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PJ Online homeThe Pharmaceutical Journal
Vol 279 No 7473 p394
13 October 2007

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Regulation of nicotine products criticised

Smokers should be able to switch to safer nicotine products which deliver nicotine as quickly and conveniently as cigarettes, a Lancet opinion piece published online last week argues (5 October 2007).

John Britton, chairman of the Tobacco Advisory Group of the Royal College of Physicians, and Richard Edwards of the University of Otago, New Zealand, argue that smokers addicted to nicotine have a right to choose from a range of safe nicotine products, as well as accurate and unbiased information to guide that choice.

“The anomalies that inhibit market competition to develop new and better, rapid delivery, user-friendly medicinal nicotine products (eg, inhaled nicotine) that can compete with cigarettes for long-term use need to be removed; and there needs to be more widespread promotion and sale of existing or new lower-hazard products,” they say.

The scant regulation of tobacco products is in great disproportion to their hazard, the authors argue. “By contrast,” they point out, “medicinal nicotine products, which are the safest source of nicotine, are generally subject to the highest levels of regulation since they are generally classified as drugs.”

Nicotine products should be regulated rationally in relation to one another and their level of hazard, in a system designed to reduce the overall harm caused by nicotine dependence and use, they say.

Publication of the article coincides with the launch of a report by the Tobacco Advisory Group of the Royal College of Physicians. The report concludes that the development of new, more effective, more acceptable and user-friendly medicinal nicotine substitutes for smoking needs to be considered.

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