Table 4

Key points of the Treating Tobacco Use and Dependence guidelines

Tobacco dependence is a chronic condition that warrants repeated treatment until long-term or permanent abstinence is achieved
Effective treatments for tobacco dependence exist and all tobacco users should be offered these treatments
Clinicians and healthcare delivery systems must institutionalise the consistent identification, documentation and treatment of every tobacco user at every visit
Brief tobacco dependence intervention is effective and every tobacco user should be offered at least brief intervention
There is a strong dose-response relationship between the intensity of tobacco dependence counselling and its effectiveness
Three types of counselling were found to be especially effective: practical counselling, social support as part of treatment and social support arranged outside treatment
Five first-line pharmacotherapies for tobacco dependence are effective: bupropion SR, nicotine gum, nicotine inhaler, nicotine nasal spray and nicotine patch, and at least one of these medications should be prescribed in the absence of contraindications
Tobacco-dependence treatments are cost effective relative to other medical and disease prevention interventions