TABLE 3

Pharmacological treatments for smokers with chronic obstructive pulmonary disease (COPD)

InterventionFirst author [ref.]SubjectsDesignDurationOutcome quit rate %Statistical significance?
Nicotine replacement therapyTønnesen [47]370 smokers with COPDNST/placebo, low CBT/high CBT12 weeksAt 12 months: NST 17%; placebo 10% No difference between high or low CBTYes OR 2.88 (1.34–6.16)
Bupropion (BP) and nortriptyline (NT)Tashkin [48]404 smokers with COPDBP/placebo12 weeksAt 6 months: BP 16%; placebo 9%Yes p<0.005
Wagena [49]255 smokers at risk of or with COPDBP/NT/placebo12 weeksAt 6 months: BP 28%; NT 25%; placebo 15%Yes for BP versus placebo No for NT versus placebo
Van Schayck [50]255 smokers at risk of or with COPDBP/NT/placebo12 weeksAt 12 months: BP 20.9%; NT 20%; placebo 13.5%No
Varenicline (VRN)Tashkin [51]504 smokers with COPDVRN/placebo12 weeksAt 12 months: VRN 18.6%; placebo 5.6%Yes OR 4.04 (2.13–7.67)
  • The table only shows randomised, double-blind, placebo-controlled trials. All studies, but Van Schayck et al. [50], assessed cessation by measuring CO in expired air. Van Schayck et al. [50] assessed cessation by measuring urinary cotinine. NST: nicotine sublingual tablets; CBT: cognitive behavioural therapy.