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About Time or a Waste of Time?

Arch Pediatr Adolesc Med. 2004;158:205-206.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

One quarter of teenagers who try smoking ultimately will meet diagnostic criteria for nicotine dependence,¹ and several studies have found evidence of nicotine dependence among adolescent smokers.² Nicotine replacement therapy (NRT) is a safe and effective mainstay of adult smoking cessation, and current clinical practice guidelines for treating tobacco use and dependence suggest that physicians consider the use of NRT with adolescents with obvious nicotine dependence who want to quit smoking.³ As Johnson et al⁴ describe, NRT products are easily accessible by minors without proof of age, and some authors advocate unfettered access to NRT beginning as young as 12 years of age.⁵ Use of NRT in adolescents is a well-reasoned, straightforward therapeutic option with only one problem: there is no evidence to date that NRT will play a major role in tobacco use cessation for teenagers.

We must be wary of recommendations for increased NRT access based on assumptions . . . [Full Text of this Article]

CURRENT BEST EVIDENCE: IS THERE ANY?


ARE ADOLESCENT TOBACCO USERS ADDICTED TO NICOTINE?

WHAT WORKS FOR TEENAGE SMOKERS?

WHAT ABOUT THE NICOTINE-DEPENDENT TEENAGER?

WHAT DOES ALL THIS MEAN TO THE PHYSICIAN?
William P. Adelman, MD
Department of Adolescent Medicine
National Naval Medical Center
8901 Wisconsin Ave
Bethesda, MD 20889
(e-mail: wpadelman@bethesda.med.navy.mil)

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