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The National Health Service (NHS) in England has a smoking cessation service based on pharmacotherapy in combination with counseling support. An Action on Smoking and Health (UK) (ASH) report claims that the average cost per life-year gained for every smoker successfully treated by these services is less than £1,000 (below the NICE guidelines ...
For one-to-one or person-to-person counselling sessions, the duration of each session, the total contact time, and the number of sessions all correlated with the effectiveness of smoking cessation. For example, "Higher intensity" interventions (>10 minutes) produced a quit rate of 22.1% as opposed to 10.9% for "no contact" over 300 minutes of ...
The Fagerström Test for Nicotine dependence is a standard instrument for assessing the intensity of addiction to nicotine. It evaluates the quantity of cigarette consumption, the compulsion to use, and dependence.
[41] [42] Examples of drugs that act on nicotinic receptors and have been used for treating nicotine addiction include antagonists like bupropion and the partial agonist varenicline. [41] [42] Cytisine, a partial agonist, is an effective, and affordable cessation treatment for smokers. [43]
The first study of the pharmacokinetics of a transdermal nicotine patch in humans was published in 1984 [3] by Jed Rose, Murray Jarvik, and Daniel Rose, and was followed by publication by Rose et al. (1985) of results of a study of smokers showing that a transdermal nicotine patch reduced craving for cigarettes. [4]
Nicotine withdrawal is the main factor hindering smoking cessation. [52] A 2010 World Health Organization report states, "Greater nicotine dependence has been shown to be associated with lower motivation to quit, difficulty in trying to quit, and failure to quit, as well as with smoking the first cigarette earlier in the day and smoking more ...
Nicotine use for tobacco cessation has few contraindications. [71] It is not known whether nicotine replacement therapy is effective for smoking cessation in adolescents, as of 2014. [72] It is therefore not recommended to adolescents. [73] It is not safe to use nicotine during pregnancy or breastfeeding, although it is safer than smoking.
Varenicline is indicated for use as an aid to smoking cessation treatment [5] and for the treatment of the signs and symptoms of dry eye disease. [6] Varenicline is used to help people stop smoking tobacco (smoking cessation). A meta-analysis found that 20% of people treated with varenicline remain abstinent from smoking at one year. [15]
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