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July 21, 1993

Nicotine Inhaler for Smoking Cessation

Author Affiliations

University of North Carolina Chapel Hill

JAMA. 1993;270(3):322-323. doi:10.1001/jama.1993.03510030046025

To the Editor.  —In a recent article, Tønnesen et al1 suggest that a nicotine inhaler in smoking cessation could be implemented in general practitioner offices with high success rates and that it would be "acceptable" to patients. In addition, the program is described as "low intervention." Results from their study do not support such statements.Their study involved volunteers who were recruited through newspaper advertisements and who were motivated to quit smoking. Furthermore, subjects came to the clinic for a total of eight visits within 1 year, with each visit lasting "from 30 to 60 minutes." Subjects saw videotapes on smoking cessation, had group instructions about the use of the nicotine inhaler, had assessments with fiscal and biological parameters, and received individual counseling. Such broad and expensive interventions are admirable, but in my practice as well as that of most primary care physicians, I don't think they would be