Med. praxi 2013; 10(8-9): 294-296

Current treatment of tobacco dependence

MUDr.Alexandra Kmeťová^{1, 2}, doc.MUDr.Eva Králíková, CSc.^{1, 2}

¹ Ústav hygieny a epidemiologie, 1. lékařská fakulta a Všeobecná fakultní nemocnice, Univerzita Karlova v Praze

² Centrum pro závislé na tabáku III. interní kliniky – kliniky endokrinologie a metabolizmu, 1. lékařská fakulta a Všeobecná fakultní nemocnice, Univerzita Karlova v Praze

Tobacco dependence is a chronic relapsing disease with psychosocial and physical component. Both characteristics of the disease require

treatment – psychosocial intervention and pharmacotherapy. The intensity of the treatment will vary according to the therapist time

possibilities from short interventions (within 5 minutes) up to intense and prolonged treatment. Currently we have 3 types of first-line

medications available – nicotine replacement therapy, which is available OTC in pharmacy and two drugs on prescription – varenicline

and bupropion. First contact physicians should pay attention to tobacco dependence, at least ask about smoking, recommend stopping

and offer brief intervention to each patient. If the smoker needs more intensive treatment that exceeds the available time of the clinician,

the patient may be reffered to any of Centers for Tobacco-Dependent from the current list available on SLZT.CZ.

Keywords: tobacco dependence, treatment, clinical practice, nicotine, bupropion, varenicline

Published: September 15, 2013  Show citation