Literature DB >> 19549054

Smoking cessation during alcohol treatment: a randomized trial of combination nicotine patch plus nicotine gum.

Ned L Cooney1, Judith L Cooney, Bridget L Perry, Michael Carbone, Emily H Cohen, Howard R Steinberg, David T Pilkey, Kevin Sevarino, Cheryl A Oncken, Mark D Litt.   

Abstract

AIMS: The primary aim was to compare the efficacy of smoking cessation treatment using a combination of active nicotine patch plus active nicotine gum versus therapy consisting of active nicotine patch plus placebo gum in a sample of alcohol-dependent tobacco smokers in an early phase of out-patient alcohol treatment. A secondary aim was to determine whether or not there were any carry-over effects of combination nicotine replacement on drinking outcomes.
DESIGN: Small-scale randomized double-blind placebo-controlled clinical trial with 1-year smoking and drinking outcome assessment.
SETTING: Two out-patient substance abuse clinics provided a treatment platform of behavioral alcohol and smoking treatment delivered in 3 months of weekly sessions followed by three monthly booster sessions. PARTICIPANTS: Participants were 96 men and women with a diagnosis of alcohol abuse or dependence and smoking 15 or more cigarettes per day. INTERVENTION: All participants received open-label transdermal nicotine patches and were randomized to receive either 2 mg nicotine gum or placebo gum under double-blind conditions.
FINDINGS: Analysis of 1-year follow-up data revealed that patients receiving nicotine patch plus active gum had better smoking outcomes than those receiving patch plus placebo gum on measures of time to smoking relapse and prolonged abstinence at 12 months. Alcohol outcomes were not significantly different across medication conditions.
CONCLUSIONS: Results of this study were consistent with results of larger trials of smokers without alcohol problems, showing that combination therapy (nicotine patch plus gum) is more effective than monotherapy (nicotine patch) for smoking cessation.

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Year:  2009        PMID: 19549054      PMCID: PMC2753831          DOI: 10.1111/j.1360-0443.2009.02624.x

Source DB:  PubMed          Journal:  Addiction        ISSN: 0965-2140            Impact factor:   6.526


  23 in total

Review 1.  Combination nicotine replacement therapy for smoking cessation: rationale, efficacy and tolerability.

Authors:  C T Sweeney; R V Fant; K O Fagerstrom; J F McGovern; J E Henningfield
Journal:  CNS Drugs       Date:  2001       Impact factor: 5.749

Review 2.  Smoking cessation among persons in recovery.

Authors:  Steve Sussman
Journal:  Subst Use Misuse       Date:  2002 Jun-Aug       Impact factor: 2.164

Review 3.  Nicotine therapy in smoking cessation. Pharmacokinetic considerations.

Authors:  N G Schneider
Journal:  Clin Pharmacokinet       Date:  1992-09       Impact factor: 6.447

4.  Nicotine is more reinforcing in smokers with a past history of alcoholism than in smokers without this history.

Authors:  J R Hughes; G L Rose; P W Callas
Journal:  Alcohol Clin Exp Res       Date:  2000-11       Impact factor: 3.455

5.  Longitudinal data analysis for discrete and continuous outcomes.

Authors:  S L Zeger; K Y Liang
Journal:  Biometrics       Date:  1986-03       Impact factor: 2.571

6.  Ensuring balanced distribution of prognostic factors in treatment outcome research.

Authors:  R L Stout; P W Wirtz; J P Carbonari; F K Del Boca
Journal:  J Stud Alcohol Suppl       Date:  1994-12

Review 7.  Measurement of drinking behavior using the Form 90 family of instruments.

Authors:  W R Miller; F K Del Boca
Journal:  J Stud Alcohol Suppl       Date:  1994-12

8.  Combined use of nicotine patch and gum in smoking cessation: a placebo-controlled clinical trial.

Authors:  M Kornitzer; M Boutsen; M Dramaix; J Thijs; G Gustavsson
Journal:  Prev Med       Date:  1995-01       Impact factor: 4.018

9.  Nicotine inhaler and nicotine patch as a combination therapy for smoking cessation: a randomized, double-blind, placebo-controlled trial.

