Core IM | Internal Medicine Podcast #49 Smoking Cessation: 5 Pearls Segment
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Sep 18, 2019 Dr. Michael Fury, a tobacco use expert, and Dr. Scott Sherman, a primary care psychiatrist, share valuable insights on smoking cessation strategies. They discuss the best questions to ask patients contemplating quitting and whether to quit cold turkey or gradually. Technology’s role in supporting quitting efforts is explored, along with concerns about weight gain and effective nicotine replacement therapies. They also dive into contemporary approaches like e-cigarettes and the significance of tailoring cessation methods to individual patient needs.
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Setting Up Patients for Success
- Focus on past quit attempts, identifying helpful strategies and relapse triggers.
- Address concerns like weight gain and smoking habits linked to alcohol or other household members.
Quitting Abruptly vs. Tapering
- Quitting smoking abruptly (cold turkey) is more effective than gradual tapering.
- Patients preferring gradual cessation might be less committed and need more support.
Nicotine Replacement Therapy (NRT)
- Prescribe both long-acting and short-acting nicotine replacement therapy (NRT).
- Choose NRTs based on patient preference, as all forms can be effective.