Extended treatment with bupropion SR for cigarette smoking cessation.
The authors present results of a randomized clinical trial of the efficacy of extended treatment with bupropion SR in producing longer term cigarette smoking cessation. Adult smokers (N = 362) received open-label treatment (11 weeks) that combined relapse prevention training, bupropion SR, and nicotine patch followed by extended treatment (14 weeks) with bupropion SR or matching placebo. Abstinence percentages were relatively high (week 11: 52%; week 25: bupropion, 42%; placebo, 38%; week 52: bupropion, 33%; placebo, 34%), but bupropion SR did not surpass placebo. Gender and baseline craving level were identified as significant, independent moderators of treatment response. Men were more likely to abstain than women (week 11: 59% vs. 43%, p = .001; week 25: 48% vs. 31%, p = .001; week 52: 39% vs. 27%, p = .01). Because most smokers suffer relapse with any current cessation treatment, the comparatively high abstinence percentages achieved in this trial are of interest.
Killen
Joel D
JD
Stanford University School of Medicine, Stanford, CA 94305-5705, USA. jkillen@stanford.edu
Fortmann
Stephen P
SP
Murphy
Greer M
GM
Hayward
Chris
C
Arredondo
Christina
C
Cromp
Deann
D
Celio
Maria
M
Abe
Laurie
L
Wang
Yun
Y
Schatzberg
Alan F
AF
D000293:Adolescent; D000328:Adult; D000368:Aged; D016642:Bupropion / Q000008:administration & dosage / Q000627:therapeutic use*; D003692:Delayed-Action Preparations / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000188:drug therapy*; D016540:Smoking Cessation / Q000379:methods*
D003692:Delayed-Action Preparations; D016642:Bupropion