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Core IM | Internal Medicine Podcast

#49 Smoking Cessation: 5 Pearls Segment

43 min • 18 september 2019

Practical tips on smoking cessation! Get CME Credit with ACP!

Full Transcript with References and Show Notes

Time Stamps

  • 04:50 What questions are important to ask after a patient who contemplative about quitting tobacco?
  • 07:00 Is quitting abruptly on a quit date or gradual cessation to a quit date better?
  • 08:10 How can technology help support patients who are trying to quit?
  • 08:49 How should we prepare patients who quit smoking and are worried about weight gain?
  • 11:06 How can we try to convince patients to use medication as assistance to quit smoking?
  • 11:50 What is the most effective nicotine replacement approach?
  • 13:54 What are the potential side effects of the nicotine patch?
  • 15:00 What should we prescribe for patients who smoke <5 cigarettes a day?
  • 16:28 How can we determine how severe a patient’s nicotine dependence is?
  • 18:26 When is the ideal frequency of nicotine gum or lozenge?
  • 21:45 How does varenicline work?
  • 25:05 Can you start varenicline in patients who have had psychiatric history?
  • 27:15 What major side effect is seen in patients taking bupropion?
  • 29:15 How do e-cigarettes work?
  • 31:18 How should we approach adding e-cigarettes into a patient’s plan for quitting?
  • 31:42 How should we discuss e-cigarette use with our patients?
  • 33:47 Recap
  • 39:54 Screening for Barrett’s Esophagus

 



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