SNP recommendation guidelines - Revision history

HonestyInitiative: PRI

2022-11-19T15:12:20Z

PRI

@@ Line 164: / Line 164: @@
 * Availability hinges on authorised prescriber, special access, or personal importation scheme.
 * TGA has a [https://www.tga.gov.au/resources/resource/guidance/authorised-prescribers-unapproved-nicotine-vaping-products list of authorised prescribers] (GPs).
 |}

HonestyInitiative at 17:42, 16 October 2022

2022-10-16T17:42:52Z

← Older revision		Revision as of 18:42, 16 October 2022
Line 1:		Line 1:
	~~Some~~ countries ~~and medical organizations~~ have provided recommendations on which tobacco treatment cases might benefit from safer nicotine products as cessation ~~option~~.		Medical organizations in some countries have provided recommendations on which tobacco treatment cases might benefit from safer nicotine products as cessation pathway.

	== Canada ==		== Canada ==
Line 5:		Line 5:
	=== Lower-Risk Nicotine Use Guidelines (LRNUG) ===		=== Lower-Risk Nicotine Use Guidelines (LRNUG) ===
	{\| class="wikitable"		{\| class="wikitable"
			\|+
			!
			!
			\|-
	\|Link		\|Link
	\|https://www.nicotinedependenceclinic.com/en/lower-risk-nicotine-user-guidelin-es		\|https://www.nicotinedependenceclinic.com/en/lower-risk-nicotine-user-guidelin-es
Line 27:		Line 31:
	=== NICE guidelines (NG209) ===		=== NICE guidelines (NG209) ===
	{\| class="wikitable"		{\| class="wikitable"
			\|+
			!
			!
			\|-
	\|Link		\|Link
	\|https://www.nice.org.uk/guidance/ng209		\|https://www.nice.org.uk/guidance/ng209
Line 51:		Line 59:

	{\| class="wikitable"		{\| class="wikitable"
			\|+
			!
			!
			\|-
	\|Link		\|Link
	\|https://www.nhs.uk/live-well/quit-smoking/using-e-cigarettes-to-stop-smoking/		\|https://www.nhs.uk/live-well/quit-smoking/using-e-cigarettes-to-stop-smoking/
Line 74:		Line 86:
	=== Vaping products: Information for health care workers and stop-smoking services ===		=== Vaping products: Information for health care workers and stop-smoking services ===
	{\| class="wikitable"		{\| class="wikitable"
			\|+
			!
			!
			\|-
	\|Link		\|Link
	\|https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/tobacco-control-information-practitioners/vaping-products-information-health-care-workers-and-stop-smoking-services		\|https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/tobacco-control-information-practitioners/vaping-products-information-health-care-workers-and-stop-smoking-services
Line 101:		Line 117:
	=== VapingFacts ===		=== VapingFacts ===
	{\| class="wikitable"		{\| class="wikitable"
			\|+
			!
			!
			\|-
	\|Link		\|Link
	\|https://vapingfacts.health.nz/vaping-to-quit-smoking/		\|https://vapingfacts.health.nz/vaping-to-quit-smoking/

HonestyInitiative: add TGA summary

2022-10-12T14:42:37Z

add TGA summary

@@ Line 41: / Line 41: @@
 * Devices regulated according to EU TDP, notified to MHRA, covered under GPSR.
 * Not currently licensed as medicines.
-* People who smoke but can't/won't quit. can reduce harm by smoking less or substituting temporarily. Harm reduction benefits are uncertain, but may inspire full quitting.
+* People who smoke but can't/won't quit. can reduce harm by smoking less or substituting temporarily.
 |}
@@ Line 114: / Line 118: @@
 * Vaping is almost twice as effective as NRTs.
 * Goal: reducing the strength of your nicotine.
 |}

HonestyInitiative: NZ summary (also limited counter indicators)

2022-10-11T12:30:50Z

NZ summary (also limited counter indicators)

← Older revision		Revision as of 13:30, 11 October 2022
Line 15:		Line 15:
	\|-		\|-
	\|Considerations		\|Considerations
	\|E-cigarettes combined with behavioural are a suitable cessation aid.		\|
	Complete switch should be advised.		* E-cigarettes combined with behavioural are a suitable cessation aid.
			* Complete switch should be advised.
	No specific device type recommended.		* No specific device type recommended.
			* Advise that there's no long-term risk quantification yet.
	Advise that there's no long-term risk quantification yet.		* Continued use reduces relapse risk.

