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Some Spanish-language publications are among the newspapers listed for the ads. The five broadcast TV ads will run weekly for an entire year, with the manufacturers having the option of when the ads run between 7 and 10 p.m. between Mondays and Thursdays. The manufacturers are required to notify the federal court a week in advance which statement will run and on which network and in which time slot. The parties are negotiating how the corrective statements will appear on the manufacturers’ websites for the first five years of the court order. The goal is to reach a mock-up resolution by Oct. 23. The 1998 Master Settlement Agreement with 46 state attorneys general led to significant industry changes that included banning cigarette billboards, stadium advertisements and brand-name merchandise. Restrictions became more extensive in 2009 when Congress gave the Food and Drug Administration broad regulatory authority over nearly every aspect of tobacco product manufacturing and marketing. “We remain committed to aligning our business practices with society’s expectations of a responsible company,” Garnick said. “This includes communicating openly about the health effects of our products, continuing to support cessation efforts, helping reduce underage tobacco use and developing potentially reduced-risk products.” Matthew Myers, the president of Campaign for Tobacco-Free Kids, said in April that he had mixed feelings about the appellate court’s ruling.
We observed a significant decline in the use of varenicline after the passage of BBW. The BBW was not associated with decline in the use of bupropion. Passage of BBW may have a substantial impact on the utilization of certain medications. In 2009, the FDA required a black box warning (BBW) on bupropion and varenicline, the two commonly prescribed smoking cessation agents due to reports of adverse neuropsychiatric events. We investigated if there was a decline in use of bupropion and varenicline after the BBW by comparing the percent using these medications before and after BBW. We conducted a retrospective observational study using data from the Medical Expenditure Panel Survey from 2007 to 2014. The study sample consisted of adult smokers, who were advised by their physicians to quit smoking. We divided the time period into “pre-warning”, “post-warning: immediate”, and “post-warning: late.” Unadjusted analysis using chi-square tests and adjusted analyses using logistic regressions were conducted to evaluate the change in bupropion and varenicline use before and after the BBW. Secondary analyses using piecewise regression were also conducted. On an average, 49.04% of smokers were advised by their physicians to quit smoking.