Diagnosis and treatment of nicotine dependence with emphasis on nicotine replacement therapy / David J.K. Balfour (2000)  

Public Titre : Diagnosis and treatment of nicotine dependence with emphasis on nicotine replacement therapy : a status report Type de document : document électronique Auteurs : David J.K. Balfour, Auteur ; Neal L. Benowitz, Auteur ; Karl Fagerström, Auteur ; M. Kunze, Auteur ; U. Keil, Auteur Editeur : European Respiratory Society (ERS) Année de publication : 2000 Collection : European Respiratory Journal num. 21 Importance : p.438-445 Langues : Anglais (eng) Catégories : [TABAC] sevrage tabagique:méthode de sevrage:méthode individuelle:approche pharmacologique:substitution nicotinique [TABAC] tabagisme:dépendance tabagique:dépendance pharmacologique [TABAC] tabagisme:évaluation du tabagisme:test de dépendance à la nicotine Index. décimale : TA 4.2.2.1 Dépendance à la nicotine Résumé : Tobacco use is a global health care problem. Repetitive exposure to nicotine produces neuroadaptation resulting in nicotine dependence. Cigarette smoking is particularly addictive due to the repeated delivery of bolus doses of nicotine to the bloodstream. Although compulsive tobacco use is sustained by nicotine addiction, it is the toxic combustion products in tobacco smoke such as carbon monoxide and oxidant gases that adversely affect the cardiovascular system. Smoking cessation produces significant health benefits and is a very cost-effective intervention. Evidence that nicotine is the addictive component of tobacco provides the rationale for using nicotine replacement therapy to aid cessation. Nicotine replacement therapy doubles successful smoking cessation rates and evidence-based guidelines for the treatment of tobacco addiction recommend routine use of nicotine replacement therapy, particularly in heavily dependent smokers. Success rates of up to 40% can be achieved in specialist clinics. Despite early concerns regarding the safety of nicotine replacement therapy in smokers with heart disease, it is now clear that the health risks of using nicotine replacement therapy to assist such patients to stop, or significantly reduce, smoking far outweigh any treatment-related risks. En ligne : https://doi.org/10.1053/euhj.1999.1949 Format de la ressource électronique : Article en ligne Permalink : https://biblio.fares.be/opac_css/index.php?lvl=notice_display&id=10348

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