Transdermal nicotine facilitates smoking cessation

The efficacy of a transdermal nicotine patch in facilitation of smoking cessation was evaluated in a randomized double‐blind trial. Sixty‐five smokers who were highly dependent on cigarettes participated in the study, which included a behavioral smoking‐cessation program. The rates of continuous abstinence were significantly higher in the nicotine group both initially (55% versus 34%) and at 3 weeks (18% versus 6%). Certain smoking withdrawal symptoms, including negative affect and hypoarousal, were effectively relieved by the nicotine patch. There was a trend toward a reduction in cigarette craving, whereas hunger and habit withdrawal symptoms were not affected. The main side effect associated with the nicotine patch was skin irritation. These findings suggest that a nicotine skin patch may be a useful aid to smoking cessation; however, the combination of other techniques with nicotine replacement may provide a more effective treatment for symptoms such as craving for cigarettes. Clinical Pharmacology and Therapeutics (1990) 47 , 323–330; doi: 10.1038/clpt.1990.35