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Nicotine Addiction

Kamala M. Nyamathi, MD and Benjamin N. Schneider, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

The compulsive use of nicotine products coupled with a lack of control over using, withdrawal symptoms, and/or continued use despite knowledge of or experiencing adverse consequences...

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 (2)[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]) (1).

  • Combined behav...

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
U.S. Preventive Services Task Force. Final recommendation statement: tobacco smoking cessation in adults, including pregnant women: behavioral and pharmacotherapy interventions. https://ww...

ADDITIONAL READING

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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