Initiation and renewal of smoking cessation products by Registered Pharmacists
Guidelines for initiating the order:
1.Assess patients readiness to change smoking cessation habits and history of smoking includes pastattempts Assessment may be completed by other members of the Family Health Team
2.If patient is in preparation/action stage set stop smoking date.
3.Assess nicotine addiction using Revised Fagerstrom Nicotine Addiction Scale (Appendix 2)
4.If rating is greater than3/10 review pharmaceutical options, including nicotine replacement therapy(NRT).
5.If rating is less than 3/10 patient may not require medication.
6.Assess if any contraindications to bupropion (zyban), varenicline(champix), NRT-Nicotine ReplacementDosing information (Appendix 3).
7.Ensure other smoking cessation strategies (behavior modification and supportive) are in place for stopsmoking date.
8.Arrange follow-up appointment in person, if patient requests.
9.Order appropriate medication according to list of medications for smoking cessation (Appendix 1), asper usual standard with the family physicians name on the prescription.
10.Decision tree to address nicotine withdrawal (Appendix 4).
Appendix Attached? Yes No