Mental Health Book

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Fagerstrom Test for Nicotine Dependence

Aka: Fagerstrom Test for Nicotine Dependence
  1. Indications: Assessment of Tobacco addiction
    1. Tobacco Cessation counseling in Tobacco abuse
    2. Nicotine Replacement dosing
  2. History: 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 86:1119-27 [PubMed]

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