US cessation guidance based on current research
Rigotti N, Kruse GR, Livingstone-Banks J, et al. Treatment of Tobacco Smoking: A Review. JAMA. 2022;327(6):566-577. “Both behavioral counseling and pharmacotherapy while using nicotine replacement therapy (NRT) products, varenicline, or bupropion are effective treatments when used individually, but they are most effective when combined…. First-line therapy should include both pharmacotherapy and behavioral support, with varenicline or combination NRT as preferred initial interventions.”
https://jamanetwork.com/journals/jama/fullarticle/2788777
Comment: First-line therapy does not include the use of alternative nicotine products like SNUS, e-cigarettes, or heated tobacco products.
Stephen Hamann
