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This investigational combination therapy consists of modafinil, a wakefulness-promoting agent, and nicotine replacement therapy (NRT). Developed by Dr. Catherine Martin at the University of Kentucky, the combination is specifically designed to treat tobacco use disorder in nicotine-dependent adolescent smokers. Modafinil is a small molecule that acts as a psychostimulant, hypothesized to mitigate common nicotine withdrawal symptoms that often lead to cessation failure, such as inattention, depressed mood, increased appetite, and weight gain. By combining modafinil's ability to enhance alertness and reduce cravings with the standard nicotine substitution provided by NRT, the therapy aims to provide a more comprehensive approach to smoking cessation in younger populations.
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