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Randomized Controlled Trial
. 2007 Aug;41(5):381-91.
doi: 10.1016/j.alcohol.2007.03.011.

Bupropion and nicotine patch as smoking cessation aids in alcoholics

Affiliations
Randomized Controlled Trial

Bupropion and nicotine patch as smoking cessation aids in alcoholics

Kathleen M Grant et al. Alcohol. 2007 Aug.

Abstract

This is a double-blind placebo-controlled study of sustained-release bupropion as a smoking cessation aid in alcoholics undergoing treatment for their alcoholism. Participants (N=58) were enrolled within 1 week of entry into alcohol treatment from community and Veterans Affairs Substance Use Disorder programs. All participants received nicotine patch and were invited to attend a smoking cessation lecture and group. Cigarette smoking and alcohol outcomes were measured at 6 months. Bupropion when added to nicotine patch did not improve smoking outcomes. One third of participants on bupropion reported discontinuing the drug during weeks 1-4. Participants reported cigarette outcomes with nicotine patch that are similar to those seen in the general population. All study participants significantly reduced cigarette use. Comorbid affective disorder or antipersonality disorder did not affect outcomes. Alcohol outcomes were improved in those who discontinued cigarettes.

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Figures

Fig. 1
Fig. 1
Study Flow Chart. Beck Depression Inventory (BDI), Timeline Follow-back Drinking Calendar (TLFB), Fagerstrom Test for Nicotine Dependence (FTND), Mini-International Neuropsychiatric Interview (MINI).
Fig. 2
Fig. 2
Median number of cigarettes smoked per day at baseline and each follow-up point in bupropion and placebo groups. Each point represents median and error bars are the range of the data.

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