Case scenario

Harold, a 68–year–old man who regularly visits your pharmacy, has come in today to have a new prescription dispensed for isosorbide mononitrate controlled–release 60 mg tablets (one daily) for recent episodes of angina. Harold isn’t happy. He tells you his wife and his GP want him to quit smoking because of his heart. However, when he has tried to quit in the past it was too hard, he believes it is because he has been smoking for too long. He has a 40 pack–year history. Harold knows smoking isn’t good for his health and would like to stop but finds the habit too hard to break.

When counselling him on his prescription, what advice would you give to encourage him to consider quitting smoking again?

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Describe the health risks associated with cigarette smoking
  • Discuss the difficulties many patients face when trying to cease smoking
  • Identify the most common therapies in smoking cessation, in particular nicotine-replacement therapy, and counselling points for patients
  • Describe how pharmacists can support patients attempting to cease smoking.

Competency standards addressed (2016): 1.1, 1.3, 2.1, 2.4, 3.1, 3.2, 3.5, 3.6

This article was produced in partnership with Johnson & Johnson.

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Introduction

Cigarette

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