	Continued use reduces relapse risk.
	\|}		\|}

Line 39:		Line 37:
	\|-		\|-
	\|Considerations		\|Considerations
	\|E-cigarettes are applicable for nicotine substitution.		\|
	Devices regulated according to EU TDP, notified to MHRA, covered under GPSR.		* E-cigarettes are applicable for nicotine substitution.
			* Devices regulated according to EU TDP, notified to MHRA, covered under GPSR.
	Not currently licensed as medicines.		* Not currently licensed as medicines.
			* People who smoke but can't/won't quit. can reduce harm by smoking less or substituting temporarily. Harm reduction benefits are uncertain, but may inspire full quitting.
	People who smoke but can't/won't quit. can reduce harm by smoking less or substituting temporarily. Harm reduction benefits are uncertain, but may inspire full quitting.
	\|}		\|}

Line 60:		Line 57:
	\|-		\|-
	\|Considerations		\|Considerations
	\|Growing evidence e-cigarettes can be effective.		\|
	Using it as much as you need to and with the right strength of nicotine in your e-liquid.		* Growing evidence e-cigarettes can be effective.
			* Using it as much as you need to and with the right strength of nicotine in your e-liquid.
	Full benefit from vaping requires to stop smoking cigarettes completely.		* Full benefit from vaping requires to stop smoking cigarettes completely.
			* Expert help from local stop smoking service advised.
	Expert help from local stop smoking service advised.		* While nicotine is the addictive substance in cigarettes, it's relatively harmless.
			* For pregnancy, licensed NRT is advised, e-cigs only as fallback option.
	While nicotine is the addictive substance in cigarettes, it's relatively harmless.

	For pregnancy, licensed NRT is advised, e-cigs only as fallback option.
	\|}		\|}

Line 89:		Line 83:
	\|-		\|-
	\|Considerations		\|Considerations
	\|....		\|
			* Ministry of Health encourages smokers who want to use vaping products to quit smoking to seek the support of local stop smoking services.
			* Vaping products are a less harmful way of delivering nicotine than conventional tobacco cigarettes.
			* Expert opinion is that vaping products are much less harmful than smoking tobacco but not completely harmless.
			* Toxicants have been found in vapor, but in general, at levels much lower than found in cigarette smoke or at levels that are unlikely to cause harm.
			* When used as intended, vaping products pose no risk of nicotine poisoning to users. Short-term risks appear to no different than NRT, long-term quantification still unknown.
			* Combining vaping with behavioural support is likely to have comparable success rate to stop-smoking medication.
			* Stop smoking services should be ‘vaping friendly’, provide accurate information about benefits and risks, and advice about obtaining a suitable vaping product.
			* Anyone who is switching from smoking to vaping should stop smoking tobacco as soon as possible.
			* There is no international evidence that vaping products are undermining the long-term decline in cigarette smoking among adults and youth, and may in fact be contributing to it.
	\|}		\|}

Line 104:		Line 107:
	\|-		\|-
	\|Considerations		\|Considerations
	\|No device approved as an official stop-smoking medicine.		\|
			* No device approved as an official stop-smoking medicine.
	Has helped many people quit smoking.		* Has helped many people quit smoking.
			* Addresses the sensory, behavioural and social aspects.
	Addresses the sensory, behavioural and social aspects.		* NRT and medical options still exist.
			* Vaping is almost twice as effective as NRTs.
	NRT and medical options still exist.		* Goal: reducing the strength of your nicotine.

	Vaping is almost twice as effective as NRTs.

