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June 2, 1999

Adding Behavioral Therapy to Medication for Smoking Cessation

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(21):1983-1985. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-21-jbk0602

To the Editor: The article by Dr Hughes and colleagues1 on advances in pharmacotherapy of smoking provides a good overview of the existing research regarding bupropion and over-the-counter nicotine replacement therapy (NRT) as an aid to smoking cessation. The authors conclude that "concomitant behavioral or supportive therapy increases quit rates and should be encouraged but not required." Although we agree with the general conclusions, we would like to make the argument that concomitant therapy should be required, a common practice in many hospital-based smoking cessation programs.