Drugs used for smoking cessation therapy – registered dental hygienist

Smoking cessation includes drug replacement therapies. Define smoking cessation Dental hygienists must be familiar with the drugs and be able to teach patients how to properly comply with their drug therapy.

C igarette smoking is the leading cause of preventable death in the United States.


Benefits of quitting smoking first 24 hours It is the primary risk factor for cardiovascular disease and stroke, and is a major risk factor for lung and oropharyngeal cancers and for chronic respiratory diseases, including chronic bronchitis and emphysema. Laser acupuncture smoking cessation 1 Smoking also is the major contributing risk factor for the initiation and progression of periodontal disease. What is smoking cessation nhs 2 Dental hygienists play an important role in helping their patients to stop smoking. Smoking cessation training for pharmacists The purpose of this article is to examine medications used with smoking cessation therapy, and related oral health considerations for patients who use tobacco.

Quitting tobacco use is not simply a lifestyle choice for patients. Smoking cessation drug therapy The chemical nicotine found in tobacco actually causes neural changes that stimulate the “reward” pathway or pleasure centers of the brain that are mediated by the neurotransmitter dopamine. Smoking cessation and hypnosis Molecules of nicotine stimulate the α 4 β 2 nicotinic brain receptors that cause the release of dopamine, which then produces feelings of pleasure. Smoking cessation acupuncture Over time, these nicotine receptors become desensitized to the presence of nicotine, so a smoker must increase tobacco use to produce the same sense of pleasure, a phenomenon known as tolerance, which contributes to nicotine dependency. Successful smoking cessation programs Even after the long-term abstinence of nicotine use, these brain receptors remain altered, which explains why nicotine dependency may legitimately be considered a brain disorder. About smoking cessation [Native Advertisement]

Smoking cessation requires a multifactorial approach to be successful. Smoking cessation through hypnosis It includes extensive behavioral modification therapy coupled with the individual’s desire to stop smoking. Smoking cessation hypnosis script free Nicotine replacement therapies and other drugs that decrease cravings and withdrawal symptoms associated with dependency can be used to increase the likelihood of success. Smoking cessation training programs When used correctly, these replacement therapies may double the success rate in patients who are attempting to quit smoking. Smoking cessation guidelines 2008 3,4,5,6,7,8 While dental hygienists are not permitted to prescribe these drug therapies, they must be familiar with the drugs, their respective mechanisms of action, dosing schedules, and contraindications, be able to identify patients who are good candidates for these medications, and help teach patients how to properly comply with their drug therapy.

Nicotine is the most commonly used drug for replacement therapy. Smoking cessation services It is available in both over-the-counter (OTC) preparations as well as prescription-strength products. Benefits of quitting smoking after 3 months Nicotine is indicated for the relief of cravings and withdrawal symptoms. What is smoking cessation counseling OTC preparations are dispensed in multiple delivery forms, such as chewing gum (Nicorette ®), lozenges (Commit ®), and transdermal patches (Nicoderm ® CQ ®). Effects of smoking cessation Prescription products are delivered as either a nasal spray (Nicotrol ® NS) or inhaler (Nicotrol ® Inhaler). Smoking cessation counseling 9

Use of nicotine products may lead to excessive salivation, soreness of the mouth and/or throat, dizziness, nervousness, and gastrointestinal side effects. Smoking cessation guidelines for health professionals Chewing gum should not be used in patients with a history of temporomandibular joint dysfunction. Smoking cessation billing guidelines General side effects associated with gum, lozenges, and transdermal patches include xerostomia, taste alteration, ulcerative stomatitis, and glossitis. What quitting smoking does to your body Some patients may also experience increased gingival bleeding. Smoking cessation treatment Nicotine is known to cause tachycardia, and overdose can lead to arrhythmias; therefore, dental hygienists should carefully monitor blood pressure and pulse rate in patients using nicotine replacement therapy. Hypnotherapy smoking cessation Caution should be used when administering local anesthetic with a vasoconstrictor to patients using these products. 3 benefits of quitting smoking 9

Dental hygienists should teach patients that they may not begin use of a nicotine replacement product until they have set a quit date and agree to stop smoking. Smoking cessation training and research programme They should also inform their patients that smoking while using nicotine products can lead to severe adverse cardiac events, including severe arrhythmias. Benefits of quitting smoking cold turkey Compliance with the recommended dosing regimen is essential to treatment success. Smoking cessation new drug Nicotine products are used in a step-down dosing regimen over a period of 12 weeks. What is the best smoking cessation product These products should be used with caution in patients with coronary artery disease, angina, hyperthyroidism, insulin-dependent diabetes, adrenal tumors, and in patients with diminished liver or kidney function. Smoking cessation by hypnosis The inhaler should not be used in patients with respiratory disease, and the nasal spray should not be used in those with chronic allergies, rhinitis, sinusitis, or nasal polyps. Uspstf smoking cessation guidelines Safety and efficacy of nicotine has not been tested in children. Smoking cessation laser therapy 9

