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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide128.html
October 01, 2014 - 128. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
Should nicotine replacement therapies be avoided in patien…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide129.html
October 01, 2014 - 129. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Bupropion SR (Sustained Release)
Recommendation: Bupropion SR is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide138.html
October 01, 2014 - 138. Treatment Recommendations: Medications-Nicotine Lozenge
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a first-line medication for treating tobacco use
Precautions, warnings, contraindications and side effects (see F…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide139.html
October 01, 2014 - 139. Treatment Recommendations: Medications-Nicotine Lozenge (continue
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
OTC only
Prescribing instructions
Lozenge use -The lozenge should be allowed to dissolve in the mouth rather than chewi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide143.html
October 01, 2014 - 143. Treatment Recommendations: Medications-Nicotine Nasal Spray (cont
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Dosage
A dose of nicotine nasal spray consists of one 0.5 mg dose delivered to each nostril (1 mg total). Initial dosing should be 1-2 doses p…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide144.html
October 01, 2014 - 144. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Patch
Recommendation: The nicotine patch is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
Previ…
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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/slide154.html
October 01, 2014 - 154. Treatment Recommendations: Medications-Nortriptyline
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 effect…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide152.html
October 01, 2014 - 152. Treatment Recommendations: Medications-Clonidine (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
Oral —Prescription only.
Transdermal —Prescription only.
Prescribing instructions
Initiate— Initiate clonidine…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide153.html
October 01, 2014 - 153. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Second line medication—Nortriptyline:
Recommendation: Nortriptyline is an effective smoking cessation treatment. It may be used under a physician's supervision as a second-li…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide168.html
October 01, 2014 - 168. Components of Intensive Treatment (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication
Every smoker should be offered medications endorsed in this Guideline, except where contraindicated or for specific populations for which there is insu…
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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…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide169.html
October 01, 2014 - 169. Systems
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide184.html
October 01, 2014 - 184. Systems-Tobacco Dependence Treatment as a Part of Assessing Healthcare Quality
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation:
Provision of guideline-based interventions to treat tobacco use and dependence should remain in standard ratings and me…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide185.html
October 01, 2014 - 185. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation:
Providing tobacco dependence treatments (both medication and counseling) as a paid or covered benefit by health insura…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide183.html
October 01, 2014 - 183. Systems-Cost-Effectiveness of Tobacco Dependence Interventions
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation: The tobacco dependence treatments shown to be effective in this guideline (both counseling and medication) are highly cost-effective r…
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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/slide201.html
October 01, 2014 - 201. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Children and Adolescents
Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the impor…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide202.html
October 01, 2014 - 202. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for counseling interventions with adolescent smokers (n = 7 studies)
Adolescent smokers …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide203.html
October 01, 2014 - 203. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Light Smokers:
Recommendation: Light smokers should be identified, strongly urged to quit and provided counseling cessation interventions. (Strength of Evidence = …