[Tobacco dependence--evidence-based treatment strategies]

Abstract

One third of German smokers try to stop smoking at least once a year. As smoking is an important risk factor for the development of numerous diseases and a number of smoking-cessation strategies have proved to be effective every smoker should be encouraged to give up smoking and be informed of these methods. A more widespread use of evidence-based smoking-cessation methods should therefore be promoted more vigorously. Evidence based smoking-cessation guidelines summarising the main treatment recommendations suggest that maximum support towards motivating the smoker be made available. Only if other treatments are not available, should this take the form of brief contacts. More complex interventions should be supplemented by behaviour therapy aimed at changing behaviour patterns. Medical support in the form of nicotine replacement (NRT) or bupropion treatment should be offered. Moreover international guidelines (not only German ones but also American, and European ones in general) all recommend as the most effective strategy the combining of smoking-cessation methods based on behavioural treatment with nicotine replacement therapy or bupropion treatment.