Tabaquismo — cigarrillo electrónico (vaping) para cesar
HighConditionala favor (con reservas)Recommendation: Se sugiere el cigarrillo electrónico para dejar de fumar.
Rationale
The electronic cigarette helps achieve sustained tobacco abstinence and, as cessation support, probably surpasses nicotine replacement therapy, although its long-term safety remains uncertain and it should not be started in people who do not smoke. The certainty of the evidence on its efficacy for the critical outcomes is high. The recommendation is conditional in favor despite that high certainty, because the efficacy is counterbalanced by the uncertainty about long-term safety and by the regulatory caution in force in the region. This is why it is reserved for people who smoke and seek to quit, not as a first-start option.
Cautions and contraindications
Before intervening on substance use and exposure to toxicants, assess the patient's consumption pattern, dependence, and clinical conditions, and individualize the approach. Discontinuing substances that produce physical dependence may require medical supervision because of the risk of a withdrawal syndrome, so it should not be stopped abruptly without assessment. Advise seeking professional care in the presence of any warning sign, including in crisis situations, and refer to specialized addiction treatment/environmental health services, according to the case. Reassess the course periodically.
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