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Consider pulmonary rehab and lung volume reduction surgery in advanced cases Key Points and Pearls: Most cases are caused by smoking

The Over the counter: chewing gum, which some people refer to as nicotine gum lozenges By prescription: nicotine spray nicotine inhaler The FDA also approves two prescription products in tablet form that do not contain nicotine: varenicline tartrate bupropion hydrochloride In addition, the FDA has given marketing clearance to a device using transcranial magnetic stimulation (TMS) as a short-term aid to help adults quit smoking

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