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Nicotine Addiction

Boyd S Malphrus, MPAS (Masters in Physician Assistant Studies), BA, Kristen EB Said, MPH, MD and Elizabeth H Carver, DNP, FNP-BC, CNE Reviewed 04/2024
 


BASICS

DESCRIPTION

Nicotine addiction is characterized by the compulsive use of nicotine products coupled with a lack of control over using, withdrawal symptoms, and/or continued use despite knowledge ...

DIAGNOSIS

HISTORY

  • Identify types, amount, and duration of nicotine products used.

  • Review previous attempts to quit (methods used and duration of cessation).

PHYSICAL EXAM

  • Pulmonary exam: wheezing, decreas...

TREATMENT

Counseling 
  • Counseling interventions (individual, telephone, or group) improve quit rates compared to minimal support.

  • More intensive interactions (i.e., motivational interviewing, close follo...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Patients who have initiated therapy should follow up after 1 to 2 weeks to monitor response and side effects.

  • Monitor for signs of nicotine withdrawal syndrome and...

REFERENCES

1
Cornelius ME, Wang TW, Jamal A, et al. Tobacco product use among adults—United States, 2019. MMWR Morb Mortal Wkly Rep. 2020;69(46):1736-1742.
2
Wang TW, Neff LJ, Park-Lee E, et al. E-cigare...

CODES

ICD10

  • F17.200 Nicotine dependence, unspecified, uncomplicated

  • F17.201 Nicotine dependence, unspecified, in remission

  • F17.203 Nicotine dependence unspecified, with withdrawal

  • F17.210 Nicotine depende...

CLINICAL PEARLS

  • Nicotine dependence is a chronic disease and will often require repeated interventions and multiple cessation attempts.

  • No single type of medication is best; thus, the choice should be ...

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