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What has changed noticeably in 2026 is that smoking in busy, visible public spaces is much rarer than it used to be

To begin, you refer him to substance use counselling, and suggest: acamprosate for AUD (NNT~11 for abstinence over 12-52 weeks) 51 nicotine replacement and varenicline (NNT~13 over 6-12 months for smoking cessation) 44 If he develops troublesome withdrawal or struggles with ongoing substance use despite your assistance, you could refer him for support through an addiction medicine clinic or obtain additional support from telemedicine resources including British Columbias 24/7 Addiction Medicine Clinician Support Line: www.bccsu.ca/24-7

The US Department of Transportation also announced it will release rules clarifying e-cigarette restrictions on airlines (no such rule ever came to fruition.) The controversial US trade group TVECA formed to serve as a lobbying arm for its member e-cigarette companies

[] Management of withdrawal symptoms and craving control is very difficult in such patients

Common nicotine products are cigarettes, vapes, snus, and tobacco pouches