Current pharmacologic treatments for smoking cessation and new agents undergoing clinical trials

Ther Adv Respir Dis. 2019 Jan-Dec:13:1753466619875925. doi: 10.1177/1753466619875925.

Abstract

Smoking causes various diseases and is a major public health threat worldwide. Therefore, promoting smoking cessation is the most important intervention contributing to maintaining the health of smokers and nonsmokers and saving enormous financial expense. We reviewed existing and emerging smoking-cessation pharmacotherapies from the Cochrane Database of Systemic Reviews, PubMed, Ovid, and ClinicalTrials.gov databases. A literature review revealed that bupropion may be appropriate for patients interested in reducing smoking who dislike, or who have failed, nicotine-replacement therapy (NRT). Additionally, varenicline and NRT are efficacious first-line smoking cessation treatments and should be given to all individuals unless contraindicated. The reviews of this paper are available via the supplementary material section.

Keywords: abstinence; cytokines; nicotine-replacement therapy; varenicline.

Publication types

  • Review

MeSH terms

  • Bupropion / adverse effects
  • Bupropion / therapeutic use*
  • Cigarette Smoking / adverse effects
  • Cigarette Smoking / prevention & control*
  • Humans
  • Nicotinic Agonists / adverse effects
  • Nicotinic Agonists / therapeutic use*
  • Recurrence
  • Smoking Cessation / methods*
  • Smoking Cessation Agents / adverse effects
  • Smoking Cessation Agents / therapeutic use*
  • Tobacco Use Cessation Devices*
  • Tobacco Use Disorder / diagnosis
  • Tobacco Use Disorder / drug therapy*
  • Treatment Outcome
  • Varenicline / adverse effects
  • Varenicline / therapeutic use*

Substances

  • Nicotinic Agonists
  • Smoking Cessation Agents
  • Bupropion
  • Varenicline