Smoking Cessation Question: Now that Nicoderm patches have gone OTC, how do you know when to suggest to a patient to consider nicotine replacement therapy?
Whether to use a drug has little with its availability. The cessation rate for stopping smoking is about 10-15%. This rises about 5% or so with the use of nicotine patches. This is particularly true of those patients who are truly nicotine addicted versus socially addicted. That is, some patients smoke at predictable times dictated by social parameters.(Breaks, parties, first cup of coffee, etc.). Others are climbing the walls with any cessation of nicotine intake. This is the best group to use patches, although both groups will benefit.
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