Evidence map›Paper›PMID 42899303›Full record

ReviewCureus2026

Safety and Effectiveness of Bupropion for Smoking Cessation During Pregnancy: A Scoping Review.

George R Habib, Priyanka Ramanathan, Gabriella Garas, Alexander Knight

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

George R HabibDr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Priyanka RamanathanDr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Gabriella GarasObstetrics and Gynecology, Alabama College of Osteopathic Medicine, Dothan, USA.
Alexander KnightPsychiatry, Morton Plant North Bay Hospital Recovery Center, Lutz, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Smoking during pregnancy is associated with adverse maternal, fetal, and neonatal outcomes. Although behavioral counseling remains first-line treatment, pharmacotherapy may be considered when counseling alone is insufficient. This scoping review mapped the available evidence on the safety and effectiveness of bupropion for smoking cessation during pregnancy. The review was conducted according to Joanna Briggs Institute methodology and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). MEDLINE (PubMed), Embase, the Cochrane Library, PsycINFO, and ClinicalTrials.gov were searched without date restrictions for English-language studies evaluating bupropion for smoking cessation during pregnancy. Two reviewers independently screened records, and the review team extracted data on smoking cessation, maternal safety, and fetal or neonatal outcomes. Of 599 records identified, 13 sources of evidence met the inclusion criteria. Maternal and fetal safety findings were generally reassuring, with no consistent increase in maternal adverse events, major congenital malformations, preterm birth, impaired fetal growth, or serious neonatal morbidity. Evidence for smoking cessation effectiveness was mixed. Some studies reported improved short-term abstinence, reduced cigarette consumption or tobacco exposure, and improvement in craving or withdrawal symptoms, whereas other randomized trials found no significant improvement in sustained abstinence compared with placebo or counseling. Interpretation was limited by small samples, few bupropion-exposed pregnancies, heterogeneous designs and outcomes, and restrictive trial eligibility criteria. Current evidence is more reassuring regarding maternal, fetal, and neonatal safety than it is conclusive regarding smoking cessation effectiveness. Larger, adequately powered studies involving more representative pregnant populations are needed to clarify efficacy and detect uncommon adverse outcomes.

Indexed as

bupropionfetal outcomesmaternal safetyneonatal outcomesnicotine dependencepregnancypsychopharmacologyscoping reviewsmoking cessationtobacco use

Identifiers

PMID42899303
PMCPMC13679996

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.