What is new - Changes to the regulation of nicotine as of 1st October 2021
A focussed update was undertaken to provide guidance about the rescheduling of nicotine e-liquids. Therapeutic Goods (Standard for Nicotine Vaping Products) (TGO 110) Order 2021 (TGO 110) came into effect on 1 October 2021.
A revised recommendation and additional practice points were added in response to TGO 110. These are provided in the Summary of recommendations below and further information about prescribing nicotine vaping products is provided in Pharmacotherapy for smoking cessation – Electronic cigarettes and nicotine vaping products
With funding from the Commonwealth Department of Health, the Royal Australian College of General Practitioners was commissioned to develop an evidence-based guidance to support health professionals who may choose to prescribe nicotine vaping products (NVPs) as a quitting aid.
Guideline development for NVPs followed the GRADE (Grading of Recommendations Assessment, Development and Evaluation). The National Centre for Epidemiology and Population Health (NCEPH) at the Australian National University (ANU) was commissioned by the Australian Department of Health to undertake a program of research on electronic cigarettes in the Australian context. This work formed the basis of the evidence reviews and technical support to revise the RACGP GRADE recommendation on e-cigarettes / NVPs.
An expert advisory group (EAG) was assembled to specifically review updated evidence on the efficacy and safety of prescribing NVPs and to examine the practicalities of prescribing them for smoking cessation in the new regulatory environment.
The Royal Australian College of General Practitioners (RACGP) first developed Supporting smoking cessation: A guide for health professionals in 2011.
Since then, there have been two minor updates in 2012 and 2014.
This second edition is the most comprehensive update, and brings the guideline in line with new modalities of smoking cessation. It also incorporates GRADE – Grading of Recommendations, Assessment, Development and Evaluation – a new approach to assessing clinical evidence and drafting practice recommendations.
The second edition of the RACGP’s Supporting smoking cessation: A guide for health professionals was funded in part by the Australian Government Department of Health and VicHealth.