Fagerstrom Test for Nicotine Dependence

Aka: Fagerstrom Test for Nicotine Dependence

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II. Indications: Assessment of Tobacco addiction

  1. Tobacco Cessation counseling in Tobacco abuse
  2. Nicotine Replacement dosing

III. History: Questions (abbreviated version)

  1. How soon after waking do you smoke first Cigarette?
    1. Time less than 5 minutes: 3 points
    2. Time 5 to 30 minutes: 2 points
    3. Time 31 to 60 minutes: 1 point
  2. How many Cigarettes do you smoke per day?
    1. Cigarettes more than 30 per day: 3 points
    2. Cigarettes 21 to 30 per day: 2 points
    3. Cigarettes 11 to 20 per day: 1 point

IV. Interpretation

  1. Heavy nicotine dependence: 5-6 points
    1. Consider 21 mg Nicotine Patch
  2. Moderate nicotine dependence: 3-4 points
    1. Consider 14 mg Nicotine Patch
  3. Light nicotine dependence: 0-2 points
    1. Consider 7 mg Nicotine Patch or no patch

V. References

  1. Heatherton (1991) Br J Addict 86:1119-27 [PubMed]

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