I'm Dr. Joshua Schwimmer, a nephrologist in New York City. • Kidney Notes was the first active nephrology blog, and The National Library of Medicine still uses Kidney Notes as an example of how to formally cite blogs in the medical literature. • Professionally, you can find me at Kidney.nyc. • Kidney Notes is for educational purposes only, not medical advice. Consult qualified health care professionals. See disclaimer.

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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