Because of the inverse association of cigarette smoking with the risk
of Parkinson's disease, we performed a short-term, double-blind, rando
mized controlled trial of nicotine polacrilex resin gum in patients wi
th this disease. Forty-eight subjects were randomly assigned to chew e
ither nicotine gum or placebo gum three times at 2-h intervals, with e
valuation of symptoms before and after the trial. The nicotine gum was
reasonably well tolerated, but there were no substantial differences
in Parkinson's disease symptoms between the two treatment groups.