Medication Options for Providers

When your patient enrolls in the QuitLine phone coaching program, they have the option to receive up to 8 weeks of one of the following:

  • Bupropion SR 150 mg (Disp: 1 per day X 3 days; BID thereafter)
  • Nicotine Replacement (need Rx if under 18 or pregnant)
    • Patches (21 mg, 14 mg, or 7 mg)
    • Gum (4 mg or 2 mg)
    • Lozenge (4 mg or 2 mg)
  • Patient must enroll and participate in coaching to receive medication

Prescriptions can be made by:

  • Obtaining forms available by calling the QuitLine at 1-866-737-8487
  • Electronic Script (e-script) with “SD QuitLine/Vilas” pharmacy

Dual Therapy

As we all know, tobacco addiction is one of the most difficult of all addictions to overcome. Sometimes patients need to make multiple quit attempts before they finally achieve success.

With this in mind, we will be providing additional medical options to SD QuitLine clients who have used the QuitLine more than 3 times and are committed to quitting, but appear to need an additional assist. Our QuitLine coaches will identify these clients and introduce them to our dual therapy option.

Here’s How It Works

Eligibility: All participants who have used the SD QuitLine service more than three times. A physician must believe that dual therapy is warranted for the participant and would assist in his/her quit success.

Medication combinations available:

OPTION 1OPTION 2

NRT Patch + Bupropion
NRT Patch: Receive a total of 8 weeks (4 fills)

  • 21 mg Patch
  • 14 mg Patch
  • 7 mg Patch


RX
Bupropion S.R. 150 mg
Disp: 1 per day X 3 days; bid thereafter
Total of 8 weeks (1 month/fill)
Refill: NR 1

NRT Patch + (Gum OR Lozenge)
NRT Patch: Receive a total of 8 weeks (4 fills)

  • 21 mg Patch
  • 14 mg Patch
  • 7 mg Patch



NRT Gum OR Lozenge
Recieve a total of 8 weeks (4 fills)

  • 4 mg Gum OR 4 mg Lozenge
  • 2 mg Gum OR 2 mg Lozenge
OPTION 1

NRT Patch + Bupropion
NRT Patch: Receive a total of 8 weeks (4 fills)

  • 21 mg Patch
  • 14 mg Patch
  • 7 mg Patch


RX
Bupropion S.R. 150 mg
Disp: 1 per day X 3 days; bid thereafter
Total of 8 weeks (1 month/fill)
Refill: NR 1

OPTION 2

NRT Patch + (Gum OR Lozenge)
NRT Patch: Receive a total of 8 weeks (4 fills)

  • 21 mg Patch
  • 14 mg Patch
  • 7 mg Patch



NRT Gum OR Lozenge
Recieve a total of 8 weeks (4 fills)

  • 4 mg Gum OR 4 mg Lozenge
  • 2 mg Gum OR 2 mg Lozenge

For more details on the process and steps involved in order to prescribe one of the two dual therapy options to your tobacco-using patients, please reference the QuitLine online training module at dohprofsd.org.

References

The research behind dual therapy is detailed in the 2008 Update – Clinical Practice Guideline of Treating Tobacco Use and Dependence