![]() We also discuss the role of e-cigarettes.Ī PROACTIVE APPROACH TO TOBACCO CESSATION In this article, we review behavioral interventions and pharmacotherapy to treat nicotine dependence associated with tobacco use. Therefore, it is important for clinicians to familiarize themselves with treatment options they can offer to every smoker. 2 However, nicotine dependence is still considered a common and significant clinical problem.Ī number of effective therapies exist, yet treating patients for tobacco cessation remains a challenge, not only for patients, but also for clinicians, who may not be aware of effective therapies available and may fail to offer treatment. 1 The prevalence of smoking has declined over the last 6 decades, to an all-time low of 13.7% in adults in 2018. Tobacco use continues to be a major public health problem and a major risk factor for deaths from heart disease and several types of cancer such as lung, head and neck, and colorectal cancers. ![]() An individualized treatment for tobacco cessation is necessary and should be based on severity of nicotine dependence, probability of developing withdrawal symptoms, comorbidities, local resources, and patient preferences.Ĭomprehensive smoking cessation treatment provides counseling, assesses the patient’s readiness to quit, offers treatment options, and arranges follow-up.Įvidence is lacking to support the use of smart phone “apps” for smoking cessation as monotherapy.Į-cigarettes are not used in tobacco cessation treatment as they can also cause nicotine addiction and other concerns. ![]()
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