Recycling with nicotine patches in smoking cessation
Abstract
The aim was to evaluate if recycling of failures from a smoking cessation study may be of value. The study comprised 126 smokers (50%) of 252 failures, from a double-blind smoking cessation trial with nicotine patch, who accepted recycling after 1 year. Subjects were allocated nicotine patches delivering 15, 20 or 25 mg of nicotine (over 16 hours) according to their base-line saliva cotinine concentrations in an open trial. The treatment period was 12 weeks followed by tapering over 6 weeks. The percentage of quitters after 3, 12, 26, and 52 weeks was 44, 20, 7 and 6%, respectively. After 26 weeks, all subjects had relapsed in the group previously treated with active nicotine patch compared with 12% abstainers in the previous placebo subjects. The sustained abstinence rate without slips after one year was 2%. Recycling does not seem to be of long-term clinical relevance in our set-up for subjects initially treated with nicotine, but of some value in subjects quitting without nicotine therapy initially.
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Repeated use of the nicotine patch shortly after prior cessation failure with the patch did not lead to significant cessation rates (0% to 1.6% sustained abstinence at 26 weeks).
“To date, repeated use of the nicotine patch shortly after prior cessation failure with the patch did not lead to significant cessation rates (0% to 1.6% sustained abstinence at 26 weeks, (120, 121).”
From Tobacco addiction (2008) · cites this paper as [121]
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- Authors
- TØNNESEN, P., NØRREGAARD, J., SÄWE, U., & SIMONSEN, K.
- Affiliations
- Bispebjerg Hospital (DK)
- Corresponding author
- TØNNESEN, PHILIP
- ORCID
- TØNNESEN, PHILIP
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 1993-04
- Volume
- 88
- Issue
- 4
- Pages
- 533-539
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W1997119641
- Cited by
- 48
- References
- 22
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2017: 1 · 2016: 2 · 2014: 2 · 2012: 2
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- smoking cessation, nicotine patch, relapse, sustained abstinence, nicotine dose, saliva cotinine, nicotine replacement therapy, tapering
- MeSH terms
- Administration, Cutaneous, Adult, Aged, Cotinine, Dose-Response Relationship, Drug, Female, Follow-Up Studies, Humans, Male, Middle Aged, Nicotine, Recurrence, Saliva, Substance Withdrawal Syndrome, Smoking Cessation
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