Smoking is the leading cause of lung cancer. It is responsible for about 85-90% of lung cancer cases. As a PCP, your brief advice to quit tobacco use - at ever patient visit - can be powerful. A screening discussion provides an important opportunity and teachable moment to include the topic of smoking cessation. Providers who are familiar with the Clinical Practice Guideline Treating Tobacco Use and Dependence: 2008 Update are best equipped to offer cessation counseling and recommend optimal pharmacotherapy. This guideline and other smoking and tobacco tools are available in our Resource Library.
Resources to Help Patients Stop Smoking
Offering your patients smoking cessation resources can greatly improve their chances of quitting successfully. Quitline counseling can more than double a smoker's chances of quitting. Importantly, quitline counseling combined with smoking cessation medication, such as nicotine replacement therapy, can more than triple the chances of quitting.
Quit Now
All states have quitlines with coaches /counselors who are trained specifically to help smokers quit. Call 1-800-QUIT-NOW to connect directly to your state's quiteline*. Hours of operation and services vary from state to state.
Some state quitlines offer additional resources, including:
- Free nicotine patches, gum, and lozenges
- Text messaging
- Incentive payments to specific patient groups (e.g. pregnant women)
- Proactive calls to patients if the provider completes an e-referral
Contact your state's quitline by calling 1-800-QUIT-NOW to get accurate, up-to-date information about your state.
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This National Cancer Institute website provides free, accurate, evidence-based information and professional assistance to help support the immediate and long-term needs of people trying to quit smoking.
This site offers:
- Free quitSTART App, which takes patient-provided information about smoking history and generates tailored tips to help them get and stay on track
- Quit support through text messaging
- "LiveHelp," an online chat with smoking cessation specialists
- Tailored information for teens, women, veterans, those who are over 60, and those who speak Spanish
- Health and nutrition tips
- Steps for building a quit plan
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Freedom From Smoking
The American Lung Association's Freedom from Smoking® includes a variety of support options including the Freedom From Smoking Plus online interface, group clinics, a self-help guide, Lung HelpLine (1-800-LUNGUSA) with specialists for telephone counseling, and a moderated online support community.
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FDA-Approved Medications to Help Patients Stop Smoking
The FDA has approved seven medications to help even further with cessation success. Counseling combined with Nicotine Replacement Therapy, or NRT, and/or other medication offers the best chance for success. Since patients shouldn't chew the cum, suck the lozenge, inhale the inhaler, or sniff the nasal spray, be sure to guide your patients on how to use each of these products so they can be the most effective.
Learn more about these NRT and other medications in our Resource Library:
- Nicotine Patch
- Nicotine Gum
- Nicotine Lozenge
- Nicotine Inhaler
- Nicotine Nasal Spray
- Bupropion
- Varenicine
- E-cigarettes