SNP recommendation guidelines: Difference between revisions
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NZ summary (also limited counter indicators)
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|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. | |||
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|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. | |||
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|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. | |||
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* 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. | |||
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|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. | |||
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