Nicotine replacement therapy

BMJ 1994;308:475 (12 February)

Letters

Nicotine replacement therapy

EDITOR, - Jin Ling Tang and colleagues' systematic analysisof randomised trails of the efficacy of nicotine replacementtherapy in helping people to stop smoking¹ is an important contributionto evidence of the effectiveness of nicotine gum and patchesin stopping smoking. As the authors conclude, these aids havean important part to play in helping smokers who are motivatedto stop, especially those who are highly dependent on nicotine.Studies in general practice in Britain support the authors'suggestion that, for all but the most heavily dependent people,the transdermal patch is probably the product of choice.^2,4I concur with their recommendation that patients with cardiovasculardisease who are motivated to stop smoking should consider usingnicotine replacement therapy.

Evidence does not, however, support the statement that the patch"is suitable for over the counter purchases, and, since thedaily cost of replacement therapy is about the same as . . . [Full text of this article]

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Relevant Article

How effective is nicotine replacement therapy in helping people to stop smoking?: J L Tang, M Law, and N Wald
BMJ 1994 308: 21-26. [Abstract] [Full Text]