Effective treatment of smokeless tobacco: A Synthesis of Findings from 27 Studies
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Key Findings
Smokeless tobacco (ST) is associated with adverse health consequences, including an increased risk of oral cancer, heart disease, and stroke. 7 , 9 . Effective treatment options for ST users are limited, especially for those who are not ready to quit altogether. 16 , 13 . However, several studies suggest that nicotine replacement therapy (NRT), particularly nicotine lozenges, holds promise in aiding cessation and alleviating withdrawal symptoms. 8 , 20 , 14 , . These studies demonstrate that nicotine lozenges can reduce ST-related withdrawal symptoms and even decrease ST usage. 7 , 20 , . However, further research is needed to evaluate the efficacy of other pharmacotherapies, such as bupropion and varenicline. 21 , 9 .
Treatment Summary
Nicotine lozenges have shown promise in assisting cessation and mitigating withdrawal symptoms associated with ST use. 8 , 20 , 14 , . They have also been demonstrated to reduce ST-related withdrawal symptoms and even decrease ST usage. 7 , 20 , . The effectiveness of other pharmacotherapies, such as bupropion and varenicline, requires further investigation. 21 , 9 . Behavioral therapies, like telephone counseling and self-help materials, have also shown efficacy in supporting cessation efforts. 14 , 3 .
Benefits and Risks
Benefits Summary
Nicotine lozenges can potentially lessen withdrawal symptoms caused by ST use and decrease ST usage. 7 , 20 , . Behavioral therapies like telephone counseling and self-help materials can effectively support cessation efforts. 14 , 3 . These approaches can help reduce the health risks associated with ST use.
Risks Summary
The use of nicotine lozenges may lead to side effects such as nausea, dizziness, and headaches. 8 . They can also potentially worsen nicotine dependence. Therefore, it is crucial to follow a doctor's instructions when using nicotine lozenges. Other pharmacotherapies and behavioral therapies may also carry unique risks, so consulting a physician or healthcare professional is vital.
Comparison Across Studies
Commonalities
Many studies consistently indicate that nicotine lozenges effectively alleviate withdrawal symptoms and reduce ST usage. 8 , 20 , 14 , . Furthermore, telephone counseling and self-help materials have proven effective in supporting cessation efforts. 14 , 3 .
Differences
The efficacy and side effects of nicotine lozenges, as well as the effectiveness of behavioral therapies, can vary across studies. 8 , 20 , 14 , , 3 . These differences could be attributed to variations in study participants, treatment methods, and study designs.
Consistency and Inconsistencies in Findings
The finding that nicotine lozenges aid cessation and mitigate withdrawal symptoms is consistent across multiple studies. 8 , 20 , 14 , . However, the efficacy of nicotine lozenges in reducing ST usage demonstrates variability across studies. . These discrepancies could be related to differences in study participants or treatment methodologies.
Real-World Considerations
Individuals seeking to cease ST use should consult a physician or healthcare professional to determine the most appropriate treatment plan. 16 . While nicotine lozenges can assist with cessation and reduce withdrawal symptoms, it is crucial to be aware of their potential side effects. 8 . Behavioral therapies can also be effective, but they require sustained effort. 14 , 3 . To identify the most suitable treatment approach, adhering to physician or professional advice and engaging actively in therapy are essential.
Limitations of Current Research
Research on ST treatment is still insufficient. 16 . More research is required, especially regarding long-term efficacy and safety. 9 . Additionally, developing treatment options specifically for individuals who are not ready to quit entirely remains a crucial future direction. .
Future Research Directions
To advance ST treatment, further research is needed to evaluate long-term efficacy and safety, develop treatment options for individuals not ready to quit, and investigate the combined effects of various treatment approaches. 16 , 9 , .
Conclusion
ST use presents significant health risks, highlighting the need for effective cessation treatments. 7 , 9 . Nicotine lozenges offer a potential treatment option, assisting with cessation and reducing withdrawal symptoms. 8 , 20 , 14 , . However, ST treatment remains under-developed. 16 . Individuals seeking to quit ST should consult a healthcare professional to determine the most suitable treatment approach. 16 . Further research is critical to advance ST treatment options. 16 , 9 , .
Treatment List
Nicotine lozenges, bupropion, varenicline, telephone counseling, self-help materials
Benefit Keywords
Risk Keywords
Article Type
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Author: RauwolfKerstin K, BerglundKristina J, BerggrenUlf, BalldinJan, FahlkeClaudia
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Author: DaleLowell C, EbbertJon O, GloverElbert D, CroghanIvana T, SchroederDarrell R, SeversonHerbert H, HurtRichard D
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Author: HatsukamiD K, JensenJ, BoyleR, GrilloM, BlissR
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