Office interventions for adolescent smokers.

Smoking-prevention efforts can be undertaken at a national level, with enactment and enforcement of laws on the use of tobacco products by youth; at the state and local level, with involvement of community organizations; and through school systems, with education regarding the harmful effects of tobacco use. This review, however, focuses on the role of individual practitioners who also can make significant contributions by working at an individual level to incorporate prevention and treatment strategies in their daily medical practice. This article reviews two types of smoking cessation interventions-behavioral and pharmacologic. Currently available data on the prevention and treatment of nicotine addiction in adolescents, particularly pharmacotherapy, are quite limited. The individual clinician can contribute to prevention and treatment of tobacco use among children and adolescents by using many of the known behavioral and pharmacologic strategies.