What are the European Society of Cardiology/European Atherosclerosis Society (ESC/EAS) recommendations for smoking cessation?

Updated: May 25, 2018
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The ESC/EAS guidelines recommend strong public health measures, including smoking bans to protect from exposure to second-hand smoke. Other recommendations include the following [4] :

  • For children and adolescents: Ongoing education and encouragement not to smoke
  • For adults: utilize “5 As” for smoking cessation strategy in routine practice
  • Other family members who smoke should be encouraged to quit together with the patient
  • Nicotine replacement therapy, varenicline, or bupropion may be offered
  • Second-line drugs include the antidepressant nortriptyline and the antihypertensive drug clonidine, but these should only be used short-term because of adverse effects
  • No consistent evidence shows that acupuncture, acupressure, laser therapy, hypnotherapy, or electrostimulation are effective for smoking cessation
  • Smoking reduction cannot be recommended as an alternative

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