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A free online accredited CPD program for healthcare professionals

New Approaches to Tobacco Use Disorder: A focus on Nicotine Replacement Therapy

1.00 Canadian Council On Continuing Education In Pharmacy (CCCEP) CEU(s)

Program available online until: May 23, 2018

This continuing education lesson is designed primarily for pharmacists and has been accredited by the Canadian Council on Continuing Education in Pharmacy (CCCEP)
for 1.00 CEU(s).

Intervening into Tobacco Use

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Despite efforts to reduce smoking rates in Canada, about 3.9 million Canadians (13.9% of the population) continue to smoke, with most smoking on a daily basis (9.3%). Recently, there have been changes to the approved labelling (licenses) of some NRT products in Canada, which include use in combination with one another (i.e., nicotine patch in combination with a short acting form of NRT such as gum, lozenge, inhaler or mouth spray) and use while still smoking as part of a “reduce to quit” strategy or a “pre-quit NRT.” This lesson will focus on the updated approved product labelling of some long and short acting NRT products, in particular with their use in combination, to help healthcare providers better understand how these products can be used to assist tobacco users with a quit attempt.

Planning Committee

  • Ron Pohar, BScPharm, APA.
  • Simon Lessard, B.Pharm, MBA, CRE, CTE.
  • John Shaske, BSc(Pharm), ACPR, RPH.

Learning Objectives

Upon completion of this program, participants will understand:

  • Tobacco use disorder and why unassisted cessation (i.e., will power alone) is generally not an effective means of smoking cessation
  • The 3As quick counselling approach and the rationale for its use
  • The rationale for using combination nicotine replacement therapy (NRT) in smoking cessation
  • The efficacy and safety of combination NRT in smoking cessation
  • How “Reduce to Quit” with NRT can help patients quit smoking

Questions answered by our expert: Milan Khara, MD ChB, CCFP, cert. ASAM

  • What has been your experience using pre-cessation NRT? If you have not yet used this approach, what type of patient do you think this approach might appeal to?
  • In what types of patients do you find the Reduce to Quit Strategies most effective?
  • What do you feel are the key challenges or barriers to using combination NRT in your practice?
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