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Nicotine Replacement Therapy for Smoking Cessation or Reduction: A Review of the Clinical Evidence [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2014 Jan 16.

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Nicotine Replacement Therapy for Smoking Cessation or Reduction: A Review of the Clinical Evidence [Internet].

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CONCLUSIONS AND IMPLICATIONS FOR DECISION OR POLICY MAKING

No clinical evidence was identified for the NRT products specifically termed as Nicorette Quick Mist, Nicorette Combo Quit or Nicorette Mini Lozenges. However, limited evidence showed that nicotine mouth spray or the combination of nicotine patch plus gum achieved higher smoking cessation than placebo. No statistically significant difference were found between nicotine Lozenge 2mg or 4mg) with nicotine patch. Statistically significant higher smoking cessation rates, despite the modest effect size, were observed with high dose nicotine patches (>22mg) compared with standard dose nicotine patch use (<22mg). NRT appears effective in the smoking reduction for those smokers who did not want to quit, failed from previous NRT, or intended to quit smoking gradually. No statistically significant different adverse events were identified among various NRT products. However, due to the methodological limitations and clinical heterogeneity of the body evidence, the findings identified in this review should be interpreted with caution. Better designed RCTs in Canadian settings are needed to determine the clinical effectiveness of the newer NRT products (Nicorette Quick Mist, Nicorette Combo Quit, Nicorette Mini Lozenges) or the use of supratherapeutic doses of nicotine for smoking cessation, and NRT’s role in the smoking reduction for those who do not intend to quit.

Copyright © 2014 Canadian Agency for Drugs and Technologies in Health.

Copyright: This report contains CADTH copyright material. It may be copied and used for non-commercial purposes, provided that attribution is given to CADTH.

Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions.

Except where otherwise noted, this work is distributed under the terms of a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International licence (CC BY-NC-ND), a copy of which is available at http://creativecommons.org/licenses/by-nc-nd/4.0/

Bookshelf ID: NBK195717

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