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Management, Pharmacotherapies, and Precision Medicine for Smoking Cessation

  • Ming D. Li
Chapter

Abstract

Although 70% of smokers want to quit, only 4–7% are successful in the long term. Cigarette smoking persists because of both the addictive propensity of nicotine and the low success rates of existing treatments. Smoking cessation outcomes are influenced by both smoking cessation medications and genetic factors which include variations in the enzymes that metabolize nicotine and in nAChR subunit genes that are the primary targets of nicotine and of treatment medications. Identifying subjects with appropriate variants is an essential element in improving smoking cessation outcomes. In this chapter, we highlight recent progress in our understanding of how genetic variants in the pharmacological targets of nicotine and smoking cessation medications could be used to tailor cessation therapy and increase the success rate.

Keywords

Smoking dependence Consulting Smoking cessation Quitting DSM-V Genetic markers Fagerström Test for Nicotine Dependence FTND Intervention 5As Biomarkers SNPs Bupropion hydrochloride Zyban Varenicline tartrate Chantix Nicotine replacement therapy CYP2A6 CYP2B6 Tobacco dependence CHRNA5/A3/B4 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Ming D. Li
    • 1
    • 2
  1. 1.University of VirginiaCharlottesvilleUSA
  2. 2.Zhejiang UniversityHangzhouChina

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