SNP recommendation guidelines: Difference between revisions
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Medical organizations in some countries have provided recommendations on which tobacco treatment cases might benefit from safer nicotine products as cessation pathway. | |||
== Canada == | == Canada == | ||
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=== Lower-Risk Nicotine Use Guidelines (LRNUG) === | === Lower-Risk Nicotine Use Guidelines (LRNUG) === | ||
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|https://www.nicotinedependenceclinic.com/en/lower-risk-nicotine-user-guidelin-es | |https://www.nicotinedependenceclinic.com/en/lower-risk-nicotine-user-guidelin-es | ||
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=== NICE guidelines (NG209) === | === NICE guidelines (NG209) === | ||
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|https://www.nice.org.uk/guidance/ng209 | |https://www.nice.org.uk/guidance/ng209 | ||
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* 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. | |||
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|See also | |||
|[https://www.gov.uk/government/publications/nicotine-vaping-in-england-2022-evidence-update Nicotine vaping in England: 2022 evidence update] | |||
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|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/ | ||
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=== Vaping products: Information for health care workers and stop-smoking services === | === Vaping products: Information for health care workers and stop-smoking services === | ||
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|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 | ||
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=== VapingFacts === | === VapingFacts === | ||
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|https://vapingfacts.health.nz/vaping-to-quit-smoking/ | |https://vapingfacts.health.nz/vaping-to-quit-smoking/ | ||
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* Vaping is almost twice as effective as NRTs. | * Vaping is almost twice as effective as NRTs. | ||
* Goal: reducing the strength of your nicotine. | * Goal: reducing the strength of your nicotine. | ||
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== Australia == | |||
=== Nicotine vaping products: Information for prescribers === | |||
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|https://www.tga.gov.au/resources/resource/guidance/nicotine-vaping-products-information-prescribers | |||
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|Audience | |||
|GPs / PWS | |||
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|Therapeutic Goods Administration | |||
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|Considerations | |||
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* NVPs are Schedule 4 (prescription only) medicines, but remain 'unapproved'. | |||
* Their potential efficacy for smoking cessation is currently mixed. | |||
* [https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/supporting-smoking-cessation/tobacco-harm-reduction RACGP guideliness] apply, and NVPs are '''not first line treatment''' for smoking cessation. | |||
* 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). | |||
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== US == | |||
=== PRI: Position on Vaping / Harm Reduction === | |||
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|https://www.physiciansresearchinstitute.org/harm-reduction/ | |||
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|GPs | |||
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|Physicians Research Institute | |||
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|Considerations | |||
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* Today’s cigarattes are more difficult to quit. Standard treatment has a noticeable failure rate. | |||
* Physicians misperceive the relative risks of nicotine in comparison to combustion. | |||
* NVPs are a legal alternative, 20 times less harmful than continued smoking. | |||
* Switching measurably reduces harm, and might even help even those not intending to quit. | |||
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