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Questions and Answers

What is a recommended component of a brief intervention for smoking cessation?

Referring the smoker to a mental health specialist

Providing simple opportunistic advice to consider quitting (correct)

Conducting a thorough physical examination

Assessing the smoker's genetic predisposition to nicotine addiction

Which healthcare professional has been shown to be effective in providing interventions for smoking cessation?

Physician

Dentist

Pharmacist

All of the above (correct)

What is an example of a more intensive, proactive support for smoking cessation?

Pharmacotherapy and behavioral support

Quitline (13 7848)

A tobacco treatment specialist or cessation program

All of the above (correct)

What is a key aspect of a smoking cessation program in a community pharmacy setting?

Offering behavioral support Signup and view all the answers

What is a recommended strategy for promoting health behaviors in a community pharmacy setting?

Offering smoking cessation programs Signup and view all the answers

What is a key aspect of a smoking cessation program in a dental setting?

Interventions for tobacco cessation Signup and view all the answers

What is a recommended approach for promoting smoking cessation in primary care settings?

Offering smoking cessation programs and services Signup and view all the answers

What is a key aspect of a smoking cessation program in a nursing setting?

Nursing interventions for smoking cessation Signup and view all the answers

What happens to CYP450 activity when a person stops smoking?

It decreases rapidly and exponentially Signup and view all the answers

What should be done under medical supervision when a patient stops smoking and is taking clozapine?

Immediate decrease of clozapine dose Signup and view all the answers

What is the target percentage reduction in clozapine dose when a patient stops smoking?

10% daily up to 50% Signup and view all the answers

How long should blood and clinical monitoring be continued after smoking cessation in a patient taking clozapine?

6 months Signup and view all the answers

What is the purpose of Therapeutic Drug Monitoring (TDM) in patients taking clozapine who stop smoking?

To adjust clozapine dose according to individual variations Signup and view all the answers

What is an example of a pharmacotherapy for smoking cessation?

Varenicline Signup and view all the answers

What is the name of the algorithm used for pharmacotherapy treatment of smoking cessation?

Pharmacotherapy treatment algorithm Signup and view all the answers

Which organization provides clinical guidelines for smoking cessation?

The Royal Australian College of General Practitioners Signup and view all the answers

What is a key consideration when using bupropion for smoking cessation?

It may cause false-positive results with some urine drug screens Signup and view all the answers

What is a benefit of using NRT with other smoking cessation therapies?

It improves the effectiveness of smoking cessation therapies Signup and view all the answers

What is an important aspect of assessing smoking cessation treatment?

Assessing progress regularly throughout treatment Signup and view all the answers

What is a fast-acting product that can be used when strong cigarette cravings occur?

A fast-acting NRT product Signup and view all the answers

What is a key role of healthcare professionals in smoking cessation?

Providing guidance and support throughout the quitting process Signup and view all the answers

What is a harm reduction strategy in smoking cessation?

Reducing the number of cigarettes smoked daily Signup and view all the answers

Study Notes

Smoking Cessation

Offer every smoker at least a brief intervention for smoking cessation, including:
- Simple opportunistic advice to consider quitting
- An assessment of the smoker's commitment to quit
- Offer of pharmacotherapy and/or behavioural support
- Self-help material
- Referral to more intensive, proactive support

Healthcare Professional Interventions

Physician advice for smoking cessation is effective
Community pharmacy personnel can provide interventions for smoking cessation
Dental setting interventions can also be effective for smoking cessation
Nursing interventions can support smoking cessation efforts

Antipsychotics and Smoking

Smoking cessation can lead to rapid exponential decrease in CYP450 activity, increasing clozapine blood levels and potentially causing toxic effects
Under medical supervision, clozapine dose should be decreased immediately upon cessation of smoking (about 10% daily, up to 50% reduction)
TDM, blood, and clinical monitoring are necessary for up to 6 months

Pharmacotherapy

Nicotine Replacement Therapy (NRT) is an option for smoking cessation
Varenicline and Bupropion are also pharmacotherapy options
Pharmacotherapy treatment algorithm should be followed
Use of NRT with other medications can improve effectiveness
Bupropion can cause false-positive results with some urine drug screens

Key Points

Assess progress throughout treatment and stop drug if there is no marked reduction in smoking
Use pharmacotherapy in combination with other support methods for optimal results

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