Authors:  A Bohadana; F Nilsson; T Rasmussen; Y Martinet
Journal:  Arch Intern Med       Date:  2000-11-13

10.  Measures of abstinence in clinical trials: issues and recommendations.

Authors:  John R Hughes; Josue P Keely; Ray S Niaura; Deborah J Ossip-Klein; Robyn L Richmond; Gary E Swan
Journal:  Nicotine Tob Res       Date:  2003-02       Impact factor: 4.244

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  25 in total

1.  Electronically Monitored Nicotine Gum Use Before and After Smoking Lapses: Relationship With Lapse and Relapse.

Authors:  Tanya R Schlam; Timothy B Baker; Stevens S Smith; Daniel M Bolt; Danielle E McCarthy; Jessica W Cook; Todd Hayes-Birchler; Michael C Fiore; Megan E Piper
Journal:  Nicotine Tob Res       Date:  2020-10-29       Impact factor: 4.244

2.  Stopping smoking during first year of substance use treatment predicted 9-year alcohol and drug treatment outcomes.

Authors:  Janice Y Tsoh; Felicia W Chi; Jennifer R Mertens; Constance M Weisner
Journal:  Drug Alcohol Depend       Date:  2010-11-02       Impact factor: 4.492

3.  Concurrent alcohol and tobacco treatment: Effect on daily process measures of alcohol relapse risk.

Authors:  Ned L Cooney; Mark D Litt; Kevin A Sevarino; Lucienne Levy; Linda S Kranitz; Helen Sackler; Judith L Cooney
Journal:  J Consult Clin Psychol       Date:  2015-01-26

4.  Why two smoking cessation agents work better than one: role of craving suppression.

Authors:  Daniel M Bolt; Megan E Piper; Wendy E Theobald; Timothy B Baker
Journal:  J Consult Clin Psychol       Date:  2011-11-21

5.  Level of Alcohol Consumption and Successful Smoking Cessation.

Authors:  Krystal L Lynch; Jenny E Twesten; Alexandra Stern; Erik M Augustson
Journal:  Nicotine Tob Res       Date:  2019-07-17       Impact factor: 4.244

6.  Cigarette smoking predicts differential benefit from naltrexone for alcohol dependence.

Authors:  Lisa M Fucito; Aesoon Park; Suzy Bird Gulliver; Margaret E Mattson; Ralitza V Gueorguieva; Stephanie S O'Malley
Journal:  Biol Psychiatry       Date:  2012-04-26       Impact factor: 13.382

7.  Incremental efficacy of adding bupropion to the nicotine patch for smoking cessation in smokers with a recent history of alcohol dependence: results from a randomized, double-blind, placebo-controlled study.

Authors:  David Kalman; Lawrence Herz; Peter Monti; Christopher W Kahler; Marc Mooney; Stephanie Rodrigues; Kathryn O'Connor
Journal:  Drug Alcohol Depend       Date:  2011-04-19       Impact factor: 4.492

Review 8.  A review of epidemiologic research on smoking behavior among persons with alcohol and illicit substance use disorders.

Authors:  Andrea H Weinberger; Allison P Funk; Renee D Goodwin
Journal:  Prev Med       Date:  2016-05-16       Impact factor: 4.018

9.  Transitioning From Cigarettes to Electronic Cigarettes Increases Alcohol Consumption.

Authors:  Alexandra R Hershberger; J Davis VanderVeen; Kenny A Karyadi; Melissa A Cyders
Journal:  Subst Use Misuse       Date:  2016-08-11       Impact factor: 2.164

10.  Cigarette Smoking and Risk of Alcohol Use Relapse Among Adults in Recovery from Alcohol Use Disorders.

Authors:  Andrea H Weinberger; Jonathan Platt; Bianca Jiang; Renee D Goodwin
Journal:  Alcohol Clin Exp Res       Date:  2015-09-13       Impact factor: 3.455

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