06-006-37a-soutienme?dical:soutienmed

▲ Medical Support
for Quitting Smoking
for smokers and ex-smokers
who have quit for < 6 months
Identification of patient
1.1 SMOKING HISTORY
1.2 STAGE OF CHANGE
Average no. of cigarettes you smoke daily?.
First cigarette of the day? . minutes after waking up Longest attempt to quit?. or Quit ago.
Use this information as a guide to the next attempt to quit smoking.
Precontemplation or contemplation stage
Preparation stage
Action or maintenance stage
1.3 MOTIVA
TIONS With regard to quitting smoking, what, for you, are…
2 . D I S ▲ C U S S
Whether they agree to discuss again later 3 . G ▲ I V E
If the patient agrees:
Referral to a resource (back)
Referral to a resource (back)
Referral to a resource (back)
Followup
Motivations
Strategies
Resources/Aids
Cigarettes/Day
J’ARRÊTE (I QUIT) PROGRAM RESOURCES
PHARMACOLOGICAL AIDS
J’ARRÊTE HOTLINE: 1-866-527-7383
If a medical prescription is presented or a collective prescription is in effect, RAMQ willreimburse the cost of nicotine patches or gum (or any combinations thereof) for a maximum Specialists in quitting smoking offer free and confi- of 12 consecutive weeks per year as well as bupropion for 12 weeks. Nicotine inhalers are not dential bilingual phone support services Monday to Friday, 8 a.m. to 9 p.m. Specialists can also directyour patients to the resources that best suit theirneeds.
NICOTINE SKIN PATCHES (NICODERM®, HABITROL®)
• If you smoke fewer than 10 cigarettes per day:
J’ARRÊTE WEBSITE: www.jarrete.qc.ca
Start with a 14 mg/24 hr. patch on hair-free skin between the neck and waist. Change the This site offers multiple support services for youth application area daily. If you experience insomnia, remove the patch before going to bed.
and adults, including information, personalized on- Example: 14 mg for 8 weeks, then 7 mg for 4 weeks (or other combinations).
line counseling, chat, and a discussion forum.
• If you smoke 10 or more cigarettes per day: Example: 21 mg for 4 to 8 weeks, then 14 mg for 2 to 4 weeks and 7 mg for 2 to 4 weeks QUIT-SMOKING CENTRES (CATs)
Over 150 CATs offer free and confidential informa- tion services and individual and group support in all Myocardial infarction or stroke in the previous two weeks, unstable or severe angina, severe Québec regions. To find out the contact information arrhythmia, pregnancy and nursing, allergy to adhesive bandages, generalized skin disease, of the CAT nearest you, call the J’ARRÊTE hotline at QUIT TO WIN! CHALLENGE
NICOTINE GUM (NICORETTE®)
• If you smoke 20 cigarettes or fewer per day: Suggest to your patients that they take the “quit smoking for six weeks” challenge. Registration is • If you smoke 20 cigarettes or more per day (or you smoke your first cigarette less than free and provides a chance to win numerous prizes.
30 minutes after waking up)4 mg gum OTHER RESOURCES
Very few thoroughgoing studies have been conducted One gum every 1 to 2 hours. Chew 2 to 3 times, then place between your lip and gum. Avoid on the effectiveness of acupuncture, hypnosis, and drinking or eating for 15 minutes before and during chewing gum. Start with 10 to 20 (maxi- laser therapy. What little study has been done does mum) per day, then gradually reduce the number over 1 to 3 months.
not indicate that these approaches are effective.
Myocardial infarction or stroke in the previous two weeks, unstable or severe angina, severe arrhythmia, pregnancy and nursing, severe dental diseases, under 18 years of age.
BUPROPION HYDROCHLORIDE (ZYBAN®)
150 mg per day for 3 days, followed by 150 mg twice daily for 7 to 12 weeks.
Wait at least 8 hours between doses.
Stop smoking the second week.
Convulsive problems, use of bupropion as an antidepressant (Wellburtin SR®), use ofmonoamine-oxydase inhibitors (IMAO) or the antipsychotic drug thioridazine, abrupt alcoholwithdrawal, sudden withdrawal of benzodiazepines or other sedatives, past history of bulimiaor anorexia, allergy to bupropion.
NICOTINE INHALER (NICORETTE®)
Mouthpiece inhaler with 10 mg cartridge that releases 4 mg of nicotine. Use 6 to 12 cartridgesper day as required, for 12 to 24 weeks.
COMBINATIONS OF PHARMACOLOGICAL AIDS
Patch + gum or inhalerBupropion + patch or gum or inhaler Ce formulaire existe aussi en français. www.fmoq.org/Formationprofessionnel/Formulaires/Index.aspx

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