© 2003 BMJ Publishing Group & British Thoracic Society
EDITORIAL
Nicotine replacement therapy
Nicotine replacement therapy in smoking cessation
Llandough Hospital, Penarth, Cardiff CF64 2XX, UK; ian.campbell@cardiffandvale.wales.nhs.uk
Evidence for benefit from nicotine replacement therapy in hospital patients is inconclusive, although the results of a trial reported in this issue of Thorax give cause for optimism and should stimulate further studies.
Keywords: smoking cessation; nicotine replacement therapy; hospital inpatients
| The first 150 words of the full text of this article appear below. |
Most smokers become nicotine dependent and, when they stop smoking, experience withdrawal symptoms and craving. Nicotine replacement therapy (NRT) reduces these unpleasant symptoms and, theoretically, should decrease the risk of relapse. Smoking cessation is properly defined as validated sustained abstinence from cigarettes and/or other tobacco products for at least 6 months, but preferably for 1 year. This editorial includes evidence only from those studies which have applied such a definition and which have specified their settings and populations.
NRT is available as chewing gum, transdermal patches, sublingual tablets, lozenges, inhalation cartridges and nasal spray. In specialised cessation clinics18 and in primary care,9,10 prospective randomised clinical trials have shown that NRT, used as an adjunct to advice and support, results in better cessation rates than does advice and support alone. In the clinics success rates with NRT tend to be higher (1130%) and more consistent than in primary
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