. Strength of Evidence for Recommendations
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Classification
Criteria
Strength of Evidence = A
Multiple well-designed randomized clinical trials, directly relevant to the recommendation, yielded a …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide23.html
October 01, 2014 - 23. Medication Recommendation
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Recommendation: Certain combinations of first-line medications have been shown to be effective smoking cessation treatments. Therefore, clinicians should consider using these combin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide26.html
October 01, 2014 - 26. Low Socio-Economic Status/Limited Formal Education
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for counseling interventions with low socio-economic status/limited formal education (n = 5 studies).
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide114.html
October 01, 2014 - 114. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for the number of sessions of counseling in combination with medication versus medication alone …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide113.html
October 01, 2014 - 113. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for the combination of counseling and medication versus medication alone (n = 18 studies)
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide133.html
October 01, 2014 - 133. Treatment Recommendations: Medications-Nicotine Gum (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Prescribing instructions
Chewing technique -Gum should be chewed slowly until a “peppery” or “flavored” taste emerges, then “parked” between c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide134.html
October 01, 2014 - 134. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Inhaler:
Recommendation: The nicotine inhaler is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide155.html
October 01, 2014 - 155. Treatment Recommendations: Medications-Nortriptyline (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
Nortriptyline HCl —Prescription only.
Prescribing instructions
Initiate— Therapy is initiated 10-28 days bef…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide160.html
October 01, 2014 - 160. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and abstinence rates for smokers not willing to quit (but willing to change their smoking patterns or reduce their smoking) after receiving n…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide167.html
October 01, 2014 - 167. Components of Intensive Treatment (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Program format
Either individual or group counseling may be used. Telephone counseling also is effective and can supplement treatments provided in the clinical se…