Is Proud to Present our Monthly Webinar Series: Hot Topics in Tobacco Cessation & Secondhand Smoke Exposure Reduction Tuesday, February 5, 2008 12- 1 pm MT GoToMeeting: https://www1.gotomeeting.com/register/136586400 Call-in #: 888-305-2039 passcode: 74375# If you have any technical difficulties, please call 720-297-1681. Presented by Elizabeth Kraft, MD, MHS with support from:
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Is Proud to Present our Monthly Webinar Series: Hot Topics in Tobacco Cessation & Secondhand Smoke Exposure Reduction Tuesday, February 5, 2008 12- 1 pm.
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Is Proud to Present our Monthly Webinar Series:
Hot Topics in Tobacco Cessation & Secondhand Smoke Exposure
March 4 12 – 1 MTWebinar on QuitLine: What Colorado Physicians Need to Know
About QuitLine
•7 days/week
•Free coaching
•Free NRT patches x 1 month
•English, Spanish
•Special protocols for teens, pregnancy, smokeless
www.coloradoguidelines.org/tobacco
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Have Tools Readily Available
Order free supplies at:
www.steppitems.com
www.coloradoguidelines.org/tobacco
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www.coloradoguidelines.org/tobaccoA Resource for You
•Webinar recordings
•Calendar of events
•Training request forms
•Current research
•Funding opportunities
•Professional development
www.coloradoguidelines.org/tobacco
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Question: How Can I Do a Better Job of Tobacco Cessation in My Practice?
“Insanity: Doing the same thing over and over again and expecting different results.”
-Albert Einstein
www.coloradoguidelines.org/tobacco
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Tobacco Cessation
Obesity
Diabetes
Apply these systems changes to other chronic conditions
Answer: Practice redesign with tobacco cessation guideline integration as the
process
www.coloradoguidelines.org/tobacco
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•Process:•Use the tobacco cessation/SHS guideline: 2A/1R•Lunch session with entire office staff: “TRIA” exercise•Why tobacco cessation is important for your practice•Brainstorm implementation goals for each team staff member•Make changes after each patient
View a video simulation of aTobacco Rapid Improvement Activity (TRIA)
www.coloradoguidelines.org/tobacco
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What really works, how do we prescribe, and what should we be looking for? What is the buzz about Chantix?
It is recommended by the national PHS guideline to offer pharmacotherapy support, if there are no contraindications, as integral to tobacco cessation efforts.
Hot Topic: Pharmacotherapy
May 20 12 – 1 MTWebinar: Pharmacotherapy for Tobacco Cessation: Treatment Update & Clinical Pearls
www.coloradoguidelines.org/tobacco
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Pharmacotherapy
•Doubles cessation rates•Can use >1 NRT•Additive therapies •Long term usage•Tailor to your patient
www.coloradoguidelines.org/tobacco
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% Quit Rates at 6 Months
Am Fam Phys July 2006 page 263; JAMA July 2006
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www.coloradoguidelines.org/tobacco
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Recent Headlines
• “Is Stopping Smoking a Suicide Risk?”
• “Chantix Suicidal Ideation Reports Doubled in 2 Months”
• “Girlfriend Believes Chantix contributed to Texas Musician’s Death”
www.coloradoguidelines.org/tobacco
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Chantix: Update• Chantix pharmacology:
Selective nicotinic 4 β2 receptor partial agonist. Results in 30% less DA release than nicotine (lower craving) + antagonistic action that blocks reward properties (decrease satisfaction)
• Chantix labeling update: In January 2008, the CHANTIX product insert was updated to
include a warning that patients who are attempting to quit smoking with CHANTIX should be observed for serious neuropsychiatric symptoms, including changes in behavior, agitation, depressed mood, suicidal ideation and suicidal behavior.
• What should I be doing with this new information? Observe all patients, including Chantix patients, for potential
neuropsychiatric symptoms while trying to quit. Monitor frequently. Discuss risks of smoking, benefits of quitting, withdrawal symptoms, strategies to deal with withdrawal, support options (such as the QuitLine), & other pharmacotherapy options.
www.coloradoguidelines.org/tobacco
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Hot Topic: SNUS/SLT/PREP- the Next Generation of Tobacco