Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • number of cigarettes per day
  • time to first cigarette (TTFC) ≤30 minutes or >30 minutes
  • smokeless tobacco user
  • polysubstance abuse
  • seizure disorder
  • pregnancy or breastfeeding

Other diagnostic factors

  • history of depression
  • history of schizophrenia
  • hypertension
  • unstable cardiac disease
  • ventricular arrhythmia
  • asthma
  • TMJ or dental disorder

Risk factors

  • smoker
  • smokeless tobacco user

Diagnostic investigations

Treatment algorithm

Contributors

Authors VIEW ALL

Chairman

Pulmonary Department

Director

Pulmonary Education and Rehabilitation

Cleveland Clinic

Weston

FL

Disclosures

FFR has done research, consulting, and speaking for Boehringer Ingelheim, Shire, CSL Behring, and Grifol.

Fellow

Pulmonary medicine/Critical Care

Cleveland Clinic

Weston

FL

Disclosures

FH declares that he has no competing interests.

Dr Franck F. Rahaghi and Dr Felix Hernandez would like to gratefully acknowledge Dr Jose Gonzalez and Dr Theodore W. Marcy, previous contributors to this monograph. JG and TWM declare that they have no competing interests.

Peer reviewers VIEW ALL

Professor and Chair

Department of Family Medicine

Associate Dean for Faculty Affairs and Development

College of Human Medicine

Michigan State University

East Lansing

MI

Disclosures

WW declares that he has no competing interests.

Medical Director

Tobacco Cessation and Prevention

Providence St. Vincent Hospital and Medical Center

Portland

OR

Disclosures

CJB declares that he has no competing interests.

Department of Family Medicine

National Taiwan University Hospital

Taipei

Taiwan

Disclosures

FRG received a grant from Pfizer, the manufacturer of varenicline, for one of the 3rd phase clinical trials of varenicline. FRG has also been reimbursed by Pfizer, Novartis (the manufacturer of nicotine patch), and GSK (the manufacturer of bupropion SR and nicotine lozenge), for attending conferences, and receiving fees for giving speeches on smoking cessation.

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