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- <text id=92TT1247>
- <title>
- June 08, 1992: Kicking the Habit
- </title>
- <history>
- TIME--The Weekly Newsmagazine--1992
- June 08, 1992 The Balkans
- </history>
- <article>
- <source>Time Magazine</source>
- <hdr>
- LIVING, Page 82
- Kicking the Habit
- </hdr><body>
- <p>Nicotine patches are hot, but they're hard to find
- </p>
- <p>By JON D. HULL/HICAGO
- </p>
- <p> Here's a pop quiz sure to make libertarians quiver. Which
- of the following items cannot be acquired without special
- permission: a carton of Lucky Strike nonfilters, a liter of
- grain alcohol, handcuffs, a hypodermic needle or (hint, hint)
- a nicotine patch?
- </p>
- <p> Yup. The kids can discreetly get their condoms at school,
- but Mom and Dad must slink off to the doctor's office and pay
- for permission to attempt to quit smoking with nicotine
- patches. And that's not all. Even with a prescription, smokers
- in many states have an easier time purchasing a semiautomatic
- AK-47 assault rifle -- totally legal, no waiting period -- than
- certain nicotine patches. The catch? Unlike guns, not only are
- patches highly regulated, but get this, the two leading brands
- are being tightly rationed in many areas. For nicotine devotees,
- walking a mere mile for a Camel seems simple in comparison.
- </p>
- <p> The problem is exquisitely inconceivable. After spending
- millions of dollars coaxing hundreds of thousands of smokers
- into making one of the most difficult decisions of their life,
- the three U.S. patch distributors failed to produce enough to
- go around. Recent quitters, a high-strung group in the best of
- times, suddenly found themselves in an unnerving game of musical
- patches. "It's like a suicide hot line with a busy signal," says
- Jan Westmier, a former self-described chimney from Berkeley who
- finally got a supply of patches last month. Seattle carpenter
- Robert Gould just gave up. "I was on a waiting list for two
- weeks before my pharmacy could supply me with the patches," he
- says. "Hell, by then I'd lost my nerve to quit."
- </p>
- <p> The fuss is remarkable for a product that wasn't even
- available seven months ago. Nicoderm, the first patch to be
- approved by the FDA, arrived on the market just in time to cash
- in on several million New Year's resolutions. Backed by a
- massive ad campaign, marketer Marion Merrell Dow Inc. quickly
- created a huge demand, which soon outstripped supply. That was
- good news for rival Ciba-Geigy Corp., which now claims more than
- half the market, in contrast to about 30% for Nicoderm. But
- Ciba-Geigy, which has already sold more than 70 million Habitrol
- patches, has been forced to curb promotion and ration its
- product, allowing newcomer Pro Step, introduced by American
- Cyanamid Co., to grab a 13% market share.
- </p>
- <p> Even with overtime production, the patch shortage is
- expected to last at least until early August. "We're only
- getting about 50% of what we could sell," says Carolyn Fray,
- spokeswoman for Rite Aid Corp., which owns 2,498 drugstores
- nationwide. Merrill Lynch analyst Richard Vietor estimates that
- sales will top $880 million this year and nearly $1 billion in
- 1993. (Six months ago, he predicted sales of only $150 million
- for all of 1992.) "This is overwhelmingly the biggest first-year
- market for any prescription product," he says.
- </p>
- <p> Priced at under $4 each, the patch delivers a steady fix
- of nicotine, the addictive part of tobacco, without the
- 4,000-plus other nasty components that make up tar. Long-term
- studies are lacking, but initial data suggest that the patches
- can double the success rate for quitters in the short run when
- coupled with behavioral therapy.
- </p>
- <p> Now that researchers have developed a relatively benign
- way to stay hooked on nicotine, will patches become the next
- big addiction? So far, most researchers see little chance of
- wide-scale patch abuse, despite reports of patients sneaking
- extra patches or pressuring physicians to extend treatment
- beyond the recommended six to 12 weeks. But really, who cares?
- Nicotine alone is not a killer in modest doses. It mixes just
- fine with driving, and best of all, co-workers and spouses need
- not fret about secondary smoke. Until the battle against bad
- habits is finally won, nicotine patches might just be the most
- promising candidate for the last socially acceptable -- or at
- least tolerated -- vice in America.
- </p>
-
- </body></article>
- </text>
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