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NICE Underpinning Review
Behavioural support alone. Review question: Is behavioural support (delivered to a person or a group) effective and cost effective?
Pharmacotherapy alone. Review question: Are nicotine replacement therapy (established therapies, for example patch, gum or spray or newer, licensed e-cigarettes) or bupropion, on their own or combined with behavioural support, effective and cost-effective?
Pharmacotherapy with behavioural support. Review question: Are nicotine replacement therapy (established therapies, for example patch, gum or spray or newer, licensed e-cigarettes) or bupropion, on their own or combined with behavioural support, effective and cost-effective?
B1 Ensure the following evidence-based interventions are available for adults who smoke:
• behavioural support (individual and group)
• bupropion
• nicotine replacement therapy (NRT) – short and long acting
• varenicline
• very brief advice. [2018]
B2 Consider text messaging as an adjunct to behavioural support
B3 Offer varenicline as an option for adults who want to stop smoking, normally only as part of a programme of behavioural support, in line with NICE's technology appraisal guidance on varenicline. [2018]
B4 For adults, prescribe or provide varenicline, bupropion or NRT before they stop smoking. [2018]
B5 Agree a quit date set within the first 2 weeks of bupropion treatment and within the first 1 to 2 weeks of varenicline treatment. Reassess the person shortly before the prescription ends. [2018]
B6 Agree a quit date if NRT is prescribed. Ensure that the person has NRT ready to start the day before the quit date. [2018]
B7 Consider NRTc for young people over 12 who are smoking and dependent on nicotine. If this is prescribed, offer it with behavioural support. [2018]
B8 Ensure behavioural support is provided by trained stop smoking staff (see the National Centre for Smoking Cessation and Training [NCSCT] training standard). [2018]
B9 Ensure very brief advice is delivered according to the NCSCT training module on very brief advice. [2018]