Abstract
Smoking cessation has been the primary goal for those of us working in tobacco treatment for many decades. However, we have all noticed that in countries where there is a strong anti-smoking climate, there seems to be an increasing percentage of smokers, willing and motivated to quit, who, despite all efforts on our part, find it very difficult to achieve this. ‘Harm reduction’ or ‘harm minimisation’ strategies have become part of our agenda and is now offered routinely to smokers in these circumstances. As these strategies invariably incorporate concurrent smoking with nicotine-containing products, there is the dilemma of on-going nicotine usage, or ‘therapeutic/medicinal nicotine’ for extended periods of time (though evidently better and safer than smoking alone).
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