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Department of Emergency Medicine, Hadassah University Hospital, Mount Scopus, Jerusalem, Israel. darvasi@md.huji.ac.il
Some abstinent smokers develop withdrawal symptoms when they stop using nicotine gum or when placebo is substituted. The present report describes a patient who suffered from severe migraine headaches after sudden discontinuation of nicotine gum. It has been suggested that physical dependence may be a cause of behavioral dependence on nicotine gum. Physicians should emphasize the need for gradual reduction of nicotine gum.
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