{"id":66202,"date":"2023-02-17T15:58:51","date_gmt":"2023-02-17T13:58:51","guid":{"rendered":"https:\/\/blog.cofb.cat\/?p=66202"},"modified":"2023-07-27T09:04:06","modified_gmt":"2023-07-27T09:04:06","slug":"novetats-al-panorama-actual-del-tractament-de-la-dependencia-al-tabac","status":"publish","type":"post","link":"https:\/\/www.cofb.org\/ca\/2023\/02\/17\/novetats-al-panorama-actual-del-tractament-de-la-dependencia-al-tabac\/","title":{"rendered":"Novetats al panorama actual del tractament de la depend\u00e8ncia al tabac"},"content":{"rendered":"\n

El passat 8 de febrer, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB)<\/strong> va organitzar la confer\u00e8ncia \u201cNoves incorporacions al panorama actual del tractament de la depend\u00e8ncia al tabac\u201d<\/strong>, amb el patrocini d’Aflofarm<\/a><\/strong>. La confer\u00e8ncia va anar a c\u00e0rrec de l\u2019especialista en pneumologia i director del Programa d’Alta Complexitat en Tractament del Tabaquisme del Servei de Pneumologia de l’Hospital Cl\u00ednic de Barcelona, el Dr. Jacobo Sellares<\/strong>, i del farmac\u00e8utic comunitari i membre del grup de treball de tabac del COFB, Manel Cirici<\/strong>. El vocal d\u2019Oficina de Farm\u00e0cia del COFB, Guillermo Bagar\u00eda<\/strong>, va moderar la sessi\u00f3.<\/p>\n\n\n\n

\"Els<\/a>
Els ponents de la confer\u00e8ncia \u201cNoves incorporacions al panorama actual del tractament de la depend\u00e8ncia al tabac\u201d. <\/figcaption><\/figure>\n\n\n\n

Els objectius<\/strong> de la sessi\u00f3 van ser revisar el panorama actual dels tractaments disponibles<\/strong> de la depend\u00e8ncia al tabac i sobre les possibilitats i beneficis de la implantaci\u00f3 del Programa de Cessaci\u00f3 Tab\u00e0quica <\/strong>a trav\u00e9s de Farmaserveis. <\/strong>En comen\u00e7ar, Guillermo Bagar\u00eda<\/strong> va comentar que la xerrada s’emmarca \u201cen un context canviant, en el qual tenim l\u2019arsenal terap\u00e8utic contra el tabaquisme<\/strong>\u201d, i va clarificar que fa refer\u00e8ncia a \u201carsenal terap\u00e8utic” perqu\u00e8 “es tracta d\u2019una veritable guerra contra el tabaquisme<\/strong>, que estem plantejant en totes les societats desenvolupades, ja que \u00e9s un problema de salut de primer ordre<\/strong>\u201d.  <\/p>\n\n\n\n

Tractament farmacol\u00f2gic del tabaquisme<\/strong><\/h2>\n\n\n\n

El vocal d\u2019Oficina de Farm\u00e0cia va comen\u00e7ar la sessi\u00f3 explicant que, “en l\u2019actualitat, tenim un abordatge del tabaquisme<\/strong> amb tractaments<\/strong> substitutius de la nicotina<\/strong> amb i sense aquesta subst\u00e0ncia”. En aquest context trobem la citisina (Todacitan)<\/strong>, en “un escenari que ha canviat les darreres setmanes”. Guillermo Bagar\u00eda va comentar que fins ara \u201cla citisina es comercialitzava amb recepta m\u00e8dica, per\u00f2 no estava finan\u00e7ada pel Sistema Nacional de Salut. Des de l\u20191 de febrer de 2023, la citisina s\u2019ha incorporat a les prestacions farmac\u00e8utiques del Sistema Nacional de Salut<\/strong> i ha passat a ser un medicament finan\u00e7at<\/strong>“.<\/p>\n\n\n\n

El Dr. Jacobo Sellares<\/strong>, director del Programa d’Alta Complexitat en Tractament del Tabaquisme del Servei de Pneumologia de l’Hospital Cl\u00ednic de Barcelona, va fer una breu introducci\u00f3<\/strong> sobre el tabaquisme<\/strong>, que es tracta \u201cd\u2019una malaltia<\/strong> perqu\u00e8 no \u00e9s una opci\u00f3 personal i, a m\u00e9s a m\u00e9s, \u00e9s una malaltia cr\u00f2nica, addictiva i recidivant<\/strong>\u201d. El doctor va destacar la import\u00e0ncia de deixar de fumar perqu\u00e8 el tabac “\u00e9s la principal causa de morbi-mortalitat<\/strong> prevenible<\/strong> i curable<\/strong> a l\u2019occident, sent les principals causes de mort pel tabac les malalties cardiovasculars, les respirat\u00f2ries i les oncol\u00f2giques<\/strong>\u201d i va afegir que \u201cles probabilitats de deixar de fumar es multipliquen per quatre<\/strong> quan es demana ajuda m\u00e8dica o farmac\u00e8utica<\/strong>\u201d.<\/p>\n\n\n\n

