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Nicotine replacement therapy … - Carlos A ... - Entretiens du Carla

Nicotine replacement therapy … - Carlos A ... - Entretiens du Carla

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NRTs Under 18 Precautions<br />

NRTs in case of<br />

Cardio-Vascular<br />

diseases<br />

NRTs in case of Pregnancy<br />

In general no In general no In general no<br />

No,<br />

but used in<br />

practice<br />

No<br />

*Official : No<br />

*Practice : Yes<br />

*Pregnancy (for patches)<br />

*Under 18<br />

*Dermatosis<br />

*Other local problems<br />

*Skin problems<br />

*Denture problems<br />

*Cardio-vascular problems<br />

*Gastric problems<br />

*Official :<br />

No combination<br />

No longer than 3 months<br />

*Practice : Combination<br />

More than 3 months<br />

* This use is not<br />

safe<br />

* Contra-indicated<br />

in inserts,<br />

Hypertension, feochromocytom,<br />

research will be<br />

angina pectoris, cerebro-vascular<br />

con<strong>du</strong>cted in<br />

insufficiency, vascular and heart<br />

2009/2010 on<br />

disturbances,hyperthyroid, dia-<br />

effectivitiy of<br />

betes, liver/kidney insufficiency<br />

patches for<br />

asthma, chronic throat, age 65 years, irritation of skin<br />

* Youth are not<br />

interested in<br />

quitting with<br />

help<br />

Can be prescribed<br />

(physician<br />

makes decision)<br />

Not absolutely<br />

contraindicated<br />

As listed in the<br />

British National Formulary<br />

Yes<br />

Precaution with<br />

the use of patches<br />

With caution No<br />

*Official : No<br />

*Practice : Yes<br />

*Can be used<br />

(level 3 evidence)<br />

*If seems saver than<br />

smoking<br />

*A physician must be<br />

involved<br />

Not a contra-indication<br />

Caution urged with unstable<br />

vascular condition<br />

29<br />

No<br />

*Less harmful than smoking,<br />

but still risk full NRT when<br />

other treatment failed or<br />

when previous<br />

pregnancy failed<br />

do to smoking<br />

*A physician must be involved<br />

(gynecologist)<br />

A caution, rather than<br />

contra-indication<br />

Use is permitted as long as<br />

woman discuss this with an<br />

health professional<br />

*Prescription<br />

*OTC (no prescription)<br />

*Reimbursement<br />

*OTC (gum)<br />

*Prescription<br />

(nasal spray, oral inhaler,<br />

patch, sublingual)<br />

*No reimbursement<br />

*OTC<br />

*Reimbursement (only<br />

patches)<br />

*OTC<br />

*Reimbursement depend<br />

on province/community<br />

* Nasal Spray Prescription<br />

* OTC for other pro<strong>du</strong>cts<br />

*OTC<br />

(gum, sublingual, patch)<br />

*Prescription (oral inhaler)<br />

*No reimbursement<br />

*OTC<br />

*No reimbursement yet<br />

* Possible in 2010 for a 12<br />

week treatment<br />

*OTC<br />

*Hyper and supermarkets<br />

*Prescription costs E7 (E8-<br />

9) but free in pregnancy,<br />

certain medical problems,<br />

elderly and young a<strong>du</strong>lts,<br />

poor people-<br />

The cost of providing a<br />

prescription to the general<br />

physician is nothing<br />

Session 1 - Presentation of representatives of EU countries<br />

COUNTRY<br />

MALTA<br />

POLAND<br />

PORTUGAL<br />

ROMANIA<br />

SLOVAKIA<br />

SLOVENIA<br />

SPAIN<br />

SWEDEN<br />

SWITZERLAND<br />

THE<br />

NETHERLANDS<br />

UNITED<br />

KINGDOM

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