It is very important, especially in the first ...

The patient should prepare themselves for the possibility of occurrence of withdrawal symptoms, especially in the first week of quitting, although the correct assignment of nicotine products should be as easy as possible symptoms or even eliminate them. One symptom of the desire to smoke will last long enough, periodically appearing to what the patient should be prepared in advance. 5. Need to remove all cigarettes and other tobacco products from the usual places of residence. The patient should ask family members and his colleagues not to leave cigarettes in prominent places, as well as possible not to smoke in his presence. It is very important, especially in the first 3 weeks of quitting. 6. People who quit smoking, the patient should not smoke any cigarettes. If this should happen, then the attempt must be considered unsuccessful and the patient should be prepared for the second attempt. The physician must maintain at this point the patient and explain the need for a new attempt. 7. If the patient has already been an attempt to quit smoking, your doctor with a patient should analyze why it failed, and the use of previous experience. 8. Because very often alcohol is a cause of unsuccessful attempts to quit smoking, the patient should be encouraged to significantly reduce or refuse to accept alcohol, especially in the first week of quitting. 2.3. Nicotine replacement therapy (NRT) The purpose of nicotine replacement therapy, exclusion or the maximum reduction in the symptoms of withdrawal. NRT must be considered in patients who have the degree of nicotine dependence on test Fagerstrema is 4 points or more (section 1.2). Currently registered in Russia and there are two types of nicotine products: Nicorette nicotine gum in doses of 2 and 4 mg dose inhaler (Section 5). Nicotine replacement therapy consists of two components: 1. Basic therapy, which is appointed for continuous use. Its aim to maintain the concentration of nicotine in the blood of the patient's usual level for him the first 12 weeks, to avoid the appearance of withdrawal symptoms. Then the level of basic therapy is gradually reduced until its complete abolition, as a result the level of nicotine in the blood decreases. 2. The addition of nicotine medications (CNP) at onset or exacerbation of withdrawal symptoms, as well as upon the occurrence of the situation, causing the patient's usual desire to smoke. Basic therapy consists of continuous use of gum. When you first visit it is prescribed for the degree of nicotine dependence 78 to 4 mg every 2 hours, and for nicotine addiction 4-6 - 2 mg every 2 hours. The first appointment basic treatment should include maximum doses of nicotine medications are recommended for the degree of nicotine dependence. According to many researchers, half of the unsuccessful attempts to stop smoking is associated with the appointment of small doses of IPV. After the second visit, baseline therapy may change (decrease) depending on the presence of withdrawal symptoms and being patient.