Ch 43 Tobacco Cessation
Which of the following drug levels would increase in a patient who stops smoking?
Theophylline
Which of the following should a patient be counseled on when starting varenicline?
Take with food and a full glass of water
Which of the following statements concerning bupropion dosing for smoking cessation are correct? Select all that apply
Start is at least 1 week before the desired quit date Doses should be taken at least 8 hours apart
Which of the following products are available over-the-counter? Select all that apply
Nicorette lozenge Nicoderm CQ Nicorette gum
BH is concerned about gaining more weight when she stops smoking. Which medication may be beneficial to prevent initial weight gain?
Nicotine 4 mg gum
Which tobacco cessation option is most appropriate for BH?
Nicotine patch + nicotine lozenge
BL is a 50 year old male who started the nicotine patch two weeks ago and now complains of insomnia. What advice should the pharmacist offer?
Only wear the patch for 16 hours, removing it before bedtime
The pharmacist recommends the nicotine patch for BH. What starting dose is most appropriate?
21 mg/24hr
MT smokes 1 pack of cigarettes per day, with the first cigarette smoked 45-60 minutes after waking up in the morning. What strength of lozenge should he use at the initiation of nicotine replacement therapy?
2mg
Patients taking Chantix should be warned of the risk for:
Serious neuropsychiatric events
Which of the following agents would be useful for a patient who needs to treat both depression and a smoking addiction?
Bupropion
Which of the following medications reduces nicotine cravings and other withdrawal symptoms by blocking dopamine and norepinephrine reuptake?
Bupropion
What is the advantage of using the nicotine patch and nicotine gum together?
Combination therapy has a higher chance of success
Which medication increases the risk of cardiovascular disease in female smokers over the age of 35 years?
Combined oral contraceptive
BH starts the nicotine patch and gum to try to quit smoking. Which of the following should the pharmacist discuss when she counsels BH? Select All that apply
Do not cut the patch in half The patch may cause vivid dreams Chew the gum until there is a tingle, then park it between cheek and gum
Which of the following is NOT currently recommended as a smoking cessation aid?
E-cigarettes
Which of the following immunizations can be recommended for BH today?
Influenza vaccine and Pneumovax 23
Which of the following are common side effects of bupropion?
Insomnia and dry mouth
What is the mechanism of action of varenicline?
Its a partial nicotinic receptor agonist
A patient is picking up a nicotine inhaler for the first time. Which of the following side effects should she be counseled on?
Throat irritation
BS, who has smoked an average of 12 cigarettes per day for the last year, is interested in tobacco cessation using the patch. What dose should the pharmacist recommend?
Use 21 mg/24hr patch for 6 weeks, then the 14 mg/24hr patch for two weeks, then 7 mg/24hr patch for two weeks
Which of the following counseling statements for Nicorette Mini are correct? Select all that apply
Use at least 9 lozenges per day for the first 6 weeks of treatment Do not eat 15 minutes before or during the use of the lozenge Do not use more than one lozenge at at time
Which of the following are contraindications to using bupropion SR?
Use with linezolid Use with IV methylene blue Use with an MAO inhibitor History of bulimia
Which of the following is a common side effect of varenicline?
nausea
A 17 year old female is interested in tobacco cessation. What is the most appropriate recommendation for her at this time?
start with behavioral counseling