Bupropion (Zyban ®) is an antidepressant medication used as an adjunctive therapy for smoking cessation. Smoking cessation specialist training This drug inhibits the reuptake of norepinephrine and dopamine, which keeps these neurotransmitters in the synapse for longer periods of time, thus increasing feelings of pleasure and well-being. Laser smoking cessation nj The drug reduces nicotine cravings. Smoking cessation counseling template Bupropion (Zyban ®) is dispensed in 150 mg tablets and is taken for up to 12 weeks. Cessation of smoking The patient takes 150 mg daily for the first three days and then increases to 150 mg twice daily for a seven to 12 week period. Quitting smoking by hypnosis The patient can begin taking the medication one week prior to stopping smoking. Smoking cessation hypnosis seminars 10

There are many drug interactions and precautions associated with this medication, and dentists must consult a drug reference guide to ensure compatibility prior to prescribing this drug. Smoking cessation groups Significant oral side effects include xerostomia and taste alteration. Benefits of quitting smoking and drinking This drug is associated with seizures, and the risk of seizure is dose-dependent and associated with the use of certain other medications. Health benefits of smoking cessation timeline Because Zyban ® increases norepinephrine, it may elevate blood pressure. Smoking cessation guidelines 2011 Treatment-emergent hypertension is associated with this medication when the drug is used alone and when used in combination with a transdermal nicotine patch. Level 2 smoking cessation training Dental hygienists should monitor vital signs and record blood pressure when treating patients taking this medication. Laser treatment for smoking cessation Caution should be used when administering local anesthetics with a vasoconstrictor. What does a smoking cessation nurse do 9

Varenicline (Chantix ™) is a new smoking cessation drug that directly stimulates dopamine activity but to a lesser extent than nicotine, thus reducing cravings and withdrawal symptoms. Smoking cessation antidepressant drugs It also prevents nicotine from stimulating the release of dopamine by occupying the nicotine receptor sites in the brain. Free smoking cessation hypnosis downloads Safety and efficacy of varenicline have not been established in children or with concurrent use of other cessation therapy drugs.

Increased side effects are observed when varenicline is used with nicotine replacement therapy. Drugs for smoking cessation Oral side effects include xerostomia and taste alteration. Smoking cessation drugs canada General side effects include insomnia, headache, abnormal dreams, and nausea. Smoking cessation benefits Varenicline is dispensed in 0.5 mg tablets and is used for up to 12 weeks. Benefits of smoking cessation Patients may begin taking the medication one week prior to their quit date. Laser for smoking cessation The patient takes 0.5 mg once daily for the first three days and then 0.5 mg twice daily for days four through seven. Definition of smoking cessation The patient is maintained on 1 mg twice daily for weeks two through 12. National smoking cessation If the patient successfully quits smoking during the 12 weeks, an additional 12 weeks of drug treatment can be used to help maintain success. What is the best smoking cessation aid If the patient does not quit during the initial 12 weeks of treatment, the medication should be discontinued and factors leading to failure should be reevaluated. Laser smoking cessation vancouver 9

Tobacco use produces multiple deleterious effects on the oral cavity, including increased gingival disease and risk for oropharyngeal cancer. Cold laser smoking cessation Cigarette smoking produces multiple effects on the periodontium, including local tissue ischemia, increased loss of attachment and bone, and decreased immunity. Laser smoking cessation treatment 2 This immunosuppressant effect on the host contributes to the growth of a more pathogenic bacterial flora within the biofilm. Smoking cessation training nhs 2 Increased calculus formation, oral debris, and staining are frequently apparent in smokers. B c smoking cessation program 2 Excellent plaque control measures should be encouraged, including mechanical plaque removal methods and use of chemotherapeutic adjuncts. Quit smoking cessation Brushing with Sonicare ®, with its patented fluid-dynamic technology, has been shown to significantly remove more plaque over the entire dentition as well as from interproximal spaces and other difficult-to-access areas. Benefits of quitting smoking after 3 years 11,12 Sonicare ® removes significantly more chlorhexidine and tobacco stain than manual toothbrushing. Quitting smoking hypnosis effectiveness 13

Even with good oral hygiene, smokers demonstrate a less favorable response to periodontal therapy than nonsmokers, thus cessation therapy is critical to help prevent further tissue destruction. Benefits of quitting smoking now However, periodontal complications may persist for years following smoking cessation. What does smoking cessation mean Dental hygienists should also teach their patients to perform regular self-examinations to screen for oral cancer and encourage frequent oral examinations and recall visits to maintain oral health.

