Sir, Cigarette smoking is a major risk factor for vascular disease. Fifty percent of smokers die of smoking‐related causes, and continuing to smoke doubles the risk of death for patients with coronary artery disease. Hence smoking cessation is the most effective intervention available to patients with heart disease. Nicotine replacement therapy (NRT) is an effective smoking cessation intervention. A systematic review of 47 trials showed that smoking cessation rates were doubled by NRT over a period of 6–12 months.1 These studies also concluded that NRT does not contribute substantially to acute cardiovascular events, and hence can be prescribed safely in patients with coronary artery disease.2,,3 In recent months, there have been major efforts …