title: Bupropion and nicotine patch as smoking cessation aids in alcoholics.
abstract: This is a double-blind placebo-controlled study of sustained-release bupropion as a smoking cessation aid in alcoholics undergoing treatment for their alcoholism. Participants (N=58) were enrolled within 1 week of entry into alcohol treatment from community and Veterans Affairs Substance Use Disorder programs. All participants received nicotine patch and were invited to attend a smoking cessation lecture and group. Cigarette smoking and alcohol outcomes were measured at 6 months. Bupropion when added to nicotine patch did not improve smoking outcomes. One third of participants on bupropion reported discontinuing the drug during weeks 1-4. Participants reported cigarette outcomes with nicotine patch that are similar to those seen in the general population. All study participants significantly reduced cigarette use. Comorbid affective disorder or antipersonality disorder did not affect outcomes. Alcohol outcomes were improved in those who discontinued cigarettes.
authors: Substance Use Disorders Program, 116A4, Veterans Administration Nebraska Western Iowa Health Care System (Omaha site), 4101 Woolworth Avenue, Omaha, NE 68105, USA. Kathleen.grant2@med.va.gov
authors: Kathleen M
authors: KM
authors: Grant
authors: Stephanie Sinclair
authors: SS
authors: Kelley
authors: Lynette M
authors: LM
authors: Smith
authors: Sangeeta
authors: S
authors: Agrawal
authors: James R
authors: JR
authors: Meyer
authors: Debra J
authors: DJ
authors: Romberger
mesh_terms: D000279:Administration, Cutaneous; D000328:Adult; D000437:Alcoholism / Q000150:complications* / Q000628:therapy; D016642:Bupropion / Q000009:adverse effects / Q000627:therapeutic use*; D003153:Community Health Services; D003692:Delayed-Action Preparations; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009329:Nebraska; D014179:Neurotransmitter Uptake Inhibitors / Q000009:adverse effects / Q000627:therapeutic use*; D009538:Nicotine / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D018722:Nicotinic Agonists / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D010349:Patient Compliance; D012107:Research Design; D016540:Smoking Cessation / Q000379:methods*; D000074606:Smoking Prevention; D016320:Substance Abuse Treatment Centers; D013997:Time Factors; D014029:Tobacco Use Disorder / Q000150:complications / Q000188:drug therapy*; D016896:Treatment Outcome; D014728:Veterans
chemical_list: D003692:Delayed-Action Preparations; D014179:Neurotransmitter Uptake Inhibitors; D018722:Nicotinic Agonists; D016642:Bupropion; D009538:Nicotine