{"id":36,"date":"2017-03-22T11:01:59","date_gmt":"2017-03-22T11:01:59","guid":{"rendered":"http:\/\/papergp.com\/index.php\/health-promotion\/smoking-cessation\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"smoking-cessation","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/health-promotion\/smoking-cessation\/","title":{"rendered":"Smoking cessation"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; SOB, haemoptysis, weight loss<\/li>\n<li>Others &#8211; stop date<\/li>\n<li>Examine &#8211; BP, sats, chest<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Explanation\n<ul>\n<li>nicotine is the addictive ingredient in cigarettes, as levels fall -&gt; cravings\/anxiety\/headaches<\/li>\n<li>can use things to substitute<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Nicotine replacement &#8211; gum\/patches\/lozenges<\/li>\n<li>Varenicline (Champix) &#8211; mimics nicotine, 12wk course, caution if depression, contraindicated if pregnant\/renal disease\/breastfeeding\/child, SE: nausea, insomnia, mood changes<\/li>\n<li>Buproprion (Zyban) &#8211; relieve withdrawal symptoms, 8wk course, caution if depression, contraindicated if epilepsy, pregnant\/breastfeeding\/child, SE: dry mouth, insomnia, seizures<\/li>\n<li>Refer &#8211; smoking cessation service, counselling\/telephone support<\/li>\n<\/ul>\n<\/li>\n<li>Follow-up &#8211; see again in 1\/12 for support<\/li>\n<\/ul>\n<p>NB:<\/p>\n<ul>\n<li>All medical treatments are more effective with behavioural treatments<\/li>\n<li>Nicotine replacement therapy &#8211; 12 week course, weaning dosage, patches provide regular background dose, gum provides top up for cravings, safer than smoking during pregnancy\/breastfeeding (but avoid patches)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; SOB, haemoptysis, weight loss Others &#8211; stop date Examine &#8211; BP, sats, chest &nbsp; Clinical management Explanation nicotine is the addictive ingredient in cigarettes, as levels fall -&gt; cravings\/anxiety\/headaches can use things to substitute Treatment Nicotine replacement &#8211; gum\/patches\/lozenges Varenicline (Champix) &#8211; mimics nicotine, 12wk course, caution if depression, contraindicated &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/health-promotion\/smoking-cessation\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Smoking cessation<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":13,"menu_order":187,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-36","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/36","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=36"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/36\/revisions"}],"predecessor-version":[{"id":1540,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/36\/revisions\/1540"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/13"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=36"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}