Mstertno rhe Ns VeYÀLH 20 Yesrs Sotved svestions)
%
'atients ahoutd Ibe
pharmaotherapy in helped with the
sfthe days and aleollogreat
wingest mañne:wht
I'atient require
the
ye 9go of
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ireqtest uring his tirhe
ah, alhongh ateletetrt
rmain for
effective
longe, patient ar
for may of fhs
walk and
drinking the wato atleta
rnin the intensit o he withdrawal symjtos. Two
t
tr aih Aw a hariaterapies for the
tobacoceSsAton ar Antidepressants alar fin
hhit nolaent therapies and antidepressants. These usually function as the
of the persons
Nieotine Replacement Therapy
fdeea
*momx while
hoth cravine as w las the other withirawal
the individual start to eam o stop the behaviors
thharrgenerally connotodwith the Usage of the tobacco. But,
successfully
the medication. Patients
pharmacotherapy those gain
are
quit the
who
several times without the who had
anticravmaxiir1gr,numme
# also oberved fhat the patients give up using he none
replaement replaement therap1 cessation are as follows:
First-line
therapies:
success
fromthe chronic depression, . or
those at ermpted
Antidepres ants for
to
Niotine replacement therapes (NRT) Or the usage of tobacco
Second-line Bupropion
therapies:
These can be combinedClonidine
SR and
he
with theand selegline
USsation are.
NiOiNe gum (7his is prNent in lndia in 4 mg nicotine pieces;
Gutkha or mint flavour is present)
therapies for the better res1ulte
Counselling those Unwilling to Quit
nortig nicotine
Nicotine path
Nicotine inhaier Relevance of Quitting
Nicotine nasalspray Personal relevance should be
Nicotine lozenges oral condition, age, gender,
other
always highly
Principles for Prescribing the Nicotine Replacement Therapy
Following are the basic principles for prescribing the nicotine
situation are all relevant. Patient
why the quitting should be
health
should be motivaiey
concens
asked to
personally
replacement therapies:
Here, the medical supervision is very important. Lower
also be enlighten on what he/she
does notreleknow.
vant. Paie
Risks of Continuing Tobacco Use
dose shouid be used for the less dependent tobacco users. Acute
Generaliy, combination of the products is very helpful. This risks: Oral wounds do not
should be done under the caution, as the nicotine toxicity periodontal disease occur, there isundergO ho
can occur with the combination of some of the products or i the increase in te
cholesterol, there can be harm to
if patient has not quit using tobacco till now. Some users can both impotence and infertility is seen inpregnancy (a
the menamd
also show the certain side-effects. also the presence of the increased levels of cartm
This therapy is contraindicated in the pregnancy, lactation, in blood of smokers.
cardiovascular disease, peripheral vascular disease, Long-term risks: Loss of the tooth is seen, oral si
endocrine disorders, inflammation of mouth a well as throat, fibrosis is seen in the users of products which consis
oesophagitis, gastric ulcers, diabetes. arecanut (supari), oral and other cancers; heartatade
as the stroke; lung diseases are present in smokers
Method of Using Nicotine Gum of the disability; financial loss because of the pah
Gum should be chewed slowlyfor the 5minutes until this consists healthcare requirement.
of the peppery taste and then it should be kept in gum as wellas Environmental risks: In the smokers, increased riskai
the inner cheek for the 10minutes. As this time is over the gum developing the lung cancer and heart disease isp
should be keptbetween the gum and inner cheek again for 10 more Women can give birth to the low birth weight chilad
minutes. Now the gum should be chewed for 5 minutes more and the tobau
the children who are mainly exposed tosudden
of intant
is kept on the other side of the mouth. Such process is repeated remain in danger of the developing
middleear diseas,
once agajn and after this the gum should be discarded in a safe respiratory infections, asthma, germsandmake
place which is away from the children and the pets. others. Tobacco chewers spread the
Thís therapy should be best used under the medical through the frequent spiting.
supervision for the limited period such as from 6 weeks but not
more than 12 weeks. 2 mg of the gum is for less dependent tobacco Rewards of Quitting Both healthyg
health:B
oral
users, i.e., who smoke less than 25 cigarettes/day and 4 mg for Presence of theimproved remains betterrsmelling
heavy dependent tobacco users who generally smoke more than teeth are present, breath
25 cigarettes/day. better theenergy
Patient feel better/performlevels of
As this therapy help the people in quiting the habit in the Presence of the increased
short term butit does not solve the problem of addiction to nicotine, Better taste of the food
which should be usually faced at some point. Temptation to restart Saving of money the
children
the tobacco at some point is present in users of this therapy. Good example is set among
