Authors' recommendations: No clinical evidence was identified for the NRT products specifically termed as the Nicorette Quick Mist, Nicorette Combo Quit, or Nicorette Mini Lozenges. Limited evidence showed that nicotine mouth spray or the combination of nicotine patch plus gum achieved higher smoking cessation than placebo. Modestly higher smoking cessation rates were observed with high doses nicotine patch compared with standard nicotine patch dose. NRT appears effective in reduction of smoking for those who did not want to quit. However, findings reported in this review should be interpreted with caution due to the potential methodological limitations and clinical heterogeneity of the body evidence. Better designed RCTs in Canadian settings are needed to determine the clinical effectiveness of the newer NRT products or the use of high doses of NRT for smoking cessation, as well as the role of NRT in smoking reduction.

Project Status: Completed

Year Published: 2014

URL for published report: http://www.cadth.ca/media/pdf/htis/feb-2014/RC0514%20%20Smoking%20Cessation%20Update.pdf

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Canada

Organisation Name: Canadian Agency for Drugs and Technologies in Health

Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;

Contact Name: requests@cadth.ca

Contact Email: requests@cadth.ca

Copyright: Canadian Agency for Drugs and Technologies in Health (CADTH)