Nicotine Chewing Gum and the Medicalization of Smoking

  1. ALAN BLUM, M.D.
  1. New York State Journal of Medicine;
    Lake Success, New York

    Excerpt

    Despite insufficient evidence to their advertised claims of success, expensive commercially available aids and clinics for smoking cessation proliferate. Methods include hypnotherapy, hydrotherapy, acupuncture, biofeedback, rapid smoking, special diets, filters, self-help books and tape cassettes, aversive conditioning with electric shocks, vivid films on smoking-related diseases, and even a live-in stop-smoking program (1). In Schwartz's comprehensive review (2) of tried but unproved methods for smoking cessation over the last century, chemical remedies abound: silver acetate, quinine sulfate, meprobamate, hydroxyzine, diazepam, amphetamines, anticholinergic agents, local anesthetics, astringent mouthwashes, garlic, vegetable-based products, placebos, nicotine substitutes such as lobeline (for example, the over-the-counter preparations

    Acknowledgments

    ACKNOWLEDGMENTS: The author thanks Joseph Feldman, Dr. P.H., for assistance in reviewing the biostatistical aspects of the studies on nicotine gum.

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