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