With vaping-related illnesses are at an all-time high, staying on top of the news and counseling patients properly are some ways that pharmacists can help fight the epidemic, according to a session at the ASHP (American Society of Health-System Pharmacists) 54th Midyear Clinical Meeting & Exhibition in Las Vegas.
Full Answer
Should pharmacists switch to vaping to treat tobacco use?
She is one of more than 20 pharmacists who provide disease state management services, including tobacco cessation, at IU’s network of primary care clinics. “Every patient asks me that question, ‘Should I switch to vaping?’” Hiday said. “I always suggest, ‘No.’”
How can I Manage my vaping urges?
Recognizing emotions that trigger vaping urges can help you take more productive steps to manage those emotions, like talking to loved ones or journaling about them. Once you quit vaping, the first week (or two or three) might be a little rough. As part of withdrawal, you’ll probably also experience cravings, or a strong urge to vape.
What do pharmacists do to help patients quit smoking?
The pharmacists provide tobacco cessation counseling and other services by referral from the health center’s medical staff. Maack said tobacco cessation sessions usually last about 30 minutes, with follow-up sessions scheduled as often as the patient needs them. “We don’t charge any money for patients to see us,” Maack added.
Why are so many people quitting vaping?
One key reason for quitting might be concern over possible health effects of vaping. Since e-cigarettes are still fairly new, medical experts haven’t fully determined their short- and long-term health effects. However, existing research has linked chemicals in e-cigarettes to: lung and respiratory issues
Who makes vaping products?
How long does a tobacco cessation session last?
Can you vape in Indiana?
About this website
Who to talk to to stop vaping?
Call 1-800-QUIT-NOW or 1-877-44U-QUIT to talk with a tobacco cessation counselor. You can also chat online using the National Cancer Institute's LiveHelp service. Dealing with people who don't get it. Some important people in your life may not understand your decision to quit.
How can I help my friend who is vaping?
A little can do a lotAsk them how they are.Remind them you're there.Be positive.Go to smokefree places.Do active things.Remind them why they're quitting.Take them to a vape store.
Can a doctor prescribe you a vape?
There are currently no vaping products approved for prescription use. Medical approval is a much more complex and expensive process than the licensing procedure for consumer products.
How can students stop vaping?
Here are some practical steps schools can take to prevent and reduce teen vaping.Start Tobacco Education Classes.Peer-to-Peer Education.Getting Parents Involved in Tobacco-Related Education.Implement an Anonymous Reporting System to Report Vaping On Campus.Offer Counseling for Stress, Mental Health, and More.More items...•
How can I stop vaping?
How Can I Quit?Decide why you want to quit and write it down or put it in your phone. ... Pick a day to stop vaping. ... Get rid of all vaping supplies.Download tools (such as apps and texting programs) to your phone that can help with cravings and give encouragement while you try to stop vaping. ... Understand withdrawal.
Is vaping worse than smoking?
1: Vaping is less harmful than smoking, but it's still not safe. E-cigarettes heat nicotine (extracted from tobacco), flavorings and other chemicals to create an aerosol that you inhale. Regular tobacco cigarettes contain 7,000 chemicals, many of which are toxic.
How do I get a vape prescription?
Contact your doctor for a prescription for vaping nicotine e-liquid/pods. Your doctor will want to ensure you have tried other forms of quitting, such as patches and gum.
Can under 18 buy nicotine gum?
Per the Food and Drug Administration's Center for Drug Evaluation and Research, a person must be at least 18 to purchase nicotine replacement therapies such as nicotine gum, lozenges, and patches. Children under 18 years old must go through a physician to get access to cessation products.
Can minors buy nicotine gum?
For adults, nicotine replacement therapies are simply available over the counter. But teenagers have to get a prescription because NRTs haven't been approved by the US Food and Drug Administration (FDA) for use in children. Instead, they're considered an off-label medication for anyone under 18.
Should I let my teenager vape?
Is it OK to let my kid vape? Because of the adverse effects and addictive quality, it is not a good idea to allow a teenager (or anyone) to vape. Aside from the risk of heart attack or stroke, the nicotine alone has been shown to be a highly addictive substance.
What punishment should I give my kid for vaping?
Most kids use vape pens because they cannot be easily recognized as e-cigarettes. Common punishments include community service, one-week suspension for first or second offenses, and even expulsion for repeated behavior.
How do I know if my kid is vaping?
There are warning signs to watch for if you suspect your child may be vaping. These include new health issues, behavior changes, unusual objects around the house, sweet or strange odors, and the use of vaping lingo with friends.
How can you tell if your friend is vaping?