For additional information about helping patients quit tobacco use, dental hygienists are referred to the American Dental Hygienists’ Association Ask, Advise, and Refer program and the National Network of Tobacco Cessation Quitlines. Quit smoking cessation nation 14,15 About the Author

Ann Eshenaur Spolarich, RDH, PhD, is a licensed dental hygienist with 27 years of clinical practice experience. Smoking cessation hypnosis audio She holds a PhD in physiology from the University of Maryland at Baltimore. Best smoking cessation programs Dr. Smoking cessation therapy Spolarich is an internationally recognized author and speaker on pharmacology and the care of medically complex patients. 5 a smoking cessation She is the course director of clinical medicine and pharmacology at the Arizona School of Dentistry and Oral Health, instructor and course director of pharmacology in the Audiology Department of the Arizona School of Health Sciences, a clinical associate professor at the USC Dental School, and a clinical instructor on the Dean’s Faculty at the University of Maryland Dental School. Smoking cessation quitline In addition to her teaching, Dr. Laser smoking cessation side effects Spolarich is an independent contractor, providing research and educational consulting services to both private and professional organizations. Smoking cessation laser therapy reviews She is chair of the ADHA Council on Research. Generic smoking cessation drugs Dr. Cpt code for smoking cessation counseling 2012 Spolarich practices dental hygiene part time in Sun City, Ariz., and in Annapolis, Md. Laser smoking cessation toronto She resides in Phoenix. List of smoking cessation drugs References

1. Laser smoking cessation nyc Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Benefits of quitting smoking weed Healthy People 2010. What is smoking cessation therapy 2006. Smoking cessation statistics Stock No. American cancer society smoking cessation training 017-001-00547-9. Treatment for smoking cessation Available at: www.healthypeople.gov/publications.

2. V code for smoking cessation counseling Grossi SG. Smoking cessation hypnosis london Effect of tobacco smoking and alcohol use on periodontal diseases. Smoking cessation self hypnosis Chapter 34. Smoking cessation billing guidelines 2015 In: Rose LF, Mealey BL, Genco RJ, Cohen DW. Quitting smoking hypnosis free Periodontics: medicine, surgery and implants. Online smoking cessation training programs St. Smoking cessation hypnosis success rate Louis: Elsevier Mosby, 2004; 868-880.

3. Importance of smoking cessation Christen AG, Christen JA. Smoking cessation hypnosis download The prescription of transdermal nicotine patches for tobacco-using dental patients: current status in Indiana. Smoking cessation videos J Indiana Dent Assoc 1992; 71(6):12-8.

7. Smoking cessation hypnosis mp3 Transdermal Nicotine Study Group. Smoking cessation training certification Transdermal nicotine for smoking cessation. Benefits of quitting smoking timeline Six-month results from two multicenter controlled clinical trials. Most effective smoking cessation JAMA 1991; 266(22):3133-8.

10. What is quitting smoking like Tonstad S, Johnston JA. Benefits of quitting smoking with electronic cigarettes Does bupropion have advantages over other medical therapies in the cessation of smoking? Expert Opin Pharmacother 2004; 5(4):727-34.

11. Smoking cessation drugs ontario Schaeken M, Sturm D, Master A, et al. Benefits of quitting smoking after 3 weeks A randomized, single-use study to compare the plaque removal ability of two power toothbrushes, the Sonicare® FlexCare and the Oral-B® Triumph Professional Care. Smoking cessation hypnosis Comp Cont Dent Educ 2007; 28(9) Suppl 1:29-34.

12. Hypnosis smoking cessation Milleman J, Putt MS, Sturm D, et al. Benefits of quitting smoking after 1 year A randomized, crossover design study to compare the plaque removal ability of two Sonicare power toothbrushes, Sonicare FlexCare and Elite 9000. Benefits of quitting smoking nhs Comp Cont Educ Dent 2007; 28(9) Suppl 1:23-8.

13. Smoking cessation training nz McInnes C, Johnson B, Emling RC, Yankell SL. Benefits of quitting smoking during pregnancy Clinical and computer-assisted evaluations of the stain removal ability of the Sonicare electronic toothbrush. Is smoking cessation primary prevention J Clin Dent 1994; 5(1):13-8.