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Correspondence
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Volume 341:1700 November 25, 1999 Number 22
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Use of the Nicotine Patch by Pregnant Women

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To the Editor: Even if women acknowledge the perinatal risks of cigarette smoking and wish to quit the habit, many women continue to smoke after realizing that they have conceived.1 The transdermal nicotine patch, when combined with counseling, is an effective method of nicotine replacement.2 However, nicotine has been shown to be teratogenic in animal studies, and it is categorized by the Food and Drug Administration at risk level D, which implies substantial risk to the fetus.3,4 This has led clinicians and pharmaceutical companies to hesitate and largely to ignore the potential opportunity offered by the transdermal nicotine patch for . . . [Full Text of this Article]

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