Tobacco and nicotine dependency, prevention and treatment

Current Care Summary
Working group appointed by the Finnish Medical Society Duodecim and the Finnish Association for General Practice

Current Care Guideline «Tupakka- ja nikotiiniriippuvuuden ehkäisy ja hoito»1 and Summary «Tupakka- ja nikotiiniriippuvuuden ehkäisy ja hoito»2 in Finnish

Tobacco dependency is a severe disease, which causes serious health hazards. Prevention of smoking should target families and children at the age of 10–16 years. Health care professionals should evaluate smoking status, motivation to cessation, and physical and psychological dependence, especially when treating patients with tobacco associated diseases. In cessation brief interventions, motivational interviewing and medications (varenicline, bupropion, nortriptyline, nicotine replacement) should be used. Cessation support 1–2 weeks, 1 and 3 months after cessation start should be organized with strong craving even more often. Group support helps many in cessation.

Klas Winell (Chair)

Marja Pöllänen

Pilvikki Absetz

Heikki Ekroos

Tiina Kortteisto

Terhi Kurko

Hanna Ollila

Matti Rautalahti

Annamari Rouhos