	Goal: reducing the strength of your nicotine.
	\|}		\|}

HonestyInitiative at 12:14, 11 October 2022

2022-10-11T12:14:02Z

← Older revision		Revision as of 13:14, 11 October 2022
Line 41:		Line 41:
	\|E-cigarettes are applicable for nicotine substitution.		\|E-cigarettes are applicable for nicotine substitution.
	Devices regulated according to EU TDP, notified to MHRA, covered under GPSR.		Devices regulated according to EU TDP, notified to MHRA, covered under GPSR.

	Not currently licensed as medicines.		Not currently licensed as medicines.

	People who smoke but can't/won't quit. can reduce harm by smoking less or substituting temporarily. Harm reduction benefits are uncertain, but may inspire full quitting.		People who smoke but can't/won't quit. can reduce harm by smoking less or substituting temporarily. Harm reduction benefits are uncertain, but may inspire full quitting.
	\|}		\|}

HonestyInitiative: NICE summary (not much, e.g. no counter indicators)

2022-10-11T12:13:25Z

NICE summary (not much, e.g. no counter indicators)

← Older revision		Revision as of 13:13, 11 October 2022
Line 39:		Line 39:
	\|-		\|-
	\|Considerations		\|Considerations
	\|....		\|E-cigarettes are applicable for nicotine substitution.
			Devices regulated according to EU TDP, notified to MHRA, covered under GPSR.
			Not currently licensed as medicines.
			People who smoke but can't/won't quit. can reduce harm by smoking less or substituting temporarily. Harm reduction benefits are uncertain, but may inspire full quitting.
	\|}		\|}

HonestyInitiative: All linebreaks count

2022-10-11T12:03:46Z

All linebreaks count

← Older revision		Revision as of 13:03, 11 October 2022
Line 57:		Line 57:
	\|Growing evidence e-cigarettes can be effective.		\|Growing evidence e-cigarettes can be effective.
	Using it as much as you need to and with the right strength of nicotine in your e-liquid.		Using it as much as you need to and with the right strength of nicotine in your e-liquid.

	Full benefit from vaping requires to stop smoking cigarettes completely.		Full benefit from vaping requires to stop smoking cigarettes completely.

	Expert help from local stop smoking service advised.		Expert help from local stop smoking service advised.

	While nicotine is the addictive substance in cigarettes, it's relatively harmless.		While nicotine is the addictive substance in cigarettes, it's relatively harmless.

	For pregnancy, licensed NRT is advised, e-cigs only as fallback option.		For pregnancy, licensed NRT is advised, e-cigs only as fallback option.
	\|}		\|}

HonestyInitiative: NHS summarization

2022-10-11T12:02:51Z

NHS summarization

← Older revision		Revision as of 13:02, 11 October 2022
Line 55:		Line 55:
	\|-		\|-
	\|Considerations		\|Considerations
	\|....		\|Growing evidence e-cigarettes can be effective.
			Using it as much as you need to and with the right strength of nicotine in your e-liquid.
			Full benefit from vaping requires to stop smoking cigarettes completely.
			Expert help from local stop smoking service advised.
			While nicotine is the addictive substance in cigarettes, it's relatively harmless.
			For pregnancy, licensed NRT is advised, e-cigs only as fallback option.
	\|}		\|}

HonestyInitiative: typo

2022-10-11T11:56:36Z

typo

← Older revision		Revision as of 12:56, 11 October 2022
Line 14:		Line 14:
	\|CAMH, Pharmacists for a Smoke-Free Canada (NGO)		\|CAMH, Pharmacists for a Smoke-Free Canada (NGO)
	\|-		\|-
	\|~~Consideratons~~		\|Considerations
	\|E-cigarettes combined with behavioural are a suitable cessation aid.		\|E-cigarettes combined with behavioural are a suitable cessation aid.
	Complete switch should be advised.		Complete switch should be advised.
Line 38:		Line 38:
	\|Gov UK / OHID		\|Gov UK / OHID
	\|-		\|-
	\|~~Consideratons~~		\|Considerations
	\|....		\|....
	\|}		\|}
Line 54:		Line 54:
	\|National Health Service		\|National Health Service
	\|-		\|-
	\|~~Consideratons~~		\|Considerations
	\|....		\|....
	\|}		\|}
Line 74:		Line 74:
	\|NZ Ministry of Health		\|NZ Ministry of Health
	\|-		\|-
	\|~~Consideratons~~		\|Considerations
	\|....		\|....
	\|}		\|}
Line 89:		Line 89:
	\|NZ Ministry of Health		\|NZ Ministry of Health
	\|-		\|-
	\|~~Consideratons~~		\|Considerations
	\|No device approved as an official stop-smoking medicine.		\|No device approved as an official stop-smoking medicine.

