11-29-2011, 08:31 AM
A 58 year old man with history of chronic obstructive pulmonary disease and seizure disorder is evaluated in your office during a follow-up visit. He uses tiotropium inhaler on a daily basis and his pulmonary symptoms are adequately controlled. However, he reports inability to comply with smoking cessation recommendations. He has tried counseling sessions and Nicotine replacement therapy in the past without any success. The patient has been counseled again during this visit. Which of the following recommendations is most appropriate for this patient?
A) Nortriptyline
B) Varenicline
C) Bupropion and Telephone Counseling
D) Group therapy
E) Topiramate
A) Nortriptyline
B) Varenicline
C) Bupropion and Telephone Counseling
D) Group therapy
E) Topiramate