Nicotine gum withdrawal and migraine headaches

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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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