Nicotine Replacement Therapy (NRT)
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Nicotine replacement therapy as the name suggests, replaces the nicotine a person who smokes would get from smoking, with nicotine from a 'clean' source.
Studies, Surveys, Papers, Articles, and Blogs
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- This page is for referencing the possible benefits of Nicotine Replacement Therapy (NRT) vs. smoking cigarettes.
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2011: Providing accurate safety information may increase a smoker's willingness to use nicotine replacement therapy as part of a quit attempt
- 93% of smokers did not know that smoking while wearing the nicotine patch does not cause heart attacks; 76% that nicotine gum/lozenge are not as addictive as cigarettes; and 69% that NRT products are not as dangerous as cigarettes. Over half of the smokers with misperceptions reported that they would be more likely to use NRT (nicotine replacement therapy) to help them quit smoking if they were exposed to information correcting their concerns
- Results after only 6–12 months of follow‐up, as used in existing reviews and treatment guidelines, will overestimate the lifetime benefit and cost‐efficacy of NRT by about 30%. The majority of relapse after 12 months occurs within the first or second year.
- This review focused on the long‐term impact of the current “one‐shot” therapeutic approach to treatment with NRT and found significant but modest effects. Although such treatment is still likely to be highly cost‐effective in terms of life‐years gained, the substantial amount of relapse observed even after a year of abstinence, and the fact that more than 90% of those treated do not succeed, questions whether this therapeutic approach is the most appropriate. Our results support the notion that nicotine addiction, like others, should be viewed as a chronic recurring disease of the brain, and that its treatment should probably be closer to the long‐term treatment of other chronic diseases, such as hypertension, than that used for acute diseases like infections. For many smokers at least, a chronic, prolonged treatment is probably necessary and should include the encouragement to make repeated quit attempts accompanied with multiple treatment episodes over many years. To date, only one study has thoroughly investigated the effect of prolonged treatment on health outcomes. The results in terms of reducing smoking and morbidity have been encouraging.
- PDF Version
- Citation: Etter JF, Stapleton JA. Nicotine replacement therapy for long-term smoking cessation: a meta-analysis. Tob Control. 2006;15(4):280-285. doi:10.1136/tc.2005.015487
- Acknowledgements: Financial Support: None. Authors have done work / research on smoking cessation and on nicotine replacement therapies, some of which were paid in the past by NRT manufacturers.
2004: Both Smoking Reduction With Nicotine Replacement Therapy and Motivational Advice Increase Future Cessation Among Smokers Unmotivated to Quit.
- Results indicate smoking reduction using NRT does not undermine cessation but rather increases the likelihood of quitting to a degree similar to motivational advice.
- Citation: Carpenter, M. J., Hughes, J. R., Solomon, L. J., & Callas, P. W. (2004). Both Smoking Reduction With Nicotine Replacement Therapy and Motivational Advice Increase Future Cessation Among Smokers Unmotivated to Quit. Journal of Consulting and Clinical Psychology, 72(3), 371–381. doi.org/10.1037/0022-006X.72.3.371
- Despite the ‘cigarette-like’ appearance of the inhaler and the associated sensory/ritual elements, little treatment dependence or abuse has been reported.
Suggested studies to add to this page
2012: Randomized controlled trial to evaluate tooth stain reduction with nicotine replacement gum during a smoking cessation program
1999: Higher dosage nicotine patches increase one-year smoking cessation rates: results from the European CEASE trial. Collaborative European Anti-Smoking Evaluation. European Respiratory Society
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