HonestyInitiative: more tables

2022-10-11T11:55:42Z

more tables

← Older revision		Revision as of 12:55, 11 October 2022
Line 5:		Line 5:
	=== Lower-Risk Nicotine Use Guidelines (LRNUG) ===		=== Lower-Risk Nicotine Use Guidelines (LRNUG) ===
	{\| class="wikitable"		{\| class="wikitable"
	!Link		\|Link
	!https://www.nicotinedependenceclinic.com/en/lower-risk-nicotine-user-guidelin-es		\|https://www.nicotinedependenceclinic.com/en/lower-risk-nicotine-user-guidelin-es
	\|-		\|-
	\|Audience		\|Audience
Line 28:		Line 28:

	=== NICE guidelines (NG209) ===		=== NICE guidelines (NG209) ===
			{\| class="wikitable"
	;Link: https://www.nice.org.uk/guidance/ng209		\|Link
	;Audience: GPs		\|https://www.nice.org.uk/guidance/ng209
	;By: Gov UK / OHID		\|-
			\|Audience
			\|GPs
			\|-
			\|By
			\|Gov UK / OHID
			\|-
			\|Consideratons
			\|....
			\|}

	=== Using e-cigarettes to stop smoking ===		=== Using e-cigarettes to stop smoking ===

	;Link: https://www.nhs.uk/live-well/quit-smoking/using-e-cigarettes-to-stop-smoking/		{\| class="wikitable"
	;Audience: PWS		\|Link
	;By~~: Gov UK / NHS~~		\|https://www.nhs.uk/live-well/quit-smoking/using-e-cigarettes-to-stop-smoking/
			\|-
			\|Audience
			\|PWS
			\|-
			\|By
			\|National Health Service
			\|-
			\|Consideratons
			\|....
			\|}

	== New Zealand ==		== New Zealand ==

	=== Vaping products: Information for health care workers and stop-smoking services ===		=== Vaping products: Information for health care workers and stop-smoking services ===
			{\| class="wikitable"
			\|Link
			\|https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/tobacco-control-information-practitioners/vaping-products-information-health-care-workers-and-stop-smoking-services
			\|-
			\|Link
			\|https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/vaping-smokefree-environments-and-regulated-products/position-statement-vaping
			\|-
			\|Audience
			\|GPs
			\|-
			\|By
			\|NZ Ministry of Health
			\|-
			\|Consideratons
			\|....
			\|}

			=== VapingFacts ===
			{\| class="wikitable"
			\|Link
			\|https://vapingfacts.health.nz/vaping-to-quit-smoking/
			\|-
			\|Audience
			\|PWS
			\|-
			\|By
			\|NZ Ministry of Health
			\|-
			\|Consideratons
			\|No device approved as an official stop-smoking medicine.

			Has helped many people quit smoking.

	~~;Link: https://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/tobacco-control-information-practitioners/vaping-products-information-health-care-workers-~~and~~-stop-smoking-services~~		Addresses the sensory, behavioural and social aspects.
	~~;Link: https://www.health~~.~~govt.nz/our-work/preventative-health-wellness/tobacco-control/vaping-smokefree-environments-and-regulated-products/position-statement-vaping~~
	~~;Audience: GPs~~
	~~;By: NZ Ministry of Health~~

	~~=== VapingFacts ===~~		NRT and medical options still exist.

	~~;Link: https://vapingfacts~~.~~health.nz/vaping-to-quit-smoking/~~		Vaping is almost twice as effective as NRTs.

	~~;Audience~~: ~~PWS~~		Goal: reducing the strength of your nicotine.
	~~;By: NZ Ministry of Health~~		\|}