Smoking Cessation and Nicotine Replacement Therapy (NRT) Smoking is the leading cause of preventable death and a known risk factor for multiple cancers, CV disease, stroke, COPD, and others. Combination of counseling & medication is more effective than either alone Women 35 years of age who smoke should NOT be taking estrogen-containing oral contraceptives, due to ↑ CV events The "5 A's" of Smoking Cessation • Ask about Tobacco use • Advise to quit • Assess willingness to quit • Assist in quitting • Arrange follow up E-Cigarettes • Carcinogens & other chemicals can be present • NOT recommended for smoking cessation Pharmacotherapy: • Nicotine Replacement Therapy (NRT): Patch, Gum, Lozenge, Inhaler, Spray • Bupropion (Wellbutrin SR) • Varencicline (Chantix) By Kyle Fischer, PharmD @Kfischer_10 #Smoking #Cessation #Nicotine #Replacement #Therapy #NRT #management #treatment