SNP recommendation guidelines: Difference between revisions

Safer nicotine wiki Tobacco Harm Reduction
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|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.
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Revision as of 13:13, 11 October 2022

Some countries and medical organizations have provided recommendations on which tobacco treatment cases might benefit from safer nicotine products as cessation option.

Canada

Lower-Risk Nicotine Use Guidelines (LRNUG)

Link https://www.nicotinedependenceclinic.com/en/lower-risk-nicotine-user-guidelin-es
Audience GPs
By CAMH, Pharmacists for a Smoke-Free Canada (NGO)
Considerations E-cigarettes combined with behavioural are a suitable cessation aid.

Complete switch should be advised.

No specific device type recommended.

Advise that there's no long-term risk quantification yet.

Continued use reduces relapse risk.

UK

NICE guidelines (NG209)

Link https://www.nice.org.uk/guidance/ng209
Audience GPs
By Gov UK / OHID
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.

Using e-cigarettes to stop smoking

Link https://www.nhs.uk/live-well/quit-smoking/using-e-cigarettes-to-stop-smoking/
Audience PWS
By National Health Service
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.

New Zealand

Vaping products: Information for health care workers and stop-smoking services

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
Considerations ....

VapingFacts

Link https://vapingfacts.health.nz/vaping-to-quit-smoking/
Audience PWS
By NZ Ministry of Health
Considerations No device approved as an official stop-smoking medicine.

Has helped many people quit smoking.

Addresses the sensory, behavioural and social aspects.

NRT and medical options still exist.

Vaping is almost twice as effective as NRTs.

Goal: reducing the strength of your nicotine.