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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Laniado-Laborín, Rafael |
| Description | Author Affiliation: Laniado-Laborín R ( Facultad de Medicina Tijuana, Universidad Autónoma de Baja California. rafaellaniado@gmail.com) |
| Abstract | Cigarette smoking represents the most important source of preventable morbidity and premature mortality worldwide. Approximately 100 million deaths were caused by tobacco use in the 20th century. There are >1 billion smokers worldwide, and globally the use of tobacco products is increasing, with the epidemic shifting to the developing world. Tobacco dependence is a chronic condition that often requires repeated intervention for success. Just informing a patient about health risks, although necessary, is usually not sufficient for a decision to change. Smokers should be provided with counseling when attempting to quit. Pharmacologic smoking cessation aids are recommended for all smokers who are trying to quit, unless contraindicated. Evidence-based guidelines recommend nicotine replacement therapy, bupropion SR, and varenicline as effective alternatives for smoking cessation therapy, especially when combined with behavioral interventions. Combination pharmacotherapy is indicated for highly nicotine-dependent smokers, patients who have failed with monotherapy, and patients with breakthrough cravings. An additional form of nicotine replacement therapy or an addition of a non-nicotine replacement therapy oral medication (bupropion or varenicline) may be helpful. The rate of successful smoking cessation at 1 year is 3% to 5% when the patient simply tries to stop, 7% to 16% if the smoker undergoes behavioral intervention, and up to 24% when receiving pharmacological treatment and behavioral support. |
| File Format | HTM / HTML |
| ISSN | 00325481 |
| Issue Number | 2 |
| Volume Number | 122 |
| e-ISSN | 19419260 |
| Journal | Postgraduate Medicine |
| Language | English |
| Publisher | Taylor & Francis |
| Publisher Date | 2010-03-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline medicine Smoking Cessation Methods Smoking Prevention & Control Antidepressive Agents, Second-generation Therapeutic Use Behavior Therapy Benzazepines Bupropion Directive Counseling Drug Therapy, Combination Evidence-based Medicine Global Health Humans Nicotine Administration & Dosage Nicotinic Agonists Quinoxalines Adverse Effects Drug Therapy Therapy Varenicline Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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