Cited by 141Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesNicotinic Acetylcholine Receptors Study

Characterization of tobacco withdrawal symptoms: transdermal nicotine reduces hunger and weight gain

Jorenby, D. E., Hatsukami, Dorothy K., Smith, Stevens S., Fiore, Michael C., Allen, Sharon, Jensen, Joni, Baker, Timothy B.·1996·Psychopharmacology

Abstract

The accurate assessment of both tobacco withdrawal and the impact of the nicotine patch on withdrawal may be compromised by attrition of subjects, or by subjects smoking during withdrawal. To reduce these occurrences, 211 participants were provided with intensive cessation counseling while trying to quit smoking with either nicotine (21 mg) or placebo transdermal patches. Subject attrition was low, with 80.5% of participants continuing through the 5-week study period. Abstinence rates were also high over this period (75% and 61% in active and placebo groups, respectively). In this multisite, double-blind trial, withdrawal severity was assessed using a nine-item daily self-report questionnaire, and abstinence was confirmed via CO monitoring. Abrupt smoking cessation increased multiple tobacco withdrawal symptoms/signs including craving for cigarettes, irritability, anxiety, appetite, sleep disruption, difficulty concentrating, restlessness, depression, and impatience. Treatment with transdermal nicotine reduced craving for cigarettes, anxiety, irritability, and appetite, as well as weight gain (1.85 versus 2.88 kg mean gain over 4 weeks in active and placebo groups, respectively).

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Registry

Crossref · 10.1007/s002130050118

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16 of 16 references verified0 citation errors · 0 not checkable

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  • Bupropion improves abstinence rates to 14-18% of subjects.

    “Bupropion improves rates of abstinence to 14–18% of subjects [150, 233]”

    From Mechanistic insights into nicotine withdrawal (2011) · cites this paper as [150]

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Authors
Jorenby, D. E., Hatsukami, D. K., Smith, S. S., Fiore, M. C., Allen, S., Jensen, J., & Baker, T. B.
Affiliations
  • University of Wisconsin–Madison (US)
  • University of Minnesota (US)
Venue
Psychopharmacology
Published
1996-11-14
Volume
128
Issue
2
Pages
130-138
ISSN
  • 0033-3158 (ISSN-L)
  • 1432-2072
OpenAlex
W1980782104
Cited by
141
References
16
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 2 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 1 · 2016: 3 · 2015: 4 · 2014: 6 · 2013: 9 · 2012: 5
FWCI
2.25
Type
journal article
Language
en
Open access
closed
Locations
  • Psychopharmacology (publishedVersion)
  • PubMed (publishedVersion)
Funders
University of Minnesota
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Nicotinic Acetylcholine Receptors Study
Keywords
tobacco withdrawal symptoms, transdermal nicotine, nicotine patch, smoking cessation, craving, appetite, weight gain, irritability, anxiety, sleep disruption, abstinence
MeSH terms
Administration, Cutaneous, Adult, Double-Blind Method, Erythema, Female, Headache, Humans, Hunger, Male, Minnesota, Nicotine, Smoking, Substance Withdrawal Syndrome, Tobacco Use Disorder, Wisconsin, Weight Gain, Smoking Cessation, Nicotinic Agonists

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