Smoking Cessation: An Update

JOURNAL TITLE: The Indian Journal of Chest Diseases and Allied Sciences

Author
1. Raj Kumar
ISSN
0377-9343
DOI
10.5005/ijcdas-56-3-161
Volume
56
Issue
3
Publishing Year
2014
Pages
9
Author Affiliations
    1. Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India
  • Article keywords
    Tobacco, Smoking, Respiratory diseases, Smoking cessation

    Abstract

    Intervention for smoking cessation has become on urgent need because of increasing tobacco use and health hazards, especially in developing countries. Smoking cessation will be at different states of readiness. The states may be: (i) not ready (pre-contemplation), (ii) unsure (contemplation), (iii) ready (preparation), (iv) action, and (v) maintenance. Counselling and behavioural management is important. The '5 A's-based intervention in the form of Ask, Advise, Assess, Assist and Arrange is implemented. Pharmacologic management is based on first-line treatment in the form of nicotine replacement therapy, bupropion and varinicline and second-line treatment as clonidine and nortriptalin. Every health professional has obligation to help their patients to quit and the intervention should be diagnostic and therapeutic. The best results are obtained by behavioural and social support combined with pharmacotherapy whenever needed. The paper highlights the important component of intervention in smoking cessation.

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