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Fagerstrom Test for Nicotine Dependence

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  1. Indications: Assessment of Tobacco addiction
    1. Tobacco Cessation counseling in Tobacco abuse
    2. Nicotine Replacement dosing
  2. Questions (abbreviated version)
    1. How soon after waking do you smoke first Cigarette?
      1. Time less than 5 minutes: 3 points
      2. Time 5 to 30 minutes: 2 points
      3. Time 31 to 60 minutes: 1 point
    2. How many Cigarettes do you smoke per day?
      1. Cigarettes more than 30 per day: 3 points
      2. Cigarettes 21 to 30 per day: 2 points
      3. Cigarettes 11 to 20 per day: 1 point
  3. Interpretation
    1. Heavy nicotine dependence: 5-6 points
      1. Consider 21 mg Nicotine Patch
    2. Moderate nicotine dependence: 3-4 points
      1. Consider 14 mg Nicotine Patch
    3. Light nicotine dependence: 0-2 points
      1. Consider 7 mg Nicotine Patch or no patch
  4. References
    1. Heatherton (1991) Br J Addict 86:1119

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