Text adapted in 2021 from Smoking Cessation in The Primary Care Addiction Toolkit (online only). A complete list of Toolkit authors, editors and contributors is available here.
Attempt non-pharmacological strategies with all women who are pregnant and who smoke.
Suggest NRT for pregnant women who are unable to quit using non-pharmacological methods.
Patients in Ontario can consult the Hospital for Sick Children's Motherisk program for information about using NRT in pregnancy.
A useful Canadian resource for health care providers is Pregnets, which focuses on reducing the harms related to smoking during pregnancy. The site features a downloadable toolkit (PDF) for treating patients who are pregnant and who smoke, as well as information for patients.
Patients with Coronary Artery Disease
Offer smoking cessation treatment, comprised of pharmacotherapy and counselling, to every patient who smoke. For patients with tobacco related illnesses such as cardiovascular and respiratory conditions, quitting is associated with improved quality of life and a lower complication rate of the underlying chronic illness.