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ACP Journal Club |21 July 2009

Review: Nicotine gum and varenicline, but not behavioral interventions, reduce relapse in persons who have stopped smoking

Charles J. Bentz, MD, FACP

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Hajek P, Stead LF, West R, Jarvis M, Lancaster T. Relapse prevention interventions for smoking cessation. Cochrane Database Syst Rev. 2009;(1):CD003999. 19160228

GIM/FP/GP:

Pulmonology:

Getting smokers to quit is one thing: Keeping them from starting again is another. The review by Hajek and colleagues found that medications (varenicline and nicotine gum) helped prevent relapse but that behavioral interventions focused on identifying and resolving tempting situations were not effective.
The latter finding seems surprising. Many interventions that are proven to help patients quit smoking include this type of “skills training,” so why didn’t this review find benefit? One reason is that...
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Bentz CJ. Review: Nicotine gum and varenicline, but not behavioral interventions, reduce relapse in persons who have stopped smoking. Ann Intern Med. 2009;151:JC1–11. doi: 10.7326/0003-4819-151-2-200907210-02011

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Published: Ann Intern Med. 2009;151(2):JC1-11.

DOI: 10.7326/0003-4819-151-2-200907210-02011

2 Citations

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