Navigation Links
Nicotine Patches, Gums Won't Help Smokers Quit Long-Term: Study

By Alan Mozes
HealthDay Reporter

MONDAY, Jan. 9 (HealthDay News) -- Nicotine patches and nicotine gum -- the popular mainstays of so-called "nicotine replacement therapy" -- don't help many smokers kick the habit and remain cigarette-free over the long haul, new research suggests.

This conclusion is based on results of several surveys conducted among nearly 800 adult smokers that revealed that those who used nicotine replacement therapy (NRT) did not gain any advantage over non-users in terms of relapse rates.

This observation held up among both heavy and light smokers, regardless of whether or not nicotine replacement therapy was accompanied by professional cessation counseling.

"Even though other well-controlled studies have shown that nicotine replacement therapy can be effective, our study looked at real-world use over the long-term," said study lead author Hillel Alpert, a research scientist with the Harvard School of Public Health's Center for Global Tobacco Control in Boston. "And in the real world, cigarettes are simply a very powerful addiction. And NRT is apparently not an effective replacement for that addiction."

Alpert and his colleagues published their findings in the Jan. 9 online edition of Tobacco Control. The research was funded by the U.S. National Cancer Institute.

The study authors noted that an estimated 70 percent of smokers interviewed said they wanted to quit, and more than 45 percent said they made an effort to do so in the past year.

The researchers looked at the experiences of nearly 800 Massachusetts residents who had recently quit smoking before enrolling in the study.

During three two-year "waves" (starting in 2001 and ending in 2006), each of the participants was asked about any nicotine replacement therapy use, which in addition to patches or gums could also include nicotine inhalers and nasal sprays. All were also asked if they had received counseling from a doctor or other professional, or whether they had joined any program designed to help them quit. Relapse rates were also noted.

The result: Within each two-year survey time frame, about one-third of the quitters had begun to smoke again. Nicotine replacement therapy appeared to have no impact on the relapse rate, meaning that those who used the therapy for six weeks or longer were as likely to relapse as those who hadn't.

The study authors concluded that the findings raise "serious questions" about the effectiveness of nicotine replacement therapy as experienced by most smokers: namely, outside a carefully controlled clinical setting.

The researchers suggested that the findings might have broad public health implications, given pending plans under the federal health reform law that Medicare, Medicaid and private insurance plans cover the costs of nicotine replacement therapy.

"The FDA (U.S. Food and Drug Administration) has the responsibility for regulating medications to help smokers quit, as well as new responsibilities concerning tobacco products themselves," Alpert said. "So, on the one hand, it (the FDA) should only approve medications that are proven to be effective in helping smokers quit long-term. And it has the authority to intervene to actually reduce the addictiveness of cigarettes, which is what this study suggests is the real issue rendering NRT ineffective."

Stanton Glantz, a professor of medicine in the division of cardiology at the University of California, San Francisco's Center for Tobacco Control Research and Education, said the new study "is a real challenge to the routine use of over-the-counter NRT outside of a clinical setting."

"The findings don't surprise me," he added. "And they perhaps serve as an important cautionary tale about the way we might want to use our public dollars, and what is, and what is not, good public health policy."

"For example, we already know that increasing the price of cigarettes, public messaging, and strong legislation restricting indoor smoking work, and work very well, as a matter of policy," Glantz noted. "But this study suggests that NRT doesn't actually buy you anything when used over the counter. So using public funds to support NRT use in that way may not be such a great idea.

"But at the same time," he added, "this is just one study, and it's not terribly huge. And this study isn't saying that these pharmacologic aids don't work at all. It just says that NRT doesn't work in the unsupervised, over-the-counter context. So we don't necessarily want to throw out the baby with the bathwater."

More information

For more on nicotine replacement therapy, visit the U.S. National Library of Medicine.

SOURCES: Hillel R. Alpert, ScM., research scientist, Center for Global Tobacco Control, Harvard School of Public Health, Boston; Stanton A. Glantz, Ph.D., professor of medicine, division of cardiology, Center for Tobacco Control Research and Education, University of California, San Francisco; Jan. 9, 2012, Tobacco Control, online

Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Could Nicotine Patches Help Stave Off Memory Loss?
2. NIH study examines nicotine as a gateway drug
3. Plant researchers locate transporter used for nicotine metabolism
4. Polymers hunt for nicotine
5. Eliminating protein in specific brain cells blocks nicotine reward
6. Preteens surrounded by smokers get hooked on nicotine
7. Reining in nicotine use
8. Secondhand Smoke May Trigger Nicotine Craving
9. Moderate levels of secondhand smoke deliver nicotine to the brain
10. Babies who sleep with smoker parents exhibit high nicotine levels
11. Nicotine Raises Blood Sugar Levels in Lab
Post Your Comments:
(Date:11/30/2015)... ... November 30, 2015 , ... During ... information for caregivers and held two webinars on topics of ‘Medical and Palliative ... of charge at . , With a loved one's diagnosis of ...
(Date:11/30/2015)... TX (PRWEB) , ... November 30, 2015 , ... ... plastic surgery and dermatology, is proud to announce that its ThermiRFR temperature controlled ... , ThermiRF is an innovative multi-application radiofrequency platform which uses temperature as a ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... vehicle experience this summer, ushering in a new era of publicly accessible automated ... electric shuttle, will continue to offer guests an up-close look at the shuttle ...
(Date:11/30/2015)... ... ... On Saturday, October 24th, 2015, at the Mill Race Park in Downtown ... walk known as “Making Strides Against Breast Cancer”. Patients and staff members from A ... Battle Creek, joined in for this campaign that sought to raise donations that will ...
(Date:11/30/2015)... Alexandria, VA (PRWEB) , ... November 30, 2015 ... ... Research Foundation kicked off its annual fundraising campaign to raise funds for its ... usually raises approximately 10% of the organization’s annual funding. , The Mesothelioma Applied ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... Nov. 30, 2015  PTS Diagnostics, the U.S.-based manufacturer ... analyzers, A1CNow ® systems, and PTS Detect™ ... of patents that will propel the company into the ... Europe . The technology is a ... those on smartphones and tablets, and uses test strip ...
(Date:11/30/2015)... , Nov. 30, 2015 Cumberland Pharmaceuticals (CPIX), ... present live at on December 3, 2015. ... TIME: 3:15p.m. ET LINK: ... LINK: --> ... event where investors are invited to ask the company questions ...
(Date:11/30/2015)... LAKE CITY , Nov. 30, 2015 Booth ... (NYSE: VAR ) will exhibit a broader array of ... of the Radiological Society of North America ... Varian exhibit at the meeting will feature X-ray components "At ... CT tube, a line of products from Varian,s Claymount brand, ...
Breaking Medicine Technology: