The Tobacco And Nicotine Control Initiative
(TANCI)
in partnership with
the
Louisiana State University Health Sciences
Center
School of Public
Health
The Tobacco and Nicotine Control Initiative (TANCI) is a
multi-disciplinary program specializing in helping
tobacco users quit. TANCI offers free or low-cost,
evidenced tobacco treatment services to all
Louisiana public hospital patients, employees and
the communities they serve.
Services offered to tobacco users include:
- Self-help material
- Behavioral counseling (individual and group)
- Quit-Line support
- Pharmacotherapy
- Social Support
Our
Services
The Tobacco and Nicotine Control
Initiative (TANCI) provides five treatment options
to public hospital patients when treating tobacco
use and dependency. These treatment options
are:
1.) Self-Help
Material
Guide to Quit
Smoking
The Guide to Quit Smoking flyer
provides brief advice to people who are interested
in information on how to quit tobacco use on their
own. It is provided to patients through inpatient
and outpatient level. Please click here to print a
copy.
Quit-Line
Card
The Quit-Line card is convenient,
easy to carry, and provides information on the
Louisiana tobacco Quit-Line. The Quit-Line, at
1-800-QUIT-NOW, provides free and confidential
cessation advice to support Louisiana residents,
ages 15 and older, ready to quit smoking.
Certified counselors are available to help callers
kick the habit and improve their quality of life.
It is provided to patients through inpatient and
outpatient level.
On-line
Resources
The QUIT WITH US,
LA website provides information and links to
resources for people who are interested in
information on how to quit tobacco and people who
want assist others in their journey to quit
tobacco.
2.) Behavioral
Counseling
Group
For
smokers who are ready to quit, group behavioral
counseling sessions are led by certified
counselors. The sessions consist of two two-hour
sessions over two weeks (held on
Tuesdays). Group size is generally eight to
10 participants. Sessions cover: developing quit
plans, obtaining social support, stress management
techniques, diet and nutrition information and
medication assistance. New sessions begin each
month and are offered at morning, noon and evening
times. For specific session times at your
facility, contact your on-site TCI staff
member.
3.) Quit-Line
Assistance
The
Louisiana Quit-Line is operated by the American
Cancer Society and funded by The Louisiana
Campaign for Tobacco-Free Living. Callers to the
1-800-QUIT-NOW number receive confidential medical
advice and support from certified counselors
available. Counselors help callers develop
personalized quit plans by providing the following
information 1) materials based on their interest
in smoking cessation and readiness to quit, 2)
referrals to free group counseling, and 3)
proactive telephone counseling for callers ready
to quit.
Callers may receive up to five
callbacks from counselors to help them stay on
track, and pregnant smokers may receive up to
eight callbacks. When service to the Quit-Line is
not available, smokers can call the American
Cancer Society at 1-800-ACS-2345 (1-800-227-2345)
to learn about the benefits of tobacco cessation
or to find where to get help in their area. This
assistance is provided at both the inpatient and
outpatient level.
4.) Pharmacotherapy
Assistance
IMPORTANT NOTE:
This summary of pharmacotherapy information was
obtained from the Medscape website (www.medscape.com). This summary
does not contain all possible information about
the products listed. This summary is for
informational purposes only, and is not intended
to be taken as expert medical advice.
PARTICIPATION
NOTE: You must be an LSU patient to receive
the medication at a discounted price. However
Medicaid and private insurance participants can be
assessed for medication and receive a
prescription, but not at the LSU patient
rates. Actually if the patient has Medicaid
it’s cheaper than LSU’s rate and, of course,
private insurance varies in coverage. The only NRT
medication offered through this program is
Nicoderm patches.
Varenicline
Varenicline
(also referred to as Chantix) is an FDA approved
medication used in combination with a stop-smoking
program (e.g., education materials, support group,
counseling) to aid quit smoking attempts. It may
work by blocking nicotine's actions in the brain.
Varenicline is available free or at low cost for
qualifying patients in the public hospital system.
Prescribing information is as follows:
Chantix: Day 1-3:
0.5 mg once daily; Day 4-7: 0.5 mg twice daily;
Day 8-end of 12 week treatment: 1mg twice
daily.
Nicotine Replacement
Therapy
Nicotine Replacement Therapy
(NRT) is approved by the FDA (i.e. gum, patch,
nasal spray, lozenge and vapor inhaler). NRT
products provide a steady, controlled dose of
nicotine throughout the day, thereby reducing the
effects of nicotine withdrawal. Strength is
reduced over time, allowing the user to wean off
of nicotine gradually. Nicotine patches are
available free or at low cost for qualifying
patients in the public hospital system.
Prescribing information is as follows:
For greater than 10
cigarettes apply 1 patch (21mg) Transdermal route
once daily for 2 weeks;
For less than 10
cigarettes apply 1 patch (14mg) Transdermal route
once daily for 2 weeks.
Bupropion
Bupropion
(also referred to as Wellbutrin and Zyban) is an
FDA approved medication used to treat depression.
It may work by improving mood and feelings of
well-being, and by helping to restore the balance
of certain natural chemicals (neurotransmitters)
in the brain. Bupropion is also used to help
people quit smoking by decreasing cravings and
nicotine withdrawal effects. As a quit smoking
aid, Bupropion is encouraged for use in
combination with a stop-smoking program (e.g.,
education materials, support group, counseling) to
aid quit smoking attempts. Bupropion is available
free or at low cost for qualifying patients in the
public hospital system. Prescribing
information is as follows:
Wellbutrin SR: 1 Q
Day X3 Days, then 1 PO BID 150 mg, #120, no
refills
Wellbutrin XL: 1 Q
Day X3 Days, then 1 PO BID 300 mg, #120, no
refills
Click
here for a chart to find out more information
on these and other drugs used to treat tobacco use
and dependency. This assistance is provided at
both the in-patient and out-patient
level.
5.) Inpatient Bedside
Consultation
Smoking
counseling is available at the
bedside-hospitalized inpatients who use tobacco.
Certified counselors provide several treatment
options to patients interested in quitting,
helping them take the appropriate steps toward
success. Consultations include self-help material,
an invitation to group counseling, facilitated
access to the Louisiana Quit-Line service
(proactive telephone counseling via faxed
referral), pharmacotherapy options and/or viewing
a smoking cessation video.
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