Heavy Smokers, Smoking Cessation, and Clonidine: Results of a Double-blind, Randomized Trial
Abstract
Seventy-one heavy smokers who had failed in previous attempts to stop smoking participated in a randomized clinical trial to test the efficacy of clonidine as an aid in smoking cessation. The success rate in clonidine-treated subjects (verified by serum cotinine concentration) was more than twice that in the placebo-treated subjects. When the data were stratified by gender, a strong effect present in women was not apparent in men. After six months, cessation rates remained significantly higher among smokers treated with clonidine than those receiving placebo. The data also revealed an unexpectedly high prevalence (61%) of a history of major depression in this sample and a significant negative effect of such a history on cessation regardless of treatment. These findings, highly suggestive of an important role of clonidine in smoking cessation, warrant further studies to establish the long-term (greater than or equal to 12 months) efficacy of this drug and to replicate the association between nicotine dependence and depression.
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A majority of smokers enrolled in smoking cessation programs have a history of depressive episodes.
“a majority of smokers enrolled in smoking cessation programs have a history of depressive episodes (Dalack, Glassman, Rivelli, Covey, & Stetner, 1995; Glassman et al., 1988; Lerman et al., 1996)”
From Nicotine addiction and psychiatric disorders (2015) · cites this paper as Glassman et al., 1988
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Hall, F. S., Der‐Avakian, A., Gould, T. J., Markou, A., Shoaib, M. C., & Young, J. W. (2015) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2015.06.004 · Cited by 104 · see citing works
Smoking withdrawal dynamics: III. Correlates of withdrawal heterogeneity
Piasecki, T. M., Jorenby, D. E., Smith, S. S., Fiore, M. C., & Baker, T. B. (2003) · Experimental and Clinical Psychopharmacology · doi:10.1037/1064-1297.11.4.276 · Cited by 104 · see citing works
“…understand withdrawal’s causal determinants, help explain why some treatments are more effective for some individuals than for others, and reveal why some populations (e.g., women, those with depression) are especially likely to relapse (Glassman et al., 1988; Perkins 1996; Wetter et al., 1999).”
BackgroundCovey, L. S., Hughes, D. C., Glassman, A. H., Blazer, D. G., & George, L. K. (1994) · Tobacco Control · doi:10.1136/tc.3.3.222 · Cited by 104 · see citing works
Self-citationNaloxone precipitates nicotine abstinence syndrome in the rat
Malin, D. H., Lake, J. R., Carter, V. A., Cunningham, J. S., & Wilson, O. B. (1993) · Psychopharmacology · doi:10.1007/bf02244930 · Cited by 147 · see citing works
Pomerleau, C. S., Downey, K. K., Snedecor, S. M., Mehringer, A. M., Marks, J. L., & Pomerleau, O. F. (2002) · Addictive Behaviors · doi:10.1016/s0306-4603(02)00223-x · Cited by 100 · see citing works
A preliminary placebo-controlled trial of selegiline hydrochloride for smoking cessation
George, T. P., Vessicchio, J. C., Termine, A., Jatlow, P. I., Kosten, T. R., & O’Malley, S. S. (2003) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01454-3 · Cited by 101 · see citing works
Addiction in the treatment of pain: Significance, recognition, and management
Savage, S. R. (1993) · Journal of Pain and Symptom Management · doi:10.1016/0885-3924(93)90155-o · Cited by 98 · see citing works
- Authors
- Glassman, A. H.
- Corresponding author
- Glassman, Alexander H.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1988-05-20
- Volume
- 259
- Issue
- 19
- Pages
- 2863
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W7214164996
- Cited by
- 0
- References
- 0
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- heavy smoking, smoking cessation, clonidine, nicotine dependence, tobacco use
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