Treatment of Nicotine Addiction in Primary Care

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Smoking and Depression • The prevalence of smoking: 37-60% • Leads to more severe nicotine withdrawal symptoms - High risk for relapse in first week - Female > Male • 30% risk of relapse to MDE after quitting if past history present • Depressed smokers have higher suicide rates than depressed nonsmokers (Bruce, 1994; Lohr, 1992; Yassa, 1987)
Smoking and Depression (Continued) •NRT alone insufficient treatment for smokers with current and/or past MDD •Combining NRT with non-NRT pharmacotherapy appear to be promising for smokers with depression (Ait-Daoud et al., 2006) •CBT that emphasizes group cohesion and social support appears to be particularly effective for depressed smokers with or without alcohol dependence
Page 1 and 2:
Treatment of Nicotine Addiction in
Page 3 and 4:
Objectives • Definitions • Epid
Page 5 and 6:
Definitions • Addiction is a prim
Page 7 and 8:
Is Nicotine Addictive? • Of prima
Page 9 and 10: Is Nicotine Addictive? • Cigarett
Page 11 and 12: Is Nicotine Addictive? • Nicotine
Page 13: Aspects of Nicotine Addiction Socia
Page 16 and 17: How Prevalent Is The Problem? •To
Page 18 and 19: Adolescent Smoking Nearly all smok
Page 20 and 21: Mental health • Psychotic disorde
Page 23 and 24: The cycle of change Ambivalent to c
Page 25 and 26: The cycle of change Action! a cessa
Page 27 and 28: Self-Help Materials • Appear to i
Page 29 and 30: Individual Counseling • Improves
Page 32 and 33: Pharmacotherapy Pharmacotherapy + b
Page 34 and 35: NRT: Nicotine patches 20 15 10 Ciga
Page 36 and 37: NRT: Nicotine gum 20 Cigarette (1-2
Page 38 and 39: Bupropion • Begin bupropion a wee
Page 40 and 41: Cahill K, et al. Nicotine receptor
Page 42 and 43: Side Effects • On June 16, 2011,
Page 44 and 45: HIV Disease: Changing Paradigm •
Page 46 and 47: Acute Myocardial Infarction NY: Dis
Page 48 and 49: “Cessation of smoking is more lik
Page 50 and 51: Impact of Cigarette Smoking on Mort
Page 52: Cigarette Smoking and Quality Of Li
Page 55 and 56: Smoking And Mental Health
Page 57 and 58: Smoking and Schizophrenia •High p
Page 59: Smoking & Bipolar Disorder •High
Page 63 and 64: SSRIs and Smokers with Anxiety Diso
Page 65 and 66: Smoking and Alcohol Dependence (Con
Page 67 and 68: Organization U.S. Dept. of Health &
Page 70 and 71: Conclusions •Tobacco use is a maj
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Treatment of Nicotine Addiction in Primary Care

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