Response 349858324

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Ryan Courtney

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Consultation Page

Please indicate your level of support for the interim decision with respect to CYTISINE

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Short-text response
Access and scheduling of cytisine as S3 is appropriate and it is possible as the Scheduling Committee points out that as local data accumulates that it is possible that cytisine may be scheduled differently in the future and possibly over the counter.
I do however have some significant reservations on not allowing advertising direct to smokers/ patients. Cytisine is a product that has been available in some countries for several decades. The safety and adverse event profile is widely understood and the risk associated with continued smoking for smokers far outweighs any possible downsides to advertising. Our recent trial published in JAMA illustrated cytisine's superior adverse event profile compared to varenicline.
It is imperative smokers are aware of cytisine as a treatment option and I think an advertising ban would be problematic for the public's awareness and greatest possible update of an extremely effective and tolerable medicine for smoking cessation.

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