ENDS Cessation: Difference between revisions
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* Caponnetto P, Campagna D, Ahluwalia JS, Russell C, Maglia M, Riela PM, Longo CF, Busa B, Polosa R. Varenicline and counseling for vaping cessation: a double-blind, randomized, parallel-group, placebo-controlled trial. BMC Med. 2023 Jul 5;21(1):220. doi: 10.1186/s12916-023-02919-2. | * Caponnetto P, Campagna D, Ahluwalia JS, Russell C, Maglia M, Riela PM, Longo CF, Busa B, Polosa R. Varenicline and counseling for vaping cessation: a double-blind, randomized, parallel-group, placebo-controlled trial. BMC Med. 2023 Jul 5;21(1):220. doi: 10.1186/s12916-023-02919-2. | ||
* E-cigarette abstinence rate in the varenicline + counseling group was 34.3%, significantly higher than the abstinence rate of 17.2% in the placebo + counseling group. Notably, no subject in the study relapsed to tobacco cigarette smoking. | * E-cigarette abstinence rate in the varenicline + counseling group was 34.3%, significantly higher than the abstinence rate of 17.2% in the placebo + counseling group. Notably, no subject in the study relapsed to tobacco cigarette smoking. | ||
* '''Note:''' Varenicline has risks, it should be discussed with a doctor aware of vaping, if the risks outweigh the benefits of stopping vaping (as they may in many vapers), then it would not be warranted. | |||
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[[Category:Studies, Surveys, and Papers]] | |||
Revision as of 19:07, 5 July 2023
Can we help e-cigarette users intending but unable to quit vaping? Yes.
This is little studied, and the product was developed by ex-smokers as a commercial alternative to cigarettes, from almost the very start (2010 for sure) consumers insisted on an off ramp. From the early days the nicotine refills where available in a range of strengths, from 48mg/ml at the high end, to 0.3mg/ml as well as zero nicotine at the low. The general advice has always been, select a product that works to prevent relapse to smoking, and once dissociated from smoking taper the nicotine level down at a rate that works to prevent return to smoking, eventually, however long it takes for the individual reach zero nicotine, then stop using the product entirely. Some find they are unable to stop vaping entirely, even without nicotine at all, and if you would return to smoking in that case, it is better to vape when needed than to light a cigarette and start the journey again.
Should it be the choice and pace of any cessation attempt of users?
Short answer: Yes!
However if you wish to stop and have trouble doing so, help and advice should be available. What we should not do is browbeat, or pressure vapers to quit. Especially if it might mean a return to smoking.
Sudies, Papers, Randomised Controlled Trials etc...
2023: Varenicline and counseling for vaping cessation: a double‑blind, randomized, parallel‑group, placebo‑controlled trial
- Just published the first RCT of varenicline and vaping cessation counseling for vaping cessation:
- Caponnetto P, Campagna D, Ahluwalia JS, Russell C, Maglia M, Riela PM, Longo CF, Busa B, Polosa R. Varenicline and counseling for vaping cessation: a double-blind, randomized, parallel-group, placebo-controlled trial. BMC Med. 2023 Jul 5;21(1):220. doi: 10.1186/s12916-023-02919-2.
- E-cigarette abstinence rate in the varenicline + counseling group was 34.3%, significantly higher than the abstinence rate of 17.2% in the placebo + counseling group. Notably, no subject in the study relapsed to tobacco cigarette smoking.
- Note: Varenicline has risks, it should be discussed with a doctor aware of vaping, if the risks outweigh the benefits of stopping vaping (as they may in many vapers), then it would not be warranted.