There is some preliminary evidence that behavioural
support increases quit rates in adolescents but no evidence that
pharmacotherapy is effective.
A small number of trials have suggested that behavioural
treatments and NRT are effective in adolescent smokers but these
have yet to be widely replicated. Behavioural approaches that are
effective for adults could be considered, but the content should be
developmentally appropriate.
NRT and bupropion may be considered for the treatment of
adolescents who have symptoms of nicotine dependence and who wish
to quit, but direct trials of these medications show limited
evidence of efficacy.
Grimshaw GM,
Stanton A. Tobacco cessation interventions for young people.
Cochrane Database of Systematic Reviews, 2006, 4.
McDonald P, Colwell
B, Backinger CL, et al. Better practices for youth tobacco
cessation: evidence of review panel. Am J Health Behav. 2003; 27
(Suppl 2): S144-S158.
Youth Tobacco Cessation. A Guide for Making Informed Decisions.
US DHSS CDC, 2004.