Recommendations

• All smokers, even those with cardiovascular disease, should be offered nicotine replacement therapy or bupropion to aid cessation.  
• Pregnant smokers should be encouraged to attempt cessation using educational and behavioral interventions before using pharmacological approaches. If such quit attempts are unsuccessful, the risks and benefits of pharmacotherapy should be considered and explained to the woman. The decision to use pharmacotherapy should be made on an individualized basis after discussion between the woman and her physician.