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ARTICLE |

The Clinical Management of Nicotine Dependence

Robert L. DuPont, MD
JAMA. 1991;266(22):3202-3203. doi:10.1001/jama.1991.03470220118043.
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This useful and modest book, written for physicians and other clinicians working with patients who are nicotine dependent, has short chapters dealing with the truly remarkable range of techniques now being used to help people quit tobacco use. There are chapters on behavior therapy and on the use of acupuncture, hypnosis, silver acetate, nicotine gum and patches, clonidine, and other specific methods, as well as on outpatient, inpatient, and mutual-aid approaches to the problem. Other chapters deal with the history of tobacco use and the societal and biological factors that promote or inhibit it. Each chapter is a self-contained essay written by an expert.

The reader is left with two conflicting impressions. First, most of the 50 million Americans who have quit tobacco use in the last two decades did so without the benefit of any program or treatment, and second, none of these modern treatments has been shown to

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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