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Treatment of Nicotine Addiction in Primary Care

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Smok<strong>in</strong>g and Depression<br />

• The prevalence <strong>of</strong> smok<strong>in</strong>g: 37-60%<br />

• Leads to more severe nicot<strong>in</strong>e withdrawal<br />

symptoms<br />

- High risk for relapse <strong>in</strong> first week<br />

- Female > Male<br />

• 30% risk <strong>of</strong> relapse to MDE after quitt<strong>in</strong>g if<br />

past history present<br />

• Depressed smokers have higher suicide<br />

rates than depressed nonsmokers<br />

(Bruce, 1994; Lohr, 1992; Yassa, 1987)

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