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A Combination Nicotine Replacement Therapy (NRT) Algorithm for Hard-to-Treat Smokers

Published online by Cambridge University Press:  21 February 2012

Renee Bittoun
Renee Bittoun*
Affiliation:
Psychological Medicine, University of Sydney, Australia. [email protected]
*
*Address for correspondence: Renee Bittoun, Psychological Medicine, University of Sydney NSW 2006, Australia.
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Abstract

Many smokers have not succeeded in quitting using a single nicotine replacement mode. An algorithm was developed for clinicians to enhance success rates when recommending nicotine replacement therapy (NRT) to smoking patients. The algorithm is based on clinical experience with chronic smokers with respiratory illnesses attending one-on-one smokers clinics in the Central Sydney Area Health Service. Based on transdermal nicotine therapy (patch) other forms of NRT are added if required for ‘breakout’ smoking for 2 weeks. Outcomes have shown 60% confirmed continuous abstinence at 3 months. Smokers can be safely and successfully treated symptomatically for nicotine withdrawal relief using combination NRT aggressively. This enhances treatment efficacy by minimising relapse in the first few weeks and months of quitting.

Type
Articles
Information
Journal of Smoking Cessation , Volume 1 , Issue 1 , 01 October 2006 , pp. 3 - 6
Copyright
Copyright © Cambridge University Press 2006

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