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A New Study To Examine ADHD's Role In Smoking

Most people find that smoking helps them alleviate symptoms like forgetting, distracted, impulsive or fidgety - now a new study launched by Columbia University Medical Center// investigates whether these symptoms of Attention Deficit Hyperactivity Disorders (ADHD) are causing people to smoke.

If that is the case, will treatment for ADHD combined with the standard treatment to help people quit smoking – the patch with counseling – increase the quit rates for smokers trying to quit? Lirio S. Covey, Ph.D., director of the Smoking Cessation Program at Columbia University Medical Center, is trying to find out.

Covey and her colleagues are recruiting smokers who have been diagnosed with ADHD or who may have symptoms of ADHD but have not yet been diagnosed, to be part of a study that will help them quit smoking. Approximately 7-8 million adults in the U.S. have ADHD. Smoking is twice as common in this population as in the general population.

Research has shown that most smoking in the U.S. occurs among people who have psychiatric conditions, such as alcohol or drug abuse, major depression, anxiety and ADHD. One line of research has shown that smokers with these conditions 'self-medicate' their symptoms with nicotine, the primary addictive substance in tobacco.

Participants in the study will receive the nicotine patch, behavioral counseling, and a drug approved by the Food and Drug Administration for the treatment of ADHD called methylphenidate (brand name CONCERTA?). Because methylphenidate and nicotine act on the brain in a similar way, the premise is that treatment with methylphenidate when trying to quit smoking may reduce symptoms of ADHD while also reducing tobacco withdrawal symptoms. These benefits together may lead to increased success in quitting.

'Nicotine seems to quell the symptoms for ADHD, but unfortunately the other ingredients in cigarettes and the act of taking in nicotine through the lungs makes it ver
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