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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide27.html
October 01, 2014 - 27. Psychiatric Disorders Including Substance Use Disorders
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for treatment with bupropion and nortryptyline for smokers with a history of depression (n = 4 studies),…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide25.html
October 01, 2014 - 25. Specific Populations (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
HIV-positive smokers.
Hospitalized smokers.
Lesbian/gay/bisexual/ transgender smokers.
Smokers with low SES/limited formal education.
Smokers with medical comorbidit…
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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-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-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/slide126.html
October 01, 2014 - 126. 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)
What medications should a clinician use with a patient who…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide127.html
October 01, 2014 - 127. 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)
When should second-line agents be used for treating tobacc…
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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/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/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/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/slide156.html
October 01, 2014 - 156. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Combination Medications
Recommendation: Certain combinations of first-line medications have been shown to be effective smoking cessation treatments. Therefore, clinicians sho…
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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-overview/slide04.html
October 01, 2014 - 4. 2008 PHS Clinical Practice Guideline: Treating Tobacco Use and Dependence Update
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
History:
1996—Initial Guideline published; literature from 1975-1995; approximately 3,000 articles.
2000—Revised Guideline…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide18.html
October 01, 2014 - 18. Pro-Active Quitlines (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for quitline counseling and medication compared to medication alone (n = 6 studies).
Intervention
Number of arms
Es…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide17.html
October 01, 2014 - 17. Pro-Active Quitlines
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for quitline counseling compared to minimal interventions, self-help or no counseling (n = 9 studies).
Intervention
Number of arm…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide37.html
October 01, 2014 - 37. Systems Interventions: Clinician Training and Chart Reminders
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of clinician training combined with charting on asking about smoking status ("Ask") (n = 3 studies).
Intervention
Number o…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide38.html
October 01, 2014 - 38. 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 setting a quit date ("Assist") (n = 2 studies)
Intervention
Number of ar…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide53.html
October 01, 2014 - 53. Key Guideline Web Links
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Guideline materials: http://www.surgeongeneral.gov/tobacco/ .
List of over 55 endorsing organizations at: http://www.ctri.wisc.edu/Researchers/researchers_CPGupdate2008_endorse.h…