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Tobacco cessation interventions targeted at smokers in treatment and recovery for alcohol and other drug dependencies increases tobacco abstinence and do not appear to threaten sobriety.

Smoking rates are two to four times higher in smokers with concurrent alcohol and drug dependencies than in the general population. Treatment for tobacco dependence and other addictions concurrently has been limited due to concern that such an approach is not successful, or that recovery from the other addictions could be compromised. A review found that providing people with alcohol or other drug dependence problems with standard smoking cessation pharmacotherapy treatment alone or with behavioural support resulted in higher smoking quit rates than usual care or placebo. Eleven studies, including 2231 participants also found that the provision of tobacco cessation interventions did not make people more likely to return to using alcohol or other drugs. The authors conclude that as cessation was achieved across a wide variety of interventions, the choice of intervention is less important than ensuring that people in recovery are offered some type of smoking cessation intervention.

Apollonio D, Philipps R, Bero L. Interventions for tobacco use cessation in people in treatment for or recovery from substance use disorders. Cochrane Database of Systematic Reviews 2016, Issue 11. Art. No.: CD010274. DOI: 10.1002/14651858.CD010274.pub2.

Thurgood SL, McNeill A, Clark-Carter D, Brose LS. A Systematic Review of Smoking Cessation Interventions for Adults in Substance Abuse Treatment or Recovery. Nicotine Tob Res 2016; 18: 993-1001. logo
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