\"El<\/a>
El doctor Jacobo Sellares en un moment de la seva pon\u00e8ncia junt amb el vocal d’Oficina de Farm\u00e0cia, Guillermo Bagar\u00eda. <\/figcaption><\/figure>\n\n\n\n

Sobre els tractaments disponibles pel tractament del tabaquisme, el Dr. Sellares va presentar esquem\u00e0ticament les opcions farmacol\u00f2giques<\/strong>, amb nicotina i sense nicotina, i les no farmacol\u00f2giques. Fen especial \u00e8mfasi al tractament farmacol\u00f2gic sense nicotina<\/strong>, mitjan\u00e7ant la citisina<\/strong> (Todacitan)<\/strong>, \u201cun alcaloide vegetal<\/strong> amb una estructura qu\u00edmica similar a la nicotina<\/strong>\u201d, que t\u00e9 per objectiu final \u201cl\u2019abandonament permanent de l\u2019h\u00e0bit de fumar<\/strong>\u201d. Durant la seva pon\u00e8ncia, el doctor va detallar quins s\u00f3n els mecanismes d\u2019acci\u00f3<\/strong> de la citisina, la farmacocin\u00e8tica<\/strong>, l\u2019evid\u00e8ncia cient\u00edfica<\/strong>. Tamb\u00e9 va exposar els diferents estudis realitzats <\/strong>en qu\u00e8 es demostrava l\u2019efic\u00e0cia cl\u00ednica<\/strong> i el protocol assistencial cl\u00ednic-psicol\u00f2gic per al tractament.<\/p>\n\n\n\n

Eines per abordar el tabaquisme des de l\u2019oficina de farm\u00e0cia<\/strong><\/h2>\n\n\n\n

Seguidament, el farmac\u00e8utic comunitari i membre del grup de treball de tabac del COFB, Manel Cirici<\/strong>, va descriure quina ha estat la seva experi\u00e8ncia<\/strong> en la implementaci\u00f3 del servei de cessaci\u00f3 tab\u00e0quica a la farm\u00e0cia comunit\u00e0ria<\/strong>. Cirici va explicar que el pacient que visita la farm\u00e0cia comunit\u00e0ria per deixar de fumar, acostuma a ser o b\u00e9 “un pacient sa, que voreja els cinquanta anys, i vol deixar-ho despr\u00e9s de 30 anys o una persona que \u00e9s mare o pare recent\u201d.<\/p>\n\n\n\n

Programa de Cessaci\u00f3 Tab\u00e0quica <\/strong><\/h3>\n\n\n\n

El farmac\u00e8utic va detallar quina \u00e9s la metodologia que segueix el Programa de Cessacci\u00f3 Tab\u00e0quica<\/a><\/strong>, en qu\u00e8 el farmac\u00e8utic fa un seguiment <\/strong>de pacient que vol deixar de fumar, l\u2019acompanya <\/strong>i l\u2019aconsella <\/strong>durant el proc\u00e9s. <\/p>\n\n\n\n

\"<\/a>
El farmac\u00e8utic comunitari i membre del grup de treball de tabac del COFB, Manel Cirici, durant la seva intervenci\u00f3. <\/figcaption><\/figure>\n\n\n\n

En la primera visita<\/strong> es registra el pacient, s\u2019omple la fitxa de primera visita, es fa el test de Fagerstr\u00f6m i el de Richmond i es posen deures per \u201ccomen\u00e7ar a treballar la depend\u00e8ncia psicol\u00f2gica al tabac per introduir i enfortir nous pensaments i nous h\u00e0bits\u201d. En les visites posteriors<\/strong>, de seguiment, es duen a terme controls de pressi\u00f3 i pes, es comprova si s\u2019han fet els deures i s\u2019estableix si s\u2019escau la Ter\u00e0pia Substitutiva de Nicotina.<\/p>\n\n\n\n

Finalment, Cirici va compartir dues guies d\u2019intervenci\u00f3 per al farmac\u00e8utic comunitari<\/strong>: la Guia d\u2019intervenci\u00f3 farmac\u00e8utica per a l\u2019abordatge des de la farm\u00e0cia comunit\u00e0ria<\/em> i el Rol del Farmac\u00e9utico comunitario como agente de salud en la cesaci\u00f3n tab\u00e1quica<\/em>.<\/p>\n\n\n\n

Amb el patrocini de:<\/strong><\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

El passat 8 de febrer, el Col\u00b7legi de Farmac\u00e8utics de Barcelona (COFB) va organitzar la confer\u00e8ncia \u201cNoves incorporacions al panorama actual del tractament de la depend\u00e8ncia al tabac\u201d, amb el patrocini d’Aflofarm. La confer\u00e8ncia va anar a c\u00e0rrec de l\u2019especialista en pneumologia i director del Programa d’Alta Complexitat en Tractament […]<\/p>\n","protected":false},"author":1,"featured_media":67741,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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