E-cigarettes vs. Nicotine-Replacement Therapy for smoking cessation

In a randomized trial, 1-year abstinence from smoking was more likely with electronic cigarettes.

Proponents of electronic cigarettes often advocate the use of e-cigarettes (“vaping”) to facilitate smoking cessation. In a recent U.K. study, researchers identified 884 adult smokers who chose a quit date and were randomized to either e-cigarettes or nicotine-replacement therapy. Those in the e-cigarette group were given starter kits; those in the nicotine-replacement group were permitted to choose from various products (e.g., patches, gum, lozenges); many used combinations of products. All participants were given multisession behavioral support.

The rates of abstinence from smoking at 1 year were 18% in the e-cigarette group and 10% in the nicotine-replacement group (P<0.001). Among abstainers in the e-cigarette group, 80% still were using e-cigarettes at 1 year; among abstainers in the nicotine-replacement group, only 9% were still using nicotine-replacement products at 1 year.

nicotine replacement therapy

Nicotine Replacement Therapy (NRT) products

E-cigarettes were more effective than nicotine replacement in facilitating smoking cessation; however, many participants in the e-cigarette group who stopped smoking combustible tobacco continued to use e-cigarettes at 1 year. This study’s 1-year abstinence rates in the 10% to 20% range are typical for pharmacologic smoking-cessation interventions.

Readers with interest in this topic should have a look at the two accompanying editorials. Borrelli and O’Connor recommend that e-cigarettes be used for smoking cessation “only when FDA-approved treatments fail.” Drazen and colleagues focus particularly on nicotine addiction in young people and argue that the FDA should ban flavored nicotine products for e-cigarettes.

 

Tareq Salahuddin

Dr. Tareq Salahuddin is a Special Correspondent of News Hour. He is a Public Health Professional working in development sector. Dr. Tareq, a medical graduate, is a member of Public Health Association of Bangladesh and a Member of the Governing Council of World Federation of Public Health Associations (WFPHA), a J2J Fellow on HIV/AIDS and a member of the International AIDS Society. To know more about Dr. Tareq, please visit his personal website or simply Google his name.
No Comments

Join Epidemiology Congress 2019

Translate this News

Popular Posts

Advertisement

News of the Month

April 2019
S M T W T F S
« Mar   May »
 123456
78910111213
14151617181920
21222324252627
282930  
Scroll Up
%d bloggers like this: