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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide122.html
October 01, 2014 - 122. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and abstinence rates for various medications and medication combinations compared to placebo at 6-months post-quit (n = 86 studie…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide142.html
October 01, 2014 - 142. Treatment Recommendations: Medications-Nicotine Nasal Spray
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 (s…
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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/slide166.html
October 01, 2014 - 166. Components of Intensive Treatment
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Assessment
Assessments should determine whether tobacco users are willing to make a quit attempt using an intensive treatment program. Other assessments can provide informati…
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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/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/slide189.html
October 01, 2014 - 189. Specific Populations and Other Topics
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-overview/slide41.html
October 01, 2014 - 41. For Smokers Not Willing To Make a Quit Attempt at This Time
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Recommendation: Motivational intervention techniques appear to be effective in increasing a patient's likelihood of making a future quit attempt. T…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide39.html
October 01, 2014 - 39. Systems Interventions: Clinician Training and Chart Reminders (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of training combined with charting on arranging for follow-up ("Arrange") (n = 2 studies)
Intervention
Number …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide40.html
October 01, 2014 - 40. Systems Interventions: Clinician Training and Chart Reminders (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Clinician Training and Reminder Systems:
Recommendation: All clinicians and clinicians-in-training should be trained in effective s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide93.html
October 01, 2014 - 93. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Type of Clinician
Recommendation: Treatment delivered by a variety of clinician types increases abstinence rates. Therefore, all clinicians should provide smoking c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide105.html
October 01, 2014 - 105. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Follow-up Assessment and Procedures
Recommendation: All patients who receive a tobacco dependence intervention should be assessed for abstinence at the completion …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide104.html
October 01, 2014 - 104. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Quitlines
Intervention
Number of arms
Estimated odds ratio
(95% C.I.)
Estimated abstinence rate
(95% C.I.)
Medication alone
6
1.0
23…
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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/slide115.html
October 01, 2014 - 115. 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 counseling alone (n = 9 studies)
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide121.html
October 01, 2014 - 121. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and abstinence rates for various medications and medication combinations compared to placebo at 6-months post-quit (n = 86 studie…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide120.html
October 01, 2014 - 120. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Coding rules for medication duration and dose (Continued)
Nicotine Inhaler and
Nasal Spray
Usual duration
Up to 6 months
Long duration
> …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide119.html
October 01, 2014 - 119. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Coding rules for medication duration and dose
Medication
Coding
Meaning
Nicotine Patch
Usual duration
6-14 weeks
Long duration
> 14…
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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/slide140.html
October 01, 2014 - 140. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Effectiveness of the nicotine lozenge: Results from the single randomized controlled trial.
Lozenge dose
N for active/N for placebo
Odds Ratio (95% C.I.)
Continuou…