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There is some evidence that behavioural support increases quit rates in adolescents but no evidence that pharmacotherapy is effective.

Trials have tested a range of complex behavioural interventions, with some evidence supporting the use of motivational enhancement combined with psychological support using cognitive behavioural or stage based approaches.

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 have not detected a significant effect. Trials of varenicline in adolescents have not been published.

Stanton A, Grimshaw G. Tobacco cessation interventions for young people. Cochrane Database of Systematic Reviews 2013, Issue 8. Art. No.: CD003289. DOI: 10.1002/14651858.CD003289.pub5.

Patnode CD, O'Connor E, Whitlock EP, Perdue LA, Soh C. Primary Care Relevant Interventions for Tobacco Use Prevention and Cessation in Children and Adolescents: A Systematic Evidence Review for the U.S. Preventive Services Task Force. Evidence Synthesis no. 97. AHRQ Publication no. 12-05175-EF-1. Rockville, MD: Agency for Healthcare Research and Quality; 2012.

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. logo
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