A+ 2025
✔✔nicotine nasal spray - ✔✔dose: 3 mos
-start with 1-2 dose / hr and no more than 40 puffs per day
pos
- fast delivery and craving reduction
negative
-highest dependency
-backpain
-headaches
-nasal irritation or dysplasia
✔✔bupropion - ✔✔dose- 7-12 wks and most effective in smoking cessation
neg
-lower seizure threshold
-headaches
-insomnia
-dry mouth
-agitation
✔✔varenicline or chantix - ✔✔dose : 11 weeks and most effective in smoking cessation
neg
-nausea
-headaches
-insomnia
-CONTAINS QUITLINE FOR SMOKERS
✔✔clonidine - ✔✔-not fda approved for smoking cessation and most effective in
combination
neg
-dry mouth
-drowsiness
-constipation
-hypotension
✔✔nortriptyline - ✔✔-trycyclic antidepressant and not fda approved for smoking
cessation
, side effects
A) weight gain
B) dry mouth
C) hypotension
✔✔etiology of substance abuse - ✔✔-physiological dependence = getting high
-psychological= helps them cope with problems
- social/ cultural= peer or family may pressure them to use it
✔✔risk factors of substance abuse - ✔✔-great risk is at 21-35 and decreases with age
-men and women are equally affected
-unemployment increases risk for alcohol
- whites use illict drugs more
-history of psychiatric disorders
✔✔stages of use or substance abuse categories - ✔✔1) hazardous or at risk
2) abuse
3) dependence
✔✔abuse according to DSM IV - ✔✔-repetitive harm due to use over 12 mos with one
ore more of the following factors
A) failure to meet obligations
B) recurrent hazardous use
C) recurrent legal consequences
D) ongoing use even though it affects interpersonal relationships
✔✔dependence according to DSM IV - ✔✔-repetitive harm due to use over a 12 mos
period with 3-7 of the following factor
1) tolerance to substance
2) withdrawal after cessation
3) using more of the drug than intended
4) multiple failed attempts or persistent desire to quit
5) abnormal time spend with substance
6) important activities sacrificed
7) continued use even with knowledge of harm
✔✔DSM V - ✔✔- changes the DSM IV because it doesnt include alcohol abuse or
dependence and replaces it with alcohol use spectrum
mild = 2-3 symptoms listed in DSM4