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People with depression and anxiety are more heavily addicted, suffer from worse withdrawal (Royal College of Physicians Reference Rabin, Ashare and Schnoll2013) and find it harder to quit (odds ratio 0.81, 95% CI 0.670.97) (Hitsman Reference Hitsman, Papandonatos and McChargue2013)

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Patients with chronic nasal disorders (e.g., rhinitis, polyps, sinusitis) or patients with severe reactive airway disease should not use this form of NRT because of the irritant effects of the spray

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