Treatment Recommendations: Intensive Treatment (Continued)
Particular types of counseling strategies are especially effective. Practical counseling (problem-solving/skills-training approaches) and the provision of intra-treatment social support are associated with significant increases in abstinence rates.
Medications such as bupropion SR, nicotine replacement therapies, and varenicline consistently increase abstinence rates. Therefore, their use should be encouraged for all smokers except in the presence of contraindications or for specific populations for which there is insufficient evidence of effectiveness (i.e., pregnant women, smokeless tobacco users, light smokers, and adolescents). In some instances, combinations of medications may be appropriate. In addition, combining counseling and medication increases abstinence rates.
Tobacco dependence treatments are effective across diverse populations (e.g., populations varying in gender, age, and race/ethnicity).
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