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Article
September 16, 1988

Internists and Nicotine Gum

Author Affiliations

From the Division of General Internal Medicine, Department of Medicine (Drs Cummings, Hansen, and Coates and Mr Richard), and the Department of Epidemiology and International Health (Dr Cummings), University of California, San Francisco; the Department of Clinical Psychology, Kaiser-Permanente Medical Group, Oakland, Calif (Dr Hansen); and the Department of Medicine, Kaiser-Permanente Medical Group, San Francisco (Dr Stein).

From the Division of General Internal Medicine, Department of Medicine (Drs Cummings, Hansen, and Coates and Mr Richard), and the Department of Epidemiology and International Health (Dr Cummings), University of California, San Francisco; the Department of Clinical Psychology, Kaiser-Permanente Medical Group, Oakland, Calif (Dr Hansen); and the Department of Medicine, Kaiser-Permanente Medical Group, San Francisco (Dr Stein).

JAMA. 1988;260(11):1565-1569. doi:10.1001/jama.1988.03410110073030
Abstract

Nicotine gum may be a useful aid to help patients quit smoking. The effectiveness of the gum and incidence of side effects may depend on using the gum properly. To describe internists' current practices of prescribing nicotine gum and other drugs for smoking cessation, we surveyed randomly selected internists. Most internists prescribe nicotine gum to fewer than 25% of patients who try to quit smoking. Contrary to current recommendations, nearly half of internists would suggest gum to help patients cut down on smoking, and a majority would limit its use to less than three months. There is no evidence that sedatives are useful for smoking cessation, but one fourth of internists had recently prescribed them for that purpose. There is a widespread need for physician education about how to use nicotine gum more effectively.

(JAMA 1988;260:1565-1569)

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