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Nicotine Replacement Strategy for a 30-Year-Old Smoker

Nicotine Replacement Strategy for a 30-Year-Old Smoker

In a 30-year-old otherwise healthy adult who smokes one pack daily, a combination nicotine replacement therapy (NRT) regimen would be the most effective. Starting with the nicotine transdermal patch (NicoDerm CQ) of 21 mg/24 hours once daily facilitates a slow and continuous release of nicotine to diminish the severity of withdrawal symptoms. The patient should be dispensed a 28-patch supply for four weeks. The patch is an agonist in relation to the nicotinic receptors, and it provides long-lasting relief based on the substitution of the effect of nicotine without the harmful byproducts of combustion (Sandhu et al., 2023): Nicotine Replacement Strategy for a 30-Year-Old Smoker.

To manage acute cravings, nicotine polacrilex gum 4 mg is recommended, to be chewed every 1-2 hours as needed, up to 24 pieces daily. A box of 100 pieces should be dispensed. This short-acting NRT complements the patch by providing behavioral flexibility for triggers like stress or meals. If additional support is needed, bupropion SR (Zyban), a norepinephrine-dopamine reuptake inhibitor, may be prescribed at 150 mg orally once daily for three days, then 150 mg twice daily, with 60 tablets dispensed for 30 days. Bupropion helps reduce cravings and is safe for patients without seizure risk (Huecker et al., 2024).

Financial help involves ACA coverage requirements to cover cessation treatment for the majority of patients with insurance coverage and Medicaid in multiple states. Quitline programs and discount cards are available to provide free or reduced NRT costs. Coverage mandates such as Grading A recommendation by the U.S. Preventive Services Task Force support mandates to achieve greater access and compliance with coverage free of charge (Ercia, 2021).

The identified key collaborators are the primary care provider (prescriber), the pharmacist (education, safety), the behavioral therapist (CBT or motivational interviewing), and a social worker (linking to financial or community resources). Combined, this professional team offers a constructive, comprehensive quitting plan that gives added chances of successfully quitting (Boylan et al., 2024).

References

Boylan, P., Knisley, J., Wiskur, B., Nguyen, J., Lam, K., Hong, J., & Caballero, J. (2024). Pharmacist-social worker interprofessional relations and education in mental health: A scoping review. PeerJ, 12(57), e16977. https://doi.org/10.7717/peerj.16977

Ercia, A. (2021). The impact of the Affordable Care Act on patient coverage and access to care: Perspectives from FQHC administrators in Arizona, California, and Texas. BioMed Central Health Services Research, 21(1), 1–9. https://doi.org/10.1186/s12913-021-06961-9

Huecker, M. R., Smiley, A., & Saadabadi, A. (2024, September 2). Bupropion. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470212/

Sandhu, A., Hosseini, S. A., & Saadabadi, A. (2023, November 12). Nicotine replacement therapy. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493148/

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Question 

Unit 10 Discussion 

Using clinical judgment and evidence based support, specifically design a strategy of nicotine replacement for a 30-year-old, otherwise healthy patient who smokes 1 pack a day.

The patient specific details are yours to develop and consider to support your choices.

The non-prescription medication if any, AND the prescription details must be present.

You may apply more than one prescription:

Nicotine Replacement Strategy for a 30-Year-Old Smoker

Nicotine Replacement Strategy for a 30-Year-Old Smoker

  • For each the drug name, dose, route, frequency of administration and if prescribed, the quantity to dispense must be present.
  • Include the drug class details
  • Justify your reasoning
  • What cost measures and financial support are typically available for nicotine replacement therapy?
  • How does policy impact cessation measures?
  • Include key interdisciplinary collaborators in this treatment plan.
  • Provide 3 evidence based references for your stance using standard APA format.

Cite every paragraph appropriately.