This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Linda M. Lucas, MD
Veterans Administration Medical Center Portland, Ore

JAMA. 1990;263(20):2746.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Highly dependent smokers, as defined by Fagerstrom tolerance scores of 7 and above, often have more severe withdrawal syndromes and lower quit rates than mildly or intermediately dependent smokers.^1,2 It is recommended that these highly dependent smokers receive more intensive support in the form of behavioral modification classes and counseling.² Also, use of nicotine gum raises long-term verified quit rates in this group.³ However, nicotine gum does not appear to be effective (and is not recommended by the manufacturer) without the patient's active participation in a behavioral modification program.⁴ Even with these treatment regimens, long-term verified quit rates in highly dependent smokers are low, ranging from 6% to 44%.³

As Franks et al⁵ point out in their article entitled "Randomized, Controlled Trial of Clonidine for Smoking Cessation in a Primary Care Setting," clonidine hydrochloride therapy by itself without an intensive . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West), and Don Riesenberg, MD, Senior Editor.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?