PMID: 8614162May 1, 1996Paper

The benefits and risks of over-the-counter availability of nicotine polacrilex ("nicotine gum")

Medical Care
G OsterG A Colditz

Abstract

Nicotine polacrilex ("nicotine gum") is effective in helping persons to quit smoking cigarettes. Because many persons try to quit without formal assistance, it may be an appropriate product for over-the-counter (OTC) purchase. Some smokers, however, might use such a product in lieu of more effective methods of cessation, and still others might use it to cope with enforced periods of nicotine abstinence (eg, at the work place) and thereby delay their decision to quit. The study's objective was to assess the public health benefits and risks of OTC availability of nicotine gum. A Markov model was developed and used to contrast two alternative policy scenarios: one in which nicotine gum was assumed to remain available only by prescription, and another in which it was assumed to be made available for OTC purchase. Various data sources were used to estimate the model, including the Health Promotion and Disease Prevention Supplement to the 1991 National Health Interview Survey and the 1986 Adult Use of Tobacco Survey. Primary outcome measures included the numbers of persons who would try to quit smoking, the numbers who would use various methods of smoking cessation, including OTC nicotine gum, and the numbers of current adult smokers...Continue Reading

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Citations

Oct 27, 1998·Clinics in Dermatology·A V Gore, Y W Chien
May 30, 2002·Addiction·Saul ShiffmanMichael E Di Marino
Jun 5, 1998·Annual Review of Public Health·S ShiffmanJ E Henningfield
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Mar 8, 2013·The International Journal on Drug Policy·Helen Keane
May 10, 2002·Pharmacoepidemiology and Drug Safety·Scott B Patten, Robert C Lee

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