“Drug Counselor Report of Adolescents Abuse of Nicotine Replacement Therapy”, Andrew Hyland, David Bradford, David Bradford2005 (; backlinks; similar)⁠:

Background: Nicotine replacement products (NRT) are formulated and marketed to reduce their abuse liability among adolescents. Few studies have examined the extent of adolescent abuse. The objective of this manuscript is to describe the youth abuse rate for NRT and other over-the-counter (OTC) abusable substances.

Method: 2 cross-sectional telephone surveys of Safe and Drug Free School Coordinators were conducted in 1996–7 (n = 562) and 1998/9 (n = 501). Abuse of NRT and other OTC drugs and circumstances surrounding NRT abuse was ascertained.

Results: NRT abuse rates were low and did not change statistically-significantly between the 2 surveys (2.7% in 1996–7 to 4.6% in 1998–9). NRT abuse rates were well below those of other OTC abusable substances (eg. diet pills and inhalants).

Conclusion: Concerns over promotion of youth dependence to nicotine by offering the sale of NRT OTC to adults have not been realized and policymakers should consider reducing barriers to access these products.

[Keywords: adolescent, tobacco, substance abuse, nicotine replacement therapy]