What interventions are recommended for smoking cessation in patients with stroke or TIA?
Counseling with or without drug therapy (nicotine replacement, bupropion, or varenicline) is recommended to assist in quitting smoking, and avoidance of environmental (passive) tobacco smoke is recommended to reduce risk of recurrent stroke. Behavioral and pharmacological interventions for tobacco dependence are evidence based through multiple meta-analyses, but not in cerebrovascular disease populations.  Encouraging evidence of increased smoking cessation rates after stroke in multibehavioral interventions compared with usual care is available.