Lagrue G
Centre de Tabacologie, Hôpital Albert Chenevier, Créteil.
Bull Acad Natl Med. 1999;183(6):1175-82; discussion 1182-7.
The behavioral and pharmacological mechanisms of nicotine addiction are comparable to those of other addictive substances such as heroine, cocaine.... Nicotine replacement therapy is the most efficient medication to help smoking cessation for dependent smokers. Nicotine products are sold over the counter (OTC) in many countries. This measure may enhance the number of abstinent smokers, but many precautions are necessary: doses and duration must be tailored to the type and intensity of dependence; a protracted follow-up is essential to prevent relapse; all cessation providers, physicians, pharmacists, nurses, dentists, psychologists ... are effective participants in smoking cessation.
尼古丁成瘾的行为和药理机制与海洛因、可卡因等其他成瘾性物质的机制相当。尼古丁替代疗法是帮助依赖吸烟者戒烟的最有效药物。尼古丁产品在许多国家可在柜台购买。这一措施可能会增加戒烟者的数量,但必须采取许多预防措施:剂量和持续时间必须根据依赖的类型和强度进行调整;长期随访对于预防复发至关重要;所有戒烟服务提供者,医生、药剂师、护士、牙医、心理学家……都是戒烟的有效参与者。