The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog ran from 2006 to 2016 and was intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Guidelines for treating tobacco dependence

     Very few healthcare providers know them, according to this survey presented during the annual meeting of the American College of Chest Physicians (CHEST 2008).

    Researcher Dr. Virginia Reichert at North Shore-Long Island Jewish Hospital in Great Neck was “astonished.”

    First, the details.

    • 600 prescribers and nonprescribers were surveyed.
      • MDs, osteopaths, physician assistant and nurse practitioners, nurses, respiratory therapists, pharmacists, drug and alcohol counselors, and social workers
    • The survey included 17 questions on the prevalence of smoking, tobacco treatment guidelines, cessation pharmacotherapy, nicotine drug interactions, and symptoms of nicotine withdrawal.

    And, the results.

    • Fewer than 10% of prescribers and non-prescribers knew the following.
      • Tobacco dependence guidelines are available.
      • Symptoms of nicotine withdrawal

    About half or more did not know…

    • About drug interactions with smoking cessation therapies or contraindications of other drugs
    • Effect of smoking cessation on prescribed medications
    • Insulin requirements drop 30% within 24 hours of smoking cessation.
    • Warfarin (Coumadin) requirements begin to drop with abrupt cessation.

    The bottom line?
    If you’re interested, the Agency for Healthcare Research and Quality of the US Department of Health and Human Services has published guidelines for treating tobacco use and dependence here.

    10/31/08 17:12 JR

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