Meta-analyses of randomised controlled trials (RCTs) have shown that, when accompanied by brief counselling, varenicline or combination NRT (patch plus rapidly acting form) almost triples the odds of quitting when compared with placebo at six months’ follow up. The current options are nicotine replacement therapy (NRT various forms available), varenicline and sustained-release bupropion. First-line pharmacotherapy options are medicines for which there is high-level evidence of effectiveness and safety, in addition to being licensed in Australia for smoking cessation. Pharmacotherapy can assist smoking cessation for people who are nicotine dependent. Reproduced with permission from The Royal Australian College of General Practitioners, Supporting smoking cessation: A guide for health professionals, 2nd edn, East Melbourne, Vic: RACGP, 2019, p. For some people it can be helpful to rehearse how to say no to a cigarette offer.Suggest avoidance of high-risk social situations early in the quit attempt.Point out that health benefits of quitting far exceed any adverse health effects of weight gain.Suggest strategies to minimise weight gain: healthy diet avoid high-fat and high-sugar foods and drinks regular physical activity. 1 However, national targets to reduce daily smoking to 13 kg) Australia has been a global leader in tobacco control and has one of the lowest rates of daily smoking in the world (currently 12.2%).
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