Many smokers who try to stop smoking with nicotine medications (NM) such as gum, lozenge and
patch, go back to smoking (i.e., a slip or lapse). Currently, labeling on many NM products
tells smokers who lapse while using NM to stop NM. However, some studies suggest it is safe
to continue NM upon a lapse and that doing so dramatically increases success at quitting. The
investigators will test this by doing a randomized trial in which all treatment and measures
are done from home with paper, phone or computer surveys. The investigators will recruit
smokers who want to quit, provide them with 10 weeks of nicotine patch treatment and 5 weeks
of counseling. One group will be asked to stop use of the patch if they lapse and the other
group will be asked to continue use of the patch if they lapse. The investigators will
compare the groups on their success at quitting and side-effects.