Fagerström Nicotine Dependence Calculator

Evaluate physical nicotine addiction severity using the validated 6-question Fagerström test.

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Input Parameters

Enter details for calculation.

Fagerström Score

3 / 6
Moderate Dependence
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Expert Tip

Higher scores indicate severe dependence, suggesting high-dose nicotine replacement therapy (NRT) is appropriate for cessation.

Calculation Methodology & Details

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Formula

Score = Time-to-first points + Quantity points (max 10)

This uses a 2-item HSI subset representing the most predictive components.

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Important Disclaimer

The calculations provided are for educational and general informational purposes only. They do not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

How Fagerström is Scored

Follow these steps to use this calculator:

1

Log Wakeup Smoking Habits

Select timing of first cigarette.

2

Log Quantity

Select daily cigarette average.

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Detailed Insights & Expert Guide

ℹ️ About this Calculation

This addiction medicine calculator provides validated clinical screening, withdrawal severity monitoring, substance dependence scoring, and financial savings projections based on DSM-5 and SAMHSA assessment guidelines.

Variable Glossary

Input

Substance Usage Data

Daily consumption volume, years smoked, clinical symptoms (tremors, sweating), or questionnaire choices.

Parameter

Clinical Risk Indexes

Blood alcohol concentration (BAC %), CIWA withdrawal score, pack-year index, or dependence tier.

How to Calculate Step-by-Step

1

Step 1

Select the substance screening instrument or input usage parameters (drinks, packs, duration).

2

Step 2

Complete symptom severity ratings or financial cost details.

3

Step 3

Review clinical risk interpretation, recommended detox protocols, or cumulative savings projections.

FAQ

What is the clinical role of the CIWA-Ar scale?
The Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scores 10 core symptoms to monitor alcohol withdrawal severity and guide symptom-triggered benzodiazepine dosing.
How are Pack Years calculated for smoking history?
Pack Years = (packs of cigarettes smoked per day) × (years as a smoker). For example, 1 pack per day for 20 years equals 20 pack-years.
Can self-screening replace professional addiction treatment?
No. Screening tools (AUDIT-C, CAGE, DAST-10) indicate potential risk levels. Severe alcohol or substance withdrawal requires professional medical supervision to prevent life-threatening complications.