Signs a person is vapingA sweet scent in the air. ... Unfamiliar pens and USB drives. ... Drinking more water. ... Nosebleeds. ... Smoker's cough or mouth sores. ... New batteries and chargers. ... Discarded vaping pods and devices.
How hard is it to quit vaping?
Nicotine is in most vapes, including JUUL. Nicotine is very addictive. The more you vape, the more your brain and body get used to having nicotine, and the harder it is to go without it.
What are side effects of vaping?
The most commonly-reported adverse effects were throat/mouth irritation, headache, cough, and nausea, which tended to dissipate with continued use....The most common side effects of vaping include:coughing.dry mouth and throat.shortness of breath.mouth and throat irritation.headaches.
What does vaping do to your lungs?
Vaping and Popcorn Lung Diacetyl is frequently added to flavored e-liquid to enhance the taste. Inhaling diacetyl causes inflammation and may lead to permanent scarring in the smallest branches of the airways — popcorn lung — which makes breathing difficult. Popcorn lung has no lasting treatment.
Pharmacist Prescribing: Tobacco Cessation Aids - NASPA
Currently, there are 17 states with statutes or regulations addressing pharmacist prescribing of tobacco cessation aids (without a CPA). In the map below, green states allow pharmacists to prescribe all FDA-approved tobacco cessation aids (including varenicline and bupropion), orange states allow pharmacists to prescribe all FDA-approved nicotine replacement products, and yellow states allow ...
A Pharmacist’s Guide for Smoking Cessation
PRoGRAm oBJECTIvES 1. Recognize the impact of smoking cessation counseling on healthcare 2. Discuss the use of the 5 “A’s” approach to efficiently counsel on smoking cessation
Tobacco Cessation - American Pharmacists Association
This resource identifies promising practices around the country that effectively engage pharmacists in providing tobacco cessation services. Using these practices as examples, you can learn effective strategies that have been used to expand pharmacist-provided tobacco cessation services.
Pharmacist's Letter
Vtama (tapinarof) and Zoryve (roflumilast) will be two new once-daily Rx creams for psoriasis...
Pharmacist's Letter
Vtama (tapinarof) and Zoryve (roflumilast) will be two new once-daily Rx creams for psoriasis...
Pharmacist-Led Interventions for Tobacco Smoking Cessation: A ... - PubMed
The use of tobacco is known to be one of the most preventable causes of morbidity and mortality and it has been a challenging concern for health systems. Pharmacological therapy has been identified as being an effective approach for tobacco smoking cessation; however, non-pharmacological therapy has …
Is there a surge in vaping?
In 2019, there was a surge in E-cigarette or vaping product use-associate lung injury (EVALI) which was particularly noted in adolescents and young adults. Interestingly, there was an observed decrease in EVALI cases early in 2020, explained Kimberly Novak, Pharm.D., BCPS, BCPPS, FPPA, an advanced patient care pharmacist in pediatric and adult cystic fibrosis at Nationwide Children’s Hospital in Columbus, Ohio. “This was originally attributed to increased public awareness of vaping and strategies aimed at reducing marketing and access of flavored vaping products of preferred by this population,” said Dr. Novak. “However, this decrease also corresponded with the initial surge in COVID-19 cases and many state-mandated stay-at-home rules as well as increased implementation of work-from-home and virtual school policies.”
Can pharmacists use vaping?
In addition, pharmacists can use their medication expert hat to advise primary care teams on different vaping products used by teens, said Kyle Mays, Pharm.D., BCPPS, a critical care pharmacist with SSM Health Cardinal Glennon Children’s Hospital in St. Louis. When his hospital saw a recent surge in illnesses among patients using THC-related vaping compounds, some of his colleagues weren’t aware these products were linked to lung injuries because of the solvents and vitamin E they contained. If patients are admitted with severe lung illnesses and are intubated and can’t speak, Dr. Mays and colleagues play detective, eliminating potential causes or ordering urine toxicology screens.
Is vaping a nebulizer?
Vaping devices essentially are nebulizers that deliver a drug, Dr. Novak said. But they haven’t yet been adequately studied to determine what products should go in them, what the safety margins are, or if chemicals put into them are altered by heat that the devices generate. Hopefully, with time, she said, the medical community will learn better safety information about these devices and their related products.
What other role can pharmacists play during the vaping crisis?
When asking patients whether they smoke or use any form of e-cigarettes or vaping devices, Hudmon said that pharmacists have an opportunity to establish themselves as a resource for patients who are interested in quitting. The same evidence-based treatments used for tobacco smoking cessation, such as counseling from a health care provider and/or FDA-approved smoking cessation medications, can be used for patients trying to quit e-cigarettes.
What are the symptoms of vaping?
