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Smoking cessation in COPD — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsSmoking cessation in COPDGPhC CRA

A 66-year-old woman with COPD asks for nicotine replacement therapy. She smokes 20 cigarettes daily, has morning cravings within 30 minutes of waking and takes tiotropium, salbutamol and atorvastatin. She previously failed with nicotine gum alone. What is the most appropriate alternative?

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Correct answer: B — Offer combination NRT with behavioural support referral

Combination NRT is appropriate for higher dependence and previous failure with a single short-acting product. Behavioural support improves quit rates and is particularly valuable in COPD. Stopping tiotropium has no role in smoking cessation. Codeine linctus is not an appropriate intervention for tobacco dependence.

Reference: NICE CKS Smoking cessation; BNF