PAD - Prescribing Advisory Database
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For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Cytisine - Smoking cessation

Keywords :
Cytisinicline, aid to smoking cessation, stop smoking aid, nicotine dependence

Traffic Light Status

Status 1 of 1.

Status :
Green (see narrative)
Important
Formulations :
  • Tablets
Important Information :
In patients being supported by the One You Surrey service
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
Comments :
No comments returned.
Documents :

Guidelines

No guidelines returned.

Other Drugs

Other Indications

Additional Documents

Committee Recommendations

Date
Committee Name
Narrative
04 September 2024
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

Referral of patients to a smoking cessation service is the preferred management pathway.

GPs should only prescribe smoking cessation products for patients who decline referral in line with CKS guidance or through requests from the smoking cessation service (see below).

The ‘One You Surrey’ Smoking cessation service has been commissioned by Public Health (Surrey County Council) since April 2019 and provides support to clients as part of a 12 week programme. 

Nicotine replacement therapy (NRT) will be provided as part of the service in pregnancy and for clients with defined long-term health conditions.

Requests to prescribe NRT will only be made to the GP in rare circumstances where the client requests further NRT beyond 12- weeks (at the discretion of the GP).

For clients requiring the following, a request form for prescribing (includes screening questions) will be sent to the client’s GP by the service:

  • Bupropion (Zyban)
  • Varenicline
  • Cytisinicline

Clients will be monitored by ‘One You’ Surrey on a weekly basis for any side effects. At the end of treatment, patients will be issued with a letter to be given to their GP to update records and book a medication review (where appropriate).

Patients can be referred by a health care professional or can self refer: https://oneyousurrey.org.uk/stop-smoking/

Further information on the service is available at: https://oneyousurrey.org.uk/

There is a dedicated section for primary care health professionals: https://oneyousurrey.org.uk/pro

Associated BNF Codes

04. Central Nervous System
04.10.02. Nicotine dependence
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