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ISSN: 2353-3854
Alergologia Polska - Polish Journal of Allergology
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1/2023
vol. 10
 
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abstract:
Special paper

Is there an optimal management of nicotine addiction in patients with chronic obstructive pulmonary disease and asthma? Expert consensus

Karina Jahnz-Różyk
1
,
Rafał Pawliczak
2
,
Paweł Balsam
3
,
Marcin Moniuszko
4
,
Janusz Heintzman
5
,
Dagmara Różyk
6

  1. Wojskowy Instytut Medyczny – Państwowy Instytut Badawczy, Warszawa, Polska
  2. Zakład Immunopatologii, Uniwersytet Medyczny, Łódź, Polska
  3. I Klinika Kardiologii, Warszawski Uniwersytet Medyczny, Warszawa, Polska
  4. Klinika Alergologii i Chorób Wewnętrznych, Wydział Nauk o Zdrowiu, Uniwersytet Medyczny, Białystok, Polska
  5. Instytut Psychiatrii i Neurologii, Warszawa, Polska
  6. Kancelaria Adwokacka, Warszawa, Polska
Alergologia Polska – Polish Journal of Allergology 2023; 10, 1: 15–25
DOI: https://doi.org/10.5114/pja.2023.125764
Online publish date: 2023/03/14
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Nicotinism remains one of the main causes of morbidity and mortality both in Poland and worldwide. A particularly vulnerable group of patients are people with respiratory diseases – chronic obstructive pulmonary disease and asthma especially. Smoking cigarettes is associated with a worse prognosis and a difficult treatment process of the underlying disease. Anti-smoking therapy has limited effectiveness. One of the strategies that breaks through to the mainstream is harm reduction management. One of the methods available today include among others systems for heating tobacco. However, attention is drawn to the risks associated with double smoking of both traditional cigarettes, as well as the use of ‘heat-not-burn’ systems. Management of nicotine-dependent patients and lung disease requires a multi-profile, holistic approach individually tailored to each patient.
keywords:

tobacco smoking, nicotine addiction, chronic obstructive pulmonary disease, asthma, heat-not-burn, modified risk tobacco products


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