Am Fam Physician. 2023;108(3):online
Author disclosure: No relevant financial relationships.
Details for This Review
Study Population: 45,049 adult tobacco smokers who were willing to quit; varenicline (Chantix) studies were conducted in the United States and other countries, whereas cytisine studies were conducted in countries other than the United States; all studies were conducted in middle- and high-income countries and included inpatient and various outpatient settings
Efficacy End Points: Smoking abstinence at longest follow-up (six months or more)
Harm End Points: Serious adverse events, neuropsychiatric serious adverse events, and cardiac serious adverse events
Benefits | Harms |
---|---|
Cytisine (not available in the United States) vs. placebo | |
1 in 22 was abstinent from smoking at longest follow-up (six months or more) | No significant difference in rates of serious adverse events |
Varenicline (Chantix) vs. placebo | |
1 in 8 was abstinent from smoking at longest follow-up (six months or more) | 1 in 166 experienced serious adverse events |
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