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10.1016/j.resmer.2021.100844

http://scihub22266oqcxt.onion/10.1016/j.resmer.2021.100844
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suck abstract from ncbi


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pmid34153704      Respir+Med+Res 2021 ; 80 (ä): 100844
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  • Transdermal nicotine in non-smokers: A systematic review to design COVID-19 clinical trials #MMPMID34153704
  • Dautzenberg B; Levi A; Adler M; Gaillard R
  • Respir Med Res 2021[Nov]; 80 (ä): 100844 PMID34153704show ga
  • Recent data show an interaction between COVID-19 and nicotine and indicate the need for an assessment of transdermal nicotine use in non-smokers. Assessments have been conducted into the short-term cognitive effects of nicotine and into diseases such as Parkinson's, Tourette syndrome, ADHD or ulcerative colitis. METHODS: Analyses of nicotine administration protocols and safety were conducted after reviewing Medline and Science Direct databases performing a search using the words [transdermal nicotine] AND [non-smoker] AND selected diseases. RESULTS: Among 298 articles identified, there were 35 reviewed publications reporting on 33 studies of non-smokers receiving transdermal nicotine for >48hours. In the 16 randomized trials, 7 crossover, 1 case/control and 9 open studies patients received an initial nicotine dose of between 2.5mg and 15mg/day. In 22 studies, daily doses increased by 2 to 7 steps in 3 to 96 days until the dose was between 5mg and 105mg/day. The target nicotine dose was 19.06+/-20.89mg/day. The 987 non-smokers (534 never-smokers, 326 ex-smokers and 127 classified as "non-smokers") received or did not receive nicotine. The most common side-effects were nausea and skin itching. Forty-three (7.1%) non-smokers stopped treatment because of an adverse event of nicotine. No hospitalization related to nicotine side-effects were reported. CONCLUSION: Despite a relatively safe tolerance profile, transdermal nicotine therapy in non-smokers can only be used in clinical trials. There is a lack of formal assessment of the potential risk of developing a tobacco addiction. This review offers baseline data to set a transdermal nicotine protocol for non-smokers with a new purpose.
  • |*COVID-19[MESH]
  • |*Colitis, Ulcerative[MESH]
  • |Humans[MESH]
  • |Nicotine/adverse effects[MESH]
  • |Non-Smokers[MESH]


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