title: Three Decades of High-Dose Nicotine Gum Dependence Treated With Nicotine Patches.
abstract: BACKGROUND
  Some long-term nicotine gum users are addicted to nicotine and may need assistance to stop. There is no published evidence on the use of nicotine patches for this purpose.
  
  
  METHODS
  A 45-year old man presented with a 30-year history of high-dose nicotine gum use (up to 200mg nicotine per day). He was highly nicotine dependent and had failed repeatedly to stop using nicotine gum use in the past. Within a week of commencing nicotine patches he was able to cease nicotine gum with minimal discomfort and has remained nicotine-free for 6 months, with abstinence confirmed biochemically. His severe sweating disorder rapidly resolved with cessation of the gum.
  
  
  CONCLUSIONS
  Nicotine patches may be an effective treatment for long-term nicotine gum addiction.
authors.affiliation: The Sydney Clinic, Bronte, Australia mendel@bigpond.net.au.
authors.forename: Colin P
authors.initials: CP
authors.lastname: Mendelsohn
mesh_terms: D000279:Administration, Cutaneous; D006801:Humans; D008297:Male; D008875:Middle Aged; D009538:Nicotine / Q000008:administration & dosage* / Q000009:adverse effects; D012907:Smoking / Q000188:drug therapy* / Q000523:psychology / Q000652:urine; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D013997:Time Factors; D061485:Tobacco Use Cessation Devices; D014029:Tobacco Use Disorder / Q000188:drug therapy* / Q000523:psychology / Q000652:urine
chemical_list: D009538:Nicotine