Thursday, August 25, 2005

Smoking Cessation: Combining the Nicotrol Inhaler and Nicotine Patch

I've recently successfully helped patients quit smoking by using a combination of the nicotine patch and the Nicotrol inhaler. A Google Scholar search is here. A very readable paper on treating tobacco use and dependence in the journal Chest is here.
Combining the nicotine patch with a self-administered form of nicotine replacement therapy (NRT), utilizing the gum, the inhaler, or the nasal spray, is more efficacious than a single form of nicotine replacement. Patients should be encouraged to use such combined treatments if they are unable to quit using a single type of first-line pharmacotherapy.
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