NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Which of the following is considered a first line option for tobacco cessation?

  1. Antidepressants

  2. NRTs: patch, gum, lozenge, inhaler, nasal spray

  3. Antibiotics

  4. Steroids

The correct answer is: NRTs: patch, gum, lozenge, inhaler, nasal spray

NRTs, which stands for Nicotine Replacement Therapy, are considered a first line option for tobacco cessation because they help reduce cravings and withdrawal symptoms associated with quitting smoking. Antidepressants (option A), while sometimes prescribed off-label for smoking cessation, are not specifically designed for this purpose and may come with unwanted side effects. Antibiotics (option C) and steroids (option D) are not effective at aiding with quitting smoking and are generally only prescribed for treatment of other conditions.