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23 - Treatment of nicotine dependence

from Part III - Specific treatments

Published online by Cambridge University Press:  12 May 2010

By
Andrea H. Weinberger ,
Pamela Walters ,
Taryn M. Allen ,
Melissa M. Dudas ,
Kristi A. Sacco  and
Tony P. George
Edited by
Peter Tyrer  and
Kenneth R. Silk
Andrea H. Weinberger
Affiliation:
Department of Psychiatry Yale University Medical School of Medicine New Haven, CT USA
Pamela Walters
Affiliation:
Camlet Lodge Regional Secure Unit Chase Farm Hospital The Ridgeway Enfield London UK
Taryn M. Allen
Affiliation:
Department of Psychiatry Yale University School of Medicine USA
Melissa M. Dudas
Affiliation:
New York College of Osteopathic Medicine Norwalk, CT USA
Kristi A. Sacco
Affiliation:
Department of Psychiatry Yale University School of Medicine New Haven, CT USA
Tony P. George
Affiliation:
Department of Psychiatry University of Toronto Faculty of Medicine Centre for Addiction and Mental Health (CAMH) Toronto, ON Canada
Peter Tyrer
Affiliation:
Imperial College of Science, Technology and Medicine, London
Kenneth R. Silk
Affiliation:
University of Michigan, Ann Arbor
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Summary

Editor's note

Nicotine dependence is found in at least a billion people worldwide and in millions in the United States and Great Britain. It is a major cause of morbidity and mortality in all countries, and both active smoking and exposure to passive smoke has significant health care consequences. There currently are public health campaigns in both the UK and USA to combat smoking, and laws against smoking in public places are just one, if not one of the most visible, of the various public and community campaigns against smoking. While these campaigns are effective, most smokers wishing to quit will utilize pharmacological treatments which involve primarily nicotine replacement therapy (NRT) or the use of bupropion. Both have substantial evidence as to effectiveness, though there are other secondary pharmacological treatments that also are beginning to find some support such as vareniciline, clonidine and nortriptyline. The NRTs come in various forms from patches to nasal sprays to gum, inhalers, and lozenges. All have substantial support for their effectiveness. Cognitive-behavioural therapies, especially multi-modal interventions that are tailored to the specific patient, have a good deal of success and support for that success as well. Despite these effective interventions, smoking remains a major public health problem.

Introduction

Cigarette smoking is the single largest preventable cause of substantial morbidity and mortality in developed countries.

Type
Chapter
Information
Cambridge Textbook of Effective Treatments in Psychiatry , pp. 422 - 441
Publisher: Cambridge University Press
Print publication year: 2008

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  • Treatment of nicotine dependence
    • By Andrea H. Weinberger, Department of Psychiatry Yale University Medical School of Medicine New Haven, CT USA, Pamela Walters, Camlet Lodge Regional Secure Unit Chase Farm Hospital The Ridgeway Enfield London UK, Taryn M. Allen, Department of Psychiatry Yale University School of Medicine USA, Melissa M. Dudas, New York College of Osteopathic Medicine Norwalk, CT USA, Kristi A. Sacco, Department of Psychiatry Yale University School of Medicine New Haven, CT USA, Tony P. George, Department of Psychiatry University of Toronto Faculty of Medicine Centre for Addiction and Mental Health (CAMH) Toronto, ON Canada
  • Edited by Peter Tyrer, Imperial College of Science, Technology and Medicine, London, Kenneth R. Silk, University of Michigan, Ann Arbor
  • Book: Cambridge Textbook of Effective Treatments in Psychiatry
  • Online publication: 12 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544392.025
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  • Treatment of nicotine dependence
    • By Andrea H. Weinberger, Department of Psychiatry Yale University Medical School of Medicine New Haven, CT USA, Pamela Walters, Camlet Lodge Regional Secure Unit Chase Farm Hospital The Ridgeway Enfield London UK, Taryn M. Allen, Department of Psychiatry Yale University School of Medicine USA, Melissa M. Dudas, New York College of Osteopathic Medicine Norwalk, CT USA, Kristi A. Sacco, Department of Psychiatry Yale University School of Medicine New Haven, CT USA, Tony P. George, Department of Psychiatry University of Toronto Faculty of Medicine Centre for Addiction and Mental Health (CAMH) Toronto, ON Canada
  • Edited by Peter Tyrer, Imperial College of Science, Technology and Medicine, London, Kenneth R. Silk, University of Michigan, Ann Arbor
  • Book: Cambridge Textbook of Effective Treatments in Psychiatry
  • Online publication: 12 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544392.025
Available formats
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  • Treatment of nicotine dependence
    • By Andrea H. Weinberger, Department of Psychiatry Yale University Medical School of Medicine New Haven, CT USA, Pamela Walters, Camlet Lodge Regional Secure Unit Chase Farm Hospital The Ridgeway Enfield London UK, Taryn M. Allen, Department of Psychiatry Yale University School of Medicine USA, Melissa M. Dudas, New York College of Osteopathic Medicine Norwalk, CT USA, Kristi A. Sacco, Department of Psychiatry Yale University School of Medicine New Haven, CT USA, Tony P. George, Department of Psychiatry University of Toronto Faculty of Medicine Centre for Addiction and Mental Health (CAMH) Toronto, ON Canada
  • Edited by Peter Tyrer, Imperial College of Science, Technology and Medicine, London, Kenneth R. Silk, University of Michigan, Ann Arbor
  • Book: Cambridge Textbook of Effective Treatments in Psychiatry
  • Online publication: 12 May 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544392.025
Available formats
×