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Titolo:
Practical experiences in smoking reduction and cessation
Autore:
Bolliger, CT;
Indirizzi:
Univ Basel Hosp, Dept Internal Med, Div Resp, CH-4031 Basel, Switzerland Univ Basel Hosp Basel Switzerland CH-4031 sp, CH-4031 Basel, Switzerland
Titolo Testata:
ADDICTION
, volume: 95, anno: 2000, supplemento:, 1
pagine: S19 - S24
SICI:
0965-2140(200001)95:<S19:PEISRA>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
NICOTINE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Bolliger, CT Univ Stellenbosch, Fac Med, 19063, ZA-7505 Tygerberg, South Africa Univ Stellenbosch 19063 Tygerberg South Africa ZA-7505 frica
Citazione:
C.T. Bolliger, "Practical experiences in smoking reduction and cessation", ADDICTION, 95, 2000, pp. S19-S24

Abstract

Tobacco use is a major cause of cardiovascular, respiratory and oncological disease. Quitting smoking significantly benefits health, but for highly dependent smokers, unable to overcome their nicotine dependence, the conceptof smoking reduction as a method of harm reduction is gaining ground. The University Hospital of Basle, Switzerland, has run double-blind, placebo-controlled smoking cessation and smoking reduction studies: the CEASE trial evaluated the efficacy of the nicotine parch in achieving abstinence, and the Rosette study is evaluating the efficacy and tolerability of the nicotineoral inhaler in smokers who do not wish to quit. Smokers were instructed either to quit smoking (CEASE) or to reduce cigarette consumption by >50% (Rosette). In both studies, success rates for active treatment versus placeboat 4 months demonstrated that nicotine replacement therapy (NRT) is effective in achieving both smoking cessation and reduction. Current approaches to smoking cessation and reduction at our clinic are discussed. Combination NRT rather than monotherapy is commonly used to achieve both smoking reduction and cessation. Treatment appears to be most effective if subjects are allowed to select their preferred NRT product. There are clear differences in patient populations aiming to quit or reduce, the cessation population being more motivated. Smoking cessation remains the ultimate aim bur, if unfeasible, a significant reduction in cigarette consumption is a valid goal.

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Documento generato il 28/11/20 alle ore 04:15:36