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March 2008 · Vol. 20, No. 03

Smoking cessation: Tactics that make a difference

Telephone “quitlines,” Web support, text messaging, and drugs all boost the quit rate—if you set the stage


Fast Track

Discuss your patient’s smoking at every opportunity—one study has shown that even brief advice can help

When a counselor telephoned smokers who were attempting to quit, the abstinence rate climbed from 4.1% to 7.5%

Toll-free quitlines provide patients with personal counseling—appealing to those uncomfortable discussing their smoking in a group

A Cochrane Review found that nicotine replacement nearly doubles a smoker’s chance of quitting

When compared with placebo, bupropion doubled a patient’s odds of quitting smoking

2 studies suggest that varenicline may be at least as good as—or better than—bupropion for long-term smoking cessation

Early studies suggest that nicotine vaccines may make abstinence from smoking easier to maintain

IN THIS ARTICLE

Agnes  O.  Coffay,  MD

Dr. Coffay works in the Intramural Research Program at the National Institute on Drug Abuse, National Institutes of Health, Department of Health and Human Services, in Washington, DC.

This research is supported by the Intramural Research Program of the NIH, National Institute on Drug Abuse. The author has no other financial relationships relevant to this article.

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