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Nicotine Inhaler for Smoking Cessation-Reply

Philip Tønnesen, MD; Jesper Nørregaard, MD; Kim Mikkelsen, MD; Stig Jørgensen, MD
JAMA. 1993;270(3):323. doi:10.1001/jama.1993.03510030046026.
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In Reply  —Our enrollment in the nicotine inhaler study was almost supersonic: all 286 smokers were enrolled in 5 days in the afternoon after working hours. Many subjects felt that the sessions were unsatisfactcory due to the hurry and lack of personal contact. The subjects saw a 7-minute videotape at entry only. This could also be arranged in a primary care setting. We believe that the primary care physician could take advantage of his or her knowledge of, and partnership with, the smoker, and so the consultation time need not be more than 5 to 10 minutes. The low success rate in the placebo group in our study is a reflection of the minimal psychological support provided, combined with a relatively low degree of motivation to quit in moderately nicotine-dependent subjects. In contrast, we have attained higher success rates when we used nicotine gum in combination with group meetings.1


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