Clinical inquiries. What interventions can help patients stop using chewing tobacco?
Nicotine replacement therapy (NRT), including gum and patches, decreases cravings and short-term abstinence rates, but does not improve long-term abstinence (strength of recommendation [SOR]: B, meta-analysis of small randomized controlled studies [RCT]). It is unclear if bupropion has an effect on cessation rates (SOR: B, small RCTs with conflicting results). Behavioral interventions increase abstinence rates for smokeless tobacco users (SOR: B, meta-analysis of small RCTs).
Smith
Kenesha D
KD
Mountain Area Health Education Center, Asheville, NC, USA.
Scott
Mollie Ashe
MA
Ketterman
Elizabeth
E
Smith
Patrick O
PO
D000279:Administration, Cutaneous; D001521:Behavior Therapy; D016642:Bupropion / Q000008:administration & dosage; D002638:Chewing Gum; D018765:Dopamine Uptake Inhibitors / Q000008:administration & dosage; D006801:Humans; D009538:Nicotine / Q000008:administration & dosage / Q000031:analogs & derivatives; D020340:Tobacco Use Cessation / Q000379:methods*; D014030:Tobacco, Smokeless
D002638:Chewing Gum; D018765:Dopamine Uptake Inhibitors; D016642:Bupropion; D009538:Nicotine