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ARTICLE |

Smoking Cessation: The Side Effects of Clonidine FREE

Philip Tønnesen, MD
JAMA. 1989;261(22):3240-3240. doi:10.1001/jama.1989.03420220054009
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To the Editor. —  In a recently published double-blind, placebo-controlled trial1 of smoking cessation, 38 heavy smokers received clonidine and 42 received a placebo. There was a significantly better effect with clonidine compared with the placebo on the outcome after 6 months of treatment, with a success rate of 27% in the clonidine group compared with 5% in the placebo group. Clonidine treatment was stopped in 3 (8%) of the 38 subjects owing to sedative effects and treatment was discontinued in 2 (5%) of the 42 placebo-treated subjects (difference not significant). The dose of clonidine was 150 to 300 μg/d. When this study was published, we had almost finished an open clinical trial with clonidine in smoking cessation.This study comprised 47 subjects (37 women and 10 men) with a median age of 45 years (range, 21 to 70 years). Their cigarette consumption was 20 cigarettes daily (range, 10

REFERENCES

Glassman AH, Stetner F, Walsh BT, et al.  Heavy smokers, smoking cessation, and clonidine: results of a double-blind, randomized trial . JAMA. 1988;;259:2863-2866.
Tønnesen P, Fryd V, Hansen M, et al.  Effect of nicotine chewing gum in combination with group counseling on the cessation of smoking . N Engl J Med. 1988;;318:15-18.
Glassman AH, Jackson WK, Walsh BT, Roose SP.  Cigarette craving, smoking withdrawal, and clonidine . Science. 1984;;226:864-866.
Barr W.  Problems related to postmenopausal women . S Afr Med J. 1975;;49:437-439.
Clayden JR, Bell JW, Pollard P.  Menopausal flushing: double-blind trial of a non-hormonal medication . Br Med J. 1974;;1:409-412.

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Glassman AH, Stetner F, Walsh BT, et al.  Heavy smokers, smoking cessation, and clonidine: results of a double-blind, randomized trial . JAMA. 1988;;259:2863-2866.
Tønnesen P, Fryd V, Hansen M, et al.  Effect of nicotine chewing gum in combination with group counseling on the cessation of smoking . N Engl J Med. 1988;;318:15-18.
Glassman AH, Jackson WK, Walsh BT, Roose SP.  Cigarette craving, smoking withdrawal, and clonidine . Science. 1984;;226:864-866.
Barr W.  Problems related to postmenopausal women . S Afr Med J. 1975;;49:437-439.
Clayden JR, Bell JW, Pollard P.  Menopausal flushing: double-blind trial of a non-hormonal medication . Br Med J. 1974;;1:409-412.
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