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Fred is a 55-year-old male patient with a 78 pack per year history of smoking and he states he would like to quit. First, I would like to commend him on this decision because tobacco use is the cause of 20 % deaths in America (Dunphy et al., 2019). Then I would like to discuss smoking cessation counseling and medications since both when used together are more effective (DynaMed, n.d.). The CDC also has a hotline 1-800-quit-now that can be helpful and tele visits can be used to follow up more frequently and conveniently. Some medication options include nicotine replacement therapy (NRT) options like the patch, gum and lozenge which have different strategies for weaning down the amount of nicotine used (DynaMed, n.d.). For example, the dose of the nicotine patch should be chosen based on the amount of cigarettes smoked per day; our patient would start with 21mg patch daily for 4-6 weeks and then decreased to 14mg for two weeks and then 7mg for two weeks (DyanMed, n.d.). Other medication options are Chantix or bupropion, which are non-nicotine, and work to deter smoking and should be started 1-2 weeks prior to quit date (Dunphy et al., 2019).
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