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The Patch, Gum, Lozenge, etc., is called Nicotine Therapy by the Medical Industry.

Nicotine "Therapy" Puts Billion's a Year in The Tobacco Industry's Pocket.



Why Do You Think That the Major US Tobacco Companies Tell You to Use Those Products at the Drug Store?

In the world of nicotine marketing, January 1, 2006 will likely mark extremes in two regards. It will in all probability be the day of the year when the fewest cigarettes are smoked and also the day when the most replacement nicotine is used.

If you successfully dodge the flood of NRT commercials this last week of the year you likely don’t spend much time watching television. At least in that regard, not watching TV might be the healthiest thing a smoker contemplating a New Year’s quit or an ex-smoker can do.

With more than 50% of all smokers having now tried replacement nicotine at least once, and over 95% having relapsed within a year, you‘ll likely notice a different tone to the commercials. They’ll be bashing cold turkey quitting harder than ever but that’s nothing new. What’s new is that for the first time pharmaceutical companies are beginning to attack smoking.

Think about it. When have you ever heard an NRT commercial tell you that smoking was bad for you. Probably never. The tobacco industry and pharmaceutical industry have long had an agreement not to attack one and other. In fact, until last year the Philip Morris website was openly asserting that the key to successful quitting was to buy medicine (pharmaceutical grade nicotine) and use it.

But recently I’ve noticed that Philip Morris has demoted NRT a notch or two and GlaxoSmithKline actually issued a press release on December 5th that, aside from blasting cold turkey (my rebuttal - GlaxoSmithKline Attacks Cold Turkey Quitting ), for the first time actually attacked smoking as unhealthy (see GSK's press release ).

When Joel titled this thread I doubt he foresaw just how messy these nicotine sales messages could get, but then again, knowing Joel, maybe not. I think we're about to hear some rather wild assertions. Keep your ears open and if you are quick enough to jot down the commercials assertions we'd fit well in this thread.

What we might want to keep in mind is that all nicotine comes from the exact same plant and that it probably isn't unusual for both the pharmaceutical and tobacco industry to be buying from the same farmers.

For visitors looking in, there have only been two published nicotine patch studies looking at success rates for second time patch users and in the first (Tonnesen 1993) 100% relapsed to smoking within 6 months and in the second (Gourlay 1995) 98.4% of study participants relapsed within 6 months.

1. Fact
  • 7% six-month quitting rate: All seven OTC NRT studies to date were combined and averaged and produced a 7% six-month quitting rate and the study's disclosures acknowledge the authors to be NRT industry consultants. Hughes, JR, Shiffman, S, et al., A meta-analysis of the efficacy of over-the-counter nicotine replacement . Tobacco Control, March 2003;12:21-27 [http://tc.bmjjournals.com/cgi/content/full/12/1/21?ijkey=5.ko5/Oz4yutI#SEC2].


    2. Fact
  • NRT is now a mandatory cessation recommendation. Nonsense :NRT is now a mandatory cessation recommendation. Clinical Practice Guideline, Treating Tobacco Use and Dependence , U.S. Department of Health and Human Services, Public Health Service, June 2000 [PDF Document - http://www.surgeongeneral.gov/tobacco/treating_tobacco_use.pdf].


    3. Fact
  • historical on-your-own quitting rate is in the range of 10 to 12% at midyear: The historical on-your-own quitting rate is in the range of 10 to 12% at midyear. Polito, JR, Does the Over-the-counter Nicotine Patch Really Double Your Chances of Quitting? [http://whyquit.com/whyquit/A_OTCPatch.html].


    4. Fact
  • California smoker survey finds NRT not effective: California smoker survey finds NRT not effective in helping smokers quit. Pierce, JP, et al., Impact of Over-the-Counter Sales on Effectiveness of Pharmaceutical Aids for Smoking Cessation. Journal of the American Medical Association (JAMA), September 11, 2002;288:1260-1264. [PDF Document - http://www.fchn.org/fmh/wmchh/articles/sept/otc_smk_cess_aids.pdf].


    5. Fact
  • Nicotine is being used in placebo devices and authors admit to blinding failures.: Nicotine is being used in placebo devices and authors admit to blinding failures. Sonderskov J, et al. Nicotine patches in smoking cessation: a randomized trial among over-the-counter customers in Denmark. Am J Epidemiol 1997;145: 309 to 318, at pages 312 and 317 [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9054234&dopt=Abstract]. Also see Campbell IA, et al. Transdermal nicotine plus support in patients attending hospital study - Respiratory Medicine 1996, Volume 90(1): pages 47-51, at page 48 [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8857326&dopt=Abstract].


    6. Fact
  • No recycled patch users quit during a subsequent attempt: No recycled patch users quit during a subsequent attempt. Tonnesen P, et al., Recycling with nicotine patches in smoking cessation. Addiction. 1993 Apr;88(4):533 [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8485431&dopt=Abstract].


    7. Fact
  • Nicotine patch declared ineffective in helping youth smokers quit.:Nicotine patch declared ineffective in helping youth smokers quit. Hurt, RD et al., Nicotine Patch Therapy in 101 Adolescent Smokers , Arch Pediatr Adolesc Med. 2000;154:31-37 [http://archpedi.ama-assn.org/cgi/content/abstract/154/1/31].


    8. Fact
  • Teen neversmokers are becoming daily users of NRT: Teen neversmokers are becoming daily users of NRT [http://archpedi.ama-assn.org/cgi/content/abstract/157/6/517].


    9. Fact
  • CDC continues to strongly push NRT without any reference to actual success ratesCDC continues to strongly push NRT without any reference to actual success rates, no warnings of reduced rates for subsequent attempts, and no youth warnings that NRT is ineffective. CDC's You Can Quit Smoking Consumer Guide [http://www.cdc.gov/tobacco/quit/canquit.htm].


    10. Fact
  • Eleven of eighteen U.S. Guideline panel members had financial ties to the NRT industry.Eleven of eighteen U.S. Guideline panel members had financial ties to the NRT industry. Clinical Practice Guideline, Treating Tobacco Use and Dependence, Appendix C [http://whyquit.com/whyquit/A_GuidelinePanelDisclosure.html].


    10. Fact
  • 91.2% of all successful long-term quitters quit without NRT.91.2% of all successful long-term quitters quit without NRT. American Cancer Society, Cancer Facts and Figures 2003 [PDF Document, see Table 3 - http://www.cancer.org/downloads/STT/CAFF2003PWSecured.pdf].


    Stop-Smoking Programs

    You can include in your IRS medical expenses the amount you pay for a program to stop smoking. However, you cannot include in medical expenses amounts you pay for drugs that do not require a prescription, such as nicotine gum or patches, that are designed to help stop smoking.

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