Reposição de Nicotina??!!

From:John R. Polito
1325 Pherigo Street
Mt. Pleasant, SC 29464 USA
(843) 849-9721 john@whyquit.com

Generally accepted? How can we close our eyes to the growing survey evidence-base in which NRT has never once shown any advantage at 6 months or beyond? How can we continue to deny our own empirical evidence-base and totally ignore such important considerations as the fact that we're seeing almost all second-time gum and second-time patch quitters fail?

Science based? How many more years will we keep our heads in the sand following Mooney's 2004 "Blind Spot" revelation that NRT studies were not blind as claimed? Why wouldn't there be a robust discussion of these issues here at GlobaLink? It's almost as if folks are afraid of offending the pharmaceutical industry or that their job somehow depends on never questioning the evidence base.

How can we ignore Table 6 of Ferguson's 1 yr NHS UK study where he reports that those quitting without pharmacology generated a 25.5% one year rate, while NRT users had only a 15.2% rate, and those using both NRT and bupropion had a 7.4% rate? How can we not care that English cessation programs predating NRT had one year rates closer to the 25.5% figure than 15.2%, with many higher?

True or False: Almost all long-term successful UK quitters are today quitting cold turkey? If true then why ignore their victories and why no sharing their dependency recovert insights?

True or False: Unlike abrupt nicotine cessation, quitting rates for repeat NRT users dramatically decline? If true, and with over half of all current smokers having already tried and failed while attempting an NRT quit, why are we not warning them?

Maybe UK ASH hasn't been as influential in pushing NRT as it has appears from across the ocean, and from prior discussions here at GlobaLink. But if truly concerned about the "science-base" then why no harm reduction study on an isolated population, after having established firm baselines for all possible categories of nicotine delivery? Is it not still "theory" that it will generate more good than harm? Again, I can't help but believe that the nicotine addiction industry is laughing its butt off, all the way to the bank.

John
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Source: http://member.globalink.org/77601
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John R. Polito
1325 Pherigo Street
Mt. Pleasant, SC 29464 USA
(843) 849-9721 john@whyquit.com