Nicotine replacement therapy … - Carlos A ... - Entretiens du Carla

P. Crouzit.
motivation to quit is low, they consult
healthcare professionals less than other
categories of smokers, readily consume
other addictive substances and often
exhibit psychopathology (41).
In such patients, NRT-assisted smoking
reduction would be an ideal preparatory
solution for cessation (19-42) and at
worst, if they are to continue smoking, it
would reduce the toxicity of their
cigarette consumption.
C. Laur.
Conclusion
Complete smoking cessation remains a
priority but since most of the toxicity
associated with smoking is not due to
nicotine (the main biological factor
responsible for tobacco dependence) it is
justified to propose smoking reduction
for:
- smokers who have failed in their
quit attempt,
- smokers who cannot or do not
want to quit,
- smokers who do not want to quit
but are willing to reduce their cigarette
consumption,
- finally, smokers who must
temporarily abstain from smoking.
Although the efficacy of such a
concept has been demonstrated in
reducing the number of cigarettes
smoked, increasing the desire to quit, the
number of quit attempts and effective
quitting, reducing the toxicity of smoking
during the period of smoking reduction
while maintaining the patient’s quality of
life, and finally in facilitating complete
cessation in the future, as has its high
somatic tolerance… the objective of such
interventions remains preparation for
complete smoking cessation; the
induction of NRT to reduce cigarette
consumption therefore falls under the
scope of prescription and medical
support. ■
J.M. Pibourdin. G. Randaxhe.
54