Electronic cigarettes are more effective than nicotine replacement treatments in achieving long-term smoking reduction and cessation, according to the results of a clinical trial conducted by Queen Mary University of London.
80% of smokers receiving intensive treatment continue to smoke after one year. Smokers could benefit from harm-reducing approaches to smoke without stopping using nicotine, with the option to stop nicotine later. Nicotine replacement treatments (NRTs), such as nicotine patches, chewing gum, nasal / oral spray, and inhalers, have been licensed to do so for more than 30 years. They work, especially if behavioral support is also provided, but the results are modest.
In the first such study, researchers enrolled 135 smokers who had not been able to quit smoking with conventional treatments. They were randomly assigned to receive an eight-week supply of NRT of their choice or an e-cigarette boot package, with instructions for acquiring other electronic fluids of strength and flavors of their choice. The products were accompanied by minimal behavioral support to quit smoking.
The results, published in the journal Addiction, found a significant difference in smoking reduction (including quitting completely) in the e-cigarette group. At six months, in the e-cigarette group, 27% of participants had reduced their tobacco use by at least half, compared with 6% of participants in the NRT group. A significant difference in smoking cessation rates was also found, confirmed by participants ’carbon monoxide readings: 19% of participants in the e-cigarette group had stopped smoking compared to 3% of NRT group.
The results suggest that recommending a rechargeable e-cigarette with an e-liquid with strength and flavor at the patient’s choice is a more effective approach for dependent smokers than prescribing TRN. He electronic cigarette the initial package also costs much less than the NRTs.
The principal investigator and health psychologist, Dra. Katie Myers Smith, of Queen Mary University in London, said: “These results have important clinical implications for smokers who have previously been unable to quit smoking with conventional treatments. smokers who have previously struggled to stop using other methods, especially when there is limited behavioral support. “
Michelle Mitchell, chief executive of Cancer Research UK, which funded the study, said: “This study shows that e-cigarettes can be a very effective tool for people who want to quit smoking, including people who already have so far it has been shown that smoking is much less harmful than smoking, but e-cigarettes are not risk-free and we do not yet know their long-term effects, so people who have never smoked do not smoke them. they should use.
“It’s important to change completely to get the benefits and reduce the risk of cancer. Talk to your GP or the free local smoking cessation service to find the best option for you.”
Electronic cigarettes versus nicotine replacement treatment as harm reduction interventions for smokers who have difficulty quitting: randomized controlled trial, DOI: 10.1111 / add.15628
Queen Mary, University of London
Citation: Electronic cigarettes are more useful than nicotine replacement treatments for addicted smokers (2021, June 29), retrieved June 29, 2021 at https://medicalxpress.com/news/2021-06-e- cigarettes-nicotine-treatments-smokers.html
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