77. For the Patient Who Has Recently Quit (Continued)

Treating Tobacco Use and Dependence: 2008 Update

Text version of slide presentation.

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Addressing problems encountered by former smokers (Continued)

Weight gain
  • Recommend starting or increasing physical activity.
  • Reassure the patient that some weight gain after quitting is common and is usually self-limiting.
  • Emphasize the health benefits of quitting relative to the health risks of modest weight gain.
  • Emphasize the importance of a healthy diet and active lifestyle.
  • Suggest low-calorie substitutes such as sugarless chewing gum, vegetables, or mints.
  • Maintain the patient on medication known to delay weight gain (e.g., bupropion SR, NRTs, particularly 4 mg nicotine gum, and lozenge).
  • Refer the patient to a nutritional counselor or program.
Smoking lapses
  • Suggest continued use of tobacco use medications, which can reduce the likelihood that a lapse will lead to a full relapse.
  • Encourage another quit attempt or a recommitment to total abstinence.
  • Reassure that quitting may take multiple attempts and use the lapse as a learning experience.
  • Provide or refer for intensive counseling.

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Page last reviewed October 2014
Page originally created September 2012
Internet Citation: 77. For the Patient Who Has Recently Quit (Continued). Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slide77.html