According to Karen Hudmon, BSPharm, DrPH, pharmacists should be prepared to inform individuals about the signs and symptoms of acute vaping-related lung disease, which include cough, shortness of breath or chest pain, nausea, vomiting or diarrhea, and fatigue, fever, or abdominal pain.
Why should individuals stop using e-cigarettes?
CDC, FDA, and other medical organizations are urging the public to stop using e-cigarettes am id the growing number of lung injury reports and deaths from e-cigarettes. E-cigarette products are not regulated, and neither the devices nor the substances used in them are known to be safe. Pharmacists should advise individuals to refrain from using e-cigarette products at this time.
Can you use e-cigarettes to vape?
It is estimated that nearly one in five teens who report having used e-cigarettes in the past also report having used an e-cigarette device to vape cannabis. They simply substitute the nicotine solution for THC or use both drugs simultaneously. Most patients who have become ill from vaping reported using THC.
Can pharmacists help with quitting smoking?
Chaplin said pharmacists are uniquely positioned within the community to assist patients with quitting. They can help adults who are using e-cigarettes as a tool to quit smoking to titrate off these products to reduce withdrawal symptoms, making them more comfortable while they are quitting.
Abstract
The primary objective of this research was to identify if an educational intervention increased the knowledge of high school adolescents on the social and health risks associated with vaping. The secondary objectives included measuring the prevalence of vaping habits and the attitudes of adolescents on the safety of vaping.
Background
Published studies have noted a substantial rise in the use of vaping products by adolescents, with the 2018 National Youth Tobacco Survey reporting that more than 3.6 million adolescents use vaping products, an increase of approximately 1.5 million from recent years.
Objective
The primary objective of this research was to determine if a targeted educational intervention performed by student pharmacists increased the knowledge of high school adolescents on the social and health risks associated with vaping.
Methods
This study was conducted with adolescents at 1 high school in western North Carolina. The project was approved by the Wingate University Research Review Board (RRB). Participants included adolescents enrolled in physical education classes who provided consent, or parental consent if under the age of 18 years.
Results
There were usable data on 235 participants, out of the 236 who gave consent. Most of the sample reported being men (52.77%) and in the ninth grade (53.19%). The adolescents reported vaping multiple times per day (n = 41) and socially (n = 31), and the most common reason they vaped for was stress reduction (n = 48).
Discussion
The educational intervention resulted in a statistically significant increase in knowledge, evidenced by the gain in knowledge, especially among older adolescents. However, the survey tool was unvalidated, and therefore it was difficult to assess how much improvement was required for an actual change versus statistical significance.
Conclusion
In conclusion, this intervention, conducted by student pharmacists, was effective at providing evidence-based information to adolescents to improve knowledge, meeting the primary objective. The data collected suggest that this group of adolescents was misinformed on the risks of vaping products.
What to do when you are craving vapes?
Come up with a list of things you can do to deal with the craving in the moment, such as: practicing deep breathing. trying a short meditation. taking a quick walk or step outside for a change of scenery.
What are the triggers for vaping?
Triggers vary from person to person, but common ones include: emotions like stress, boredom, or loneliness. doing something you connect to vaping, like hanging out with friends who vape or taking a break at work. seeing other people vaping. experiencing withdrawal symptoms.
What is nicotine replacement therapy?
Nicotine replacement therapy — nicotine patches, gum, lozenges, sprays, and inhalers — can help some people. These products provide nicotine at a consistent dose, so you avoid the nicotine rush you get from vaping while still getting relief from withdrawal symptoms.
What to know before quitting vaping?
Before starting the quitting process, you’ll also want to identify your triggers — the cues that make you want to vape. These can be physical, social, or emotional.
How to manage cravings?
taking a quick walk or step outside for a change of scenery. texting a quit smoking program. playing a game or solving a crossword or number puzzle. Taking care of physical needs like hunger and thirst by eating balanced meals and staying hydrated can also help you manage cravings more successfully.
How to not feel like vaping?
Shake up your routine. Varying your usual routine can help you avoid situations that make you feel like vaping.
Does quitting work?
That said, gradually quitting can still work for some people. If you decide to go this route, just remember to keep your end goal of quitting completely in sight.
Who makes vaping products?
The vaping market is dominated by San Francisco-headquartered JUUL Labs, which describes its vaping lineup as “switching” products that aren’t intended for tobacco cessation.
How long does a tobacco cessation session last?
Maack said tobacco cessation sessions usually last about 30 minutes, with follow-up sessions scheduled as often as the patient needs them.
Can you vape in Indiana?
Indiana prohibits smoking in most public places, including restaurants and other workplaces, which Hiday said limits patients’ opportunities to smoke. But because the state doesn’t restrict vaping in public places, she said some patients can vape “all day long, every single day.”
