A randomized controlled trial of oral selegiline plus nicotine skin patch compared with placebo plus nicotine skin patch for smoking cessation.

OBJECTIVES: To compare the effect of oral selegiline plus nicotine patch with placebo plus nicotine patch on smoking cessation rates. DESIGN: Randomized double-blind placebo-controlled trial. SETTING: Three community-based clinics. PARTICIPANTS: One hundred and nine male and female smokers aged 18-5...

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Publicado en:Addiction Vol. 98; no. 10; pp. 1403 - 1408
Autores principales: Biberman R, Neumann R, Katzir I, Gerber Y
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Oct2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2003
      vid: 98
      iid: 10
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1046/j.1360-0443.2003.00524.x
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        atl: A randomized controlled trial of oral selegiline plus nicotine skin patch compared with placebo plus nicotine skin patch for smoking cessation.
      aug:
        au:
          Biberman R
          Neumann R
          Katzir I
          Gerber Y
        affil: Clinical Research Unit, Division of Health, Maccabi Health Care Services, Tel Aviv University, Israel; rbiberman@yahoo.com
      sug:
        subj:
          Nicotine Patch Therapeutic Use
          Selegiline Therapeutic Use
          Smoking Cessation
          Adult
          Adverse Drug Event
          Analysis of Variance
          Chi Square Test
          Cotinine Urine
          Descriptive Statistics
          Double-Blind Studies
          Female
          Fisher's Exact Test
          Israel
          Male
          Middle Age
          Nicotine Urine
          Psychological Tests
          Questionnaires
          Selegiline Administration and Dosage
          Substance Withdrawal Syndrome Symptoms
          T-Tests
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: OBJECTIVES: To compare the effect of oral selegiline plus nicotine patch with placebo plus nicotine patch on smoking cessation rates. DESIGN: Randomized double-blind placebo-controlled trial. SETTING: Three community-based clinics. PARTICIPANTS: One hundred and nine male and female smokers aged 18-55 years, who smoked at least 15 cigarettes/day. INTERVENTIONS: Oral selegiline, 2.5 mg, or placebo twice/day initiated 1 week before the quit day, followed by 5 mg oral selegiline or placebo twice daily for 26 weeks, plus active nicotine skin patch to all participants for the first 8 weeks only. Measures of continuous abstinence rates up to 52 weeks, withdrawal symptoms, blood pressure and adverse events incidence. FINDINGS: Twenty-five per cent (14 of 56) were continuously abstinent for 52 weeks in the selegiline plus nicotine group compared with 11% (6 of 53) in the placebo plus nicotine group (P = 0.08). Craving for cigarettes was lower in the selegiline plus nicotine group 4 weeks after quit day (P = 0.02). CONCLUSIONS: Adding selegiline to nicotine patch was associated with a doubling of the 52-week continuous abstinence rate, but this difference was not statistically significant. Selegiline significantly reduced craving for cigarettes and appeared to mitigate the need for nicotine replacement therapy. The results suggest that selegiline is a promising drug for future smoking cessation research.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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