Tobacco cessation is a relative newcomer in the field of medicine. But how do you know what works and what doesn't? Do quitlines really improve success rates? What medications are out there?
We can only point you in the right direction. As a medical provider, you will have to determine what is best for you patients.
Pharmacotherapy Research
Any product can be recommended, if not contraindicated. Clinicians should consider a number of factors: the number of cigarettes smoked per day (or time to first cigarette, for the nicotine lozenge), level of dependence, advantages and disadvantages of each product, methods used for prior quit attempts and reasons for relapse, and the patient's own product preference need to be considered.
- American Academy of Family Physicians: Pharmacological Product Guide: FDA-Approved Medications
- Treating Tobacco Use and Dependence: 2008 Update-Clinical Practice Guideline (page 106)
Cessation Counseling Research
According to the 2008 PHS Clinical Guidelines, combining counseling and medication is the most effective clinical treatment of tobacco dependence and should be offered to individuals making a quit attempt. You can opt to refer your patients to Quitline Iowa for counseling, but you should still know how to do a brief intervention.
- Treating Tobacco Use and Dependence: 2008 Update-Clinical Practice Guideline (page 37)
- Ask, Advise, Refer
- Fact Sheet about Quitline Effectiveness
Forms
- Description of Quitline Iowa Fax Referral Program
- Quitline Iowa Fax Referral Form (to refer non-Medicaid clients)
- Quitline Iowa Fax Referral Form (to refer non-Medicaid clients)- Spanish
- Medicaid Letter to Providers - Chantix Benefit and Brief Cessation Counseling
- Medicaid Nicotine Replacement Therapy Prior Authorization Form
- Medicaid Chantix TM Prior Authorization Form
Patient Information