Do you use any alternative or non-FDA-approved treatments for smoking cessation?
For a non-medication, non-nicotine option, NADA auricular acupuncture has had some evidence-based success in tobacco cessation. It can also be somewhat helpful for anxiety and insomnia. The results are not always mind-blowing, but the risks are also not high so, in general, the outcome tends to be w...
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Different forms of nicotine may be easier or harder to quit. One strategy is to get patients to slowly shift from smoking cigarettes to using tobacco-free nicotine pouches (not gum or lozenges, which have slow PK). Once the ritual of smoking is divorced from nicotine, my patients have an easier time...
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I've never prescribed anything beyond those three mentioned. I did have a patient with GAD who was anxious about quitting and finding better treatment for the GAD gave her the confidence to use nicotine replacement to successfully quit.
I have had more than one patient who was prescribed naltrexone ...
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My personal experience is very simple. It really does not matter what kind of addiction libation wants to conquer. As long as they have the desire to do so we will find a way.
Also depends on how deeply that person is motivated. The motivating items are the same across the board; health, love, and m...
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How about avoiding incarceration as a motivator? For some, even many with severe SUDs, having regular and/or random urine drug screens while on probation, in my experience, can be powerfully motivating. With my work as a consultant with the Nursing Board, the risk of loss of license is extremely mot...
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