Nicotine replacement with e-cigarettes might help smokers quit

Clinical Question

Is switching to e-cigarettes effective help for smokers who want to quit?

Bottom line

For adults who wish to quit smoking, nicotine delivery via e-cigarettes, plus counseling, may be more effective than other means of nicotine replacement for long-term smoking cessation. There was no report of the percentage of patients who maintained e-cigarette use while remaining abstinent from smoking.  1a

Study design: Meta-analysis (randomized controlled trials)

Funding: Foundation

Setting: Various (meta-analysis)

Reviewer

Allen F. Shaughnessy, PharmD, MMedEd
Professor of Family Medicine
Tufts University
Boston, MA


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Comments

ARUP KUMAR DHARA

Impact assessment

Excellent

Razia Khan

very informative I am going to use i use this information in

Informative

Anonymous

E cigarettes

I am skeptical about this.

Anonymous

They're probably just moving over to e-cigarettes though

The fact that there is no report of the percentage of patients who maintained e-cigarette use while remaining abstinent from smoking is a huge concern for me. I suspect that the vast majority of these people just swapped out cigarettes for e-cigarettes. Maybe that's good, but we just don't know about the long-term harms of e-cigarettes. I don't want to just tell patients to swap over from cigarettes to e-cigarettes without clear evidence on the harms of this.