Don't tear off your patch or forgo your nicotine gum or lozenge if you slip up and have a cigarette, the FDA advises smokers. Such action won't hurt you and could sabotage efforts to quit, the agency says.


WASHINGTON - Millions have worn the nicotine patch, chewed the gum or sucked on the lozenge as a way to wean themselves off cigarettes. But millions more have ripped off the patch or spit out the gum or lozenges because they slipped and smoked a cigarette, and believed the warning labels that suggested the combination was dangerous.

Don't worry, the Food & Drug Administration said this week. Keep using the patch, gum or lozenges and keep trying to quit, even if you're still smoking: There's no danger to using both, at least for a short period.

The new directions to quitters amend warning labels that nicotine-replacement therapies have carried on their labels since they were first introduced to the U.S. market almost three decades ago. Those labels cautioned consumers not to use nicotine-replacement products if they continued to smoke or chew tobacco, and urged them to stop smoking or chewing tobacco completely once they began to use the nicotine replacement product.

Those warnings, the FDA said Monday, aren't necessary anymore in light of new data on nicotine-replacement therapy's safety. Smokers who slip up and smoke while wearing the patch or chewing the gum shouldn't discontinue their use of nicotine-replacement therapy - a move that could derail their efforts to quit, the FDA said. They should continue to use them and keep trying to quit.

The same relaxed safety warnings apply to the common practice of using two nicotine-replacement products at the same time: Those who feel they need to supplement the willpower that comes in the patch with some nicotine gum can do so safely, the FDA said.

While nicotine-replacement products do not have substantial potential for abuse or dependence, the FDA recommends that consumers not use them for longer than the packaging instructions suggest - generally between eight and 12 weeks. "If they feel they need to continue using the product for longer in order to quit, it is generally safe to do so," said the FDA in a statement released Monday.

About 1 in 5 American adults - about 46 million people - continues to smoke. In any given year, almost half of those try to quit.

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