Nicotine-Replacement Therapy With Use of a Transdermal Nicotine Patch—a Randomized Double-Blind Placebo-Controlled Trial
Abstract
The rate of smoking was significantly reduced in volunteer subjects by providing effective nicotine replacement, self-help material, and weekly visits with a nurse for 6 weeks. Nicotine-replacement therapy with a transdermal nicotine patch (Nicolan) almost doubled the 6-week smoking-cessation rate in comparison with that in a placebo group (77% versus 39%; P = 0.002) among subjects who were smoking at least 20 cigarettes per day at baseline. Although most subjects who used the active nicotine patches had skin reactions, the reactions were primarily mild. For use of both active and placebo patches, the level of patient compliance was high. Among subjects who continued to smoke, the use of cigarettes was decreased to less than 50% of the baseline smoking level in 7 of 7 with active nicotine patches and in 15 of 19 with placebo patches. Outcomes beyond 6 weeks showed a substantial relapse rate in both groups. Thus, when nicotine-replacement therapy is provided, a need exists for concurrent behavioral intervention and training for prevention of a relapse, neither of which was part of this protocol.
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The frequency of skin reactions with the DMO is generally lower than published research on adhesive tape and patches.
“the frequency of skin reactions is generally lower than published research on adhesive tape and patches [25-28].”
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- Authors
- HURT, R. D., LAUGER, G. G., OFFORD, K. P., KOTTKE, T. E., & DALE, L. C.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- HURT, RICHARD D.
- Venue
- Mayo Clinic Proceedings
- Publisher
- Elsevier BV
- Published
- 1990-12
- Volume
- 65
- Issue
- 12
- Pages
- 1529-1537
- ISSN
- 0025-6196 (ISSN-L)
- OpenAlex
- W2008596017
- Cited by
- 113
- References
- 15
- Citations by year
- 2025: 1 · 2022: 1 · 2021: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 1 · 2012: 3
- FWCI
- 9.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Mayo Clinic Proceedings (publishedVersion)
- PubMed (publishedVersion)
- 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
- nicotine replacement therapy, nicotine patch, smoking cessation, relapse prevention, behavioral interventions, self-help materials, nurse visits, skin reactions, medication adherence, heavy smokers
- MeSH terms
- Administration, Cutaneous, Adult, Aged, Double-Blind Method, Female, Humans, Male, Middle Aged, Nicotine, Patient Compliance, Smoking, Substance Withdrawal Syndrome
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