Suggestions for the clinical use of pharmacotherapies for smoking cessation
Quit Tobacco Series: Medication Chart‡‡
See FDA package inserts for more information, including more detailed safety information. Ask your doctor if one of these options is right for you.
Medication Cautions/Warnings Side Effects Dosage Use Availability (check insurance) Bupropion Not for use if you: * Insomnia * Days 1-3: 150 mg each Start 1-2 Prescription Only: SR 150 * Use monoamine oxidase (MAO) inhibitor * Dry mouth * Generic * Use bupropion in any other form * Days 4–end: 150 mg * Have a history of seizures twice daily quit date; * Wellbutrin SR * Have a history of eating disorders FDA Boxed Warning: Nicotine Gum * Caution with dentures * 1 piece every 1 to 2 hours OTC Only: (2 mg or 4 mg) * Do not eat or drink 15 soreness * 6-15 pieces per day * Generic minutes before or during use * Stomach * If ≤ 24 cigs: 2 mg * Nicorette * If ≥ 25 cigs/day: 4 mg Nicotine Inhaler * May irritate mouth/throat at * 6-16 cartridges/day Prescription Only: first (but improves with use) irritation * Inhale 80 times/cartridge * Nicotrol inhaler * May save partially-used & throat cartridge for next day Nicotine Lozenge * Do not eat or drink 15 minutes before or * Hiccups * If smoke ≥ 30 minutes after OTC Only: (2 mg or 4 mg) during use waking: 2 mg * Generic * One lozenge at a time * Heartburn * If smoke ≤ 30 minutes after * Limit 20 in 24 hours waking: 4 mg * Weeks 1-6: 1 every 1-2 hrs * Wks 7-9: 1 every 2-4 hrs * Wks 10-12: 1 every 4-8 hrs Nicotine Nasal Spray * Not for patients with asthma * 1 “dose” = 1 squirt per nostril Prescription * May irritate nose (improves over time) irritation * 1 to 2 doses per hour * May cause dependence * 8 to 40 doses per day * Nicotrol NS * Do NOT inhale Nicotine Patch * Do not use if you have severe eczema or * Local skin * One patch per day (7 mg, 14 mg or 21 mg) psoriasis reaction * If ≥ 10 cigs/day: 21 mg 4 wks, prescription: * Insomnia 14 mg 2-4 wks, 7 mg 2-4 wks * Generic * Nicoderm CQ * Nicotrol Varenicline Use with caution in patients: * Days 1-3: 0.5 mg every Prescription only: * With significant renal impairment * Insomnia * Chantix * With serious psychiatric illness * Abnormal, * Days 4-7: 0.5 mg twice daily * Undergoing dialysis * Day 8–end: 1 mg twice daily quit date; FDA Boxed Warning: Combinations: * Only patch + bupropion is currently FDA- See individual See individual medications above. See above. 1) Patch + bupropion approved. medications 2) Patch + gum * Follow instructions for individual 3) Patch + [lozenge or inhaler] medications. Updated July 2009 ce Guideline Update: Treating Tobacco Use and Dependence, U.S. Public Health Service, May 2008.
Berkshire Humane Society ~ 214 Barker Road, Pittsfield, MA 01201 ~Camp Humane - 2009 Health Form THIS SIDE TO BE FILLED OUT and SIGNED BY PARENT/GUARDIAN BACK SIDE TO BE FILLED OUT and SIGNED BY A PHYSICAN This form MUST be received by the first day of camp or the child CANNOT attend camp. Child’s Name_________________________ Date of Birth ___________ Age_____ Parent/Gu
CAPITAL COMMENTS DECEMBER 6, 2013 Calendar of upcoming events Dec. 18-20 Middle School Midterm Exams (Grades 6-8) Dec. 23 – Holiday Break – NO SCHOOL Parent Council Meeting @ 6:30 Martin Luther King, Jr. Day – NO SCHOOL INCLEMENT WEATHER NOTIFICATION As we begin a season where there is the potential inclement weather and hazardous road conditions, ple