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Today’s #EQUIP #Perinatalmentalhealth training @MaudsleyNHS @ORTUSevents is about smoking cessation and helping people to quit smoking delivered by our amazing colleagues @MaryYatesSLaM #smokefreenhs #QuitSMOKING @HelenGalley @DrHKhalifeh @SWMH_IoPPN @TrudiSene1
Polycyclic hydrocarbons in cigarette increases metabolism of many psychotropic medication including clozapine
Smoking increases risk of anxiety and depression.
Prevalence of #smoking in #pregnancy. Smoking is a predictor of higher rate of mental health relapse.
Impact of smoking in pregnancy @indigomidwives @iHealthVisiting @MaryYatesSLaM
Tobacco dependence treatment pathway
#tobacco withdrawal symptoms peak around 48 hours and subside within 4 weeks . But the urge to smoke may continue for longer time .
Nicotine replacement therapy
NRT are liscence for use in pregnancy, try oral NRT first in pregnancy.
For better absorption avoid swallowing, fizzy drinks, coffee and spicy food 15 minutes before/ after taking NRT.
Get the dosing right for nicotine replacement therapy.
#champix not recommended in pregnancy
E-cigarettes are significantlyless harmful than smoking .
E-cigarettes #vaping are more effective stop smoking 🚬 aids.
How much nicotine a person needs depends on how much the person smokes.
Risk of passive smoking
There are no available evidence on impact of vapping in pregnancy 🤰
Thank you @MaryYatesSLaM and Deborah for the amazing training session.@ORTUSevents @MaudsleyNHS
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