Treatment of Tobacco Use Recommendations for Treatment of Tobacco Use Referenced studies that support recommendations are summarized in Online Data Supplements 15 and 16. COR LOE Recommendations I A All adults should be assessed at every healthcare visit for tobacco use and their tobacco use status recorded as a vital sign to facilitate tobacco cessation.S4.5-1 I A To achieve tobacco abstinence, all adults who use tobacco should be firmly advised I A In adults who use tobacco, a combination of behavioral interventions plus pharmacotherapy is recommended to maximize quit rates.S4.5-2,S4.5-3 I B-NR In adults who use tobacco, tobacco abstinence is recommended to reduce IIa B-R To facilitate tobacco cessation, it is reasonable to dedicate trained staff to tobacco treatment in every healthcare III: Harm B-NR All adults and adolescents should avoid secondhand smoke exposure to reduce In alignment with previous expert consensus regard- ing strategies for tobacco cessation,S4.5-7 Table 8 sum- marizes recommended behavioral interventions and pharmacotherapy for tobacco treatment. There are 7 FDA-approved cessation medications, including 5 forms of nicotine replacement. Note that the black box warn- ings about neuropsychiatric events have been removed by the FDA.S4.5-8,4.5-9 Figure 4. BP thresholds and recommendations for treatment. Colors correspond to Class of Recommendation in Table 1. BP indicates blood pressure; and CVD, cardiovascular disease. Adapted with permission from Whelton Copyright 2017, American College of Cardiology Foundation and the American Heart Association, Inc. Recommendations for Adults With High Blood Pressure or Hypertension (Continued) COR LOE Recommendations CLINICAL STATEMENTS AND GUIDELINES 4.6. Aspirin Use Recommendations for Aspirin Use Referenced studies that support recommendations are summarized in Online Data Supplements 17 and 18. 