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Nicotine Addiction

Sarah E Nickolich, MD and Meghan E Reeves, MD Reviewed 06/2022
 


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 (1)[A
  • Counseling interventions (individual, telephone, or group) improve quit rates compared to minimal support (relative risk [RR] of 1.76 [95% CI 1.58–1.96]).

  • Combined behavior...

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
Stead  LF, Buitrago  D, Preciado  N, et al. Physician advice for smoking cessation. Cochrane Database Syst Rev.  2013;(5):CD000165. [View Abstract on OvidMedli...

ADDITIONAL READING

  • Centers for Disease Control and Prevention. Youth and tobacco use. https://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm. Accessed Sept...

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.

  • Follow-up is key to continuing engagement and providing additiona...

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