#252 Smoking Cessation Unfiltered

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 25 January 2021

⏱️ 67 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Get all the details on varenicline, nicotine replacement therapy, and integrating psychosocial interventions into a comprehensive smoking cessation treatment plan! Smoking cigarettes is the leading cause of preventable death worldwide. Listen as our esteemed guest Dr. Steve Baldassarri (Yale) provides us expert pearls to help our patients quit smoking.

Credits

Written and produced by: Carolyn Chan, MD
Infographic: Edison Jyang
Cover Art: Kate Grant
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Cyrus Askin, MD (written materials); Clair Morgan of nodderly.com
Guest: Steve Baldassarri MD MHS

Sponsor: The American College of Physicians
Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years.

“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org. (Prices shown online at registration pages reflect Discounted Rates.)

Sponsor: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.

Time Stamps*

*Note: Time Stamps refer to ad free version.

03:02 Intro, disclaimer, guest bio
04:35 Guest one-liner
09:50 Tobacco Use Disorder - Chronic Disease
11:08 Case from Kashlak
11:56 Obtaining a history
13:39 Motivations for Smoking Cessation
15:29 Factors associated with challenges in smoking cessation:
21:40 Gradual Tapers vs Cold Turkey
25:18 Nicotine Replacement 32:40
28:57 Pharmacotherapy - “Controller” Medications
31:05 Pharmacotherapy - Short Acting Medications
33:20 Dosing Medications
38:35 Varenicline
39:00 Nicotine gum dosing
44:40 Duration of therapy
48:08 Bupropion
49:05 Behavioral Interventions
55:24 Vaping and electronic cigarettes
57:03 Vaping for smoking cessation
01:02:35 EVALI
01:05:49 Outro

Transcript

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0:00.0	We're sponsored by the American College of Physicians.
0:03.0	It's time for early bird registration for the Internal Medicine Meeting 2021.
0:08.0	This will be a three-day live streamed virtual experience April 29th through May 1st.
0:13.4	Visit annualmeeting.acponline.org.
0:18.2	Not an ACP member yet, then join now and save $330.
0:22.6	The Curb Siders podcast is for entertainment, education, and information purposes only.
0:29.5	And the topics discussed should not be used solely at Diagnostreat, cure, or prevent any diseases or conditions.
0:32.9	For the more the views and statements expressed on this podcast are solely those of those
0:35.0	and should not be interpreted to reflect official policy or position of any entity aside from possibly
0:37.7	cash-like morons, or anti-filiate outreach programs.
0:39.3	If indeed there are any, the fact that there are none.
0:41.1	Pretty much we aren't sponsored if you screw up, you should always do your own homework and let's know when we're on.
0:54.4	Welcome back to the Curb Siders and Paul, that sweet, sweet silence means that
0:59.1	Stuart is not here. Unfortunately, he is sick, so we're missing the great Stuart Brigham.
1:04.7	But with me is the great Dr. Paul Williams. Hi, Paul.
1:07.8	Hi, Matt. How are you?
1:09.3	Good. And on tonight's episode, Paul, this was a topic I don't know why we haven't done it now
1:14.2	until like beyond episode 250, but this is an episode where we talk about smoking cessation
1:20.3	with Steve Ballesari. And Paul, we were reminiscing after we finished recording that.
1:24.9	Addiction medicine was really, it was not a thing when I was in medical school or it was,
1:29.8	but it was very like underground, very niche, and it should probably be very mainstream.
1:34.2	And there were just some great points on this.
	...

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