Presentation
Treatment of the underserved populations, including those with serious mental illness and/or substance use disorders, presents many barriers. [ncbi.nlm.nih.gov]
Nicotine, the primary addictive component in cigarettes, is present at varying levels in many e-liquids. [doi.org]
present (American Psychiatric Association, 2013). [theravive.com]
Entire Body System
- Weakness
Cigarette manufacturers have exploited this weakness and capitalized on the known addictive nature of smoking in order to profit by selling their products to consumers (e.g. Hurt & Robertson, 1998). [treatobacco.net]
[…] in mouth, drooling (increased saliva) Fainting or even coma Convulsions Depression Breathing that may be difficult, rapid, or even stopped Headache Muscle twitching Palpitations (fast and pounding heartbeat often followed by slow heart rate) Vomiting Weakness [medlineplus.gov]
Severe nicotine poisoning causes a cholinergic toxidrome with nausea, vomiting, salivation, lacrimation, diarrhea, urination, fasciculations, and muscle weakness. [merckmanuals.com]
Headache Weakness Increased or decreased heartrate Difficulty breathing Vomiting Fainting Overdosing on nicotine should be treated as a medical emergency. If you witness someone overdosing on tobacco, call 911 immediately. [drugrehab.com]
Even though other indicators of dependence predicted smoking cessation in previous reports, this association was weak ( Farkas et al, 1996 ; Kozlowski et al, 1994 ). [nature.com]
- Fatigue
We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 13, 2019 [patientslikeme.com]
Quitting smoking can decrease the risk of heart disease, pneumonia, and HIV-related symptoms such as fatigue, nausea, and body pain. [publichealth.va.gov]
A psychostimulant that combats fatigue and suppresses hunger. Associated with 99 deaths, although this tally includes some ecstasy deaths. Nearly 8,000 seizures, adding up to almost three tonnes of confiscated amphetamines. 9. [mentalhealth.com]
Nicotine use results in more efficient processing of information and reduction of fatigue. In addition, nicotine has a sedative action, reduces anxiety, and induces euphoria. [emedicine.medscape.com]
- Sudden Infant Death Syndrome
Women who smoke have a greater chance of certain pregnancy problems or having a baby die from sudden infant death syndrome (SIDS). [icdlist.com]
death, low birth weight, or ]]> sudden infant death syndrome (SIDS) ]]> Tobacco-related social problems © 2009 Nucleus Medical Art, Inc. [empowher.com]
The adverse effects of tobacco on both prenatal and postnatal development have been well described and include low birth weight, increased incidence of sudden infant death syndrome, and development of lung disease later in life (e.g., asthma) ( 1, 62 [doi.org]
Gastrointestinal
- Nausea
The only contraindication for varenicline is an allergy to the medication, and nausea is the most common side effect. Varenicline can be used safely in patients with cardiovascular disease. [ncbi.nlm.nih.gov]
[…] mouth (intubation), and breathing machine (ventilator) Blood and urine tests Chest x-ray EKG (electrocardiogram, or heart tracing) Fluids through a vein (IV) Laxative Medicines to treat symptoms, including agitation, rapid heart rate, seizures, and nausea [medlineplus.gov]
Tolerance and withdrawal symptoms are indicated by the absence of nausea and dizziness. These symptoms would ordinarily occur when a non-addicted person smokes. Cigarettes include many other harmful chemicals besides nicotine. [mentalhelp.net]
Possibly cause sweating, nausea, and diarrhea. Stimulate memory and alertness -- People who use tobacco often depend on it to help them accomplish certain tasks and perform well. [nlm.nih.gov]
Severe nicotine poisoning causes a cholinergic toxidrome with nausea, vomiting, salivation, lacrimation, diarrhea, urination, fasciculations, and muscle weakness. [merckmanuals.com]
- Increased Appetite
Withdrawal symptoms include depression; difficulty sleeping; irritability, frustration, and anger; anxiety; problems concentrating; restlessness; slowed heart rate; dry cough; and increased appetite/weight gain. [mentalhelp.net]
It can: Decrease the appetite -- Fear of weight gain makes some people unwilling to stop smoking. Boost mood, give people a sense of well-being, and possibly even relieve minor depression. Increase activity in the intestines. [nlm.nih.gov]
Nicotine “highs” Increase in blood pressure, respiration, and heart rate Hyperglycemia (abnormally high blood sugar level) Nicotine withdrawal Irritability Craving Thinking and attention problems Sleep disturbances Increased appetite Nervousness Headache [empowher.com]
Increased appetite. Restlessness. Depressed mood. Insomnia. Tobacco (or closely related substance, such as nicotine) is taken to relieve or avoid withdrawal symptoms. [mentalhealth.com]
- Vomiting
[…] sensation in mouth, drooling (increased saliva) Fainting or even coma Convulsions Depression Breathing that may be difficult, rapid, or even stopped Headache Muscle twitching Palpitations (fast and pounding heartbeat often followed by slow heart rate) Vomiting [medlineplus.gov]
In patients with mild symptoms or who have vomited, charcoal is not given; some clinicians would recommend charcoal for patients who have severe symptoms or have ingested large quantities and have not vomited. [merckmanuals.com]
Headache Weakness Increased or decreased heartrate Difficulty breathing Vomiting Fainting Overdosing on nicotine should be treated as a medical emergency. If you witness someone overdosing on tobacco, call 911 immediately. [drugrehab.com]
Drug Abuse, 101 Psychological Harms, 104 Physiological Harms: Tissue and Organ Damage, 109 Summary and Conclusions, 125 4 The Medical Value Of Marijuana and Related Substances 137 Standards for Evaluating Clinical Trials, 138 Analgesia, 139 Nausea and Vomiting [nap.edu]
Cardiovascular
- Hypertension
The Jaccard distance between pairs of disorders ranged from 0.00 (e.g. oesophageal cancer and malignant hypertension) to 0.45 (e.g. bladder cancer and addiction). [ncbi.nlm.nih.gov]
(AHRQ) in 1996 9 and was updated in 2000 by AHRQ and a consortium of 7 government and nonprofit organizations. 10 The 2000 guideline urged clinicians to treat tobacco use disorder as a chronic disease similar in many respects to other diseases like hypertension [mdedge.com]
The immediate effects of nicotine administration are tachycardia, hypertension, increased respiration, hyperglycemia, enhanced memory storage, improved concentration, and appetite suppression. [theravive.com]
Hypertension. 2002;39:1107–12. PubMed CrossRef Google Scholar 60. Kimmel SE, Berlin JA, Miles C, Jaskowiak J, Carson JL, Strom BL. Risk of acute first myocardial infarction and use of nicotine patches in a general population. [doi.org]
Psychiatrical
- Addictive Behavior
AFP BY TOPIC Editors' Choice of Best Available Content This collection features the best content from AFP, as identified by the AFP editors, on tobacco abuse and dependence and related issues, including addiction, behavioral and drug therapies, lifestyle [aafp.org]
Nyeonju Kang, Rye Kyeong Kim and Hyun Joon Kim, Effects of transcranial direct current stimulation on symptoms of nicotine dependence: A systematic review and meta-analysis, Addictive Behaviors, 10.1016/j.addbeh.2019.05.006, (2019). Sarah K. [doi.org]
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors. 2008;22(3):426–32. CrossRef Google Scholar 72. Evans DE, Craig C, Oliver JA, Drobes DJ. [link.springer.com]
Addiction, 93, 895-905. Sussman, S., McCuller, W. J. y Dent, C. W. (2003). The associations of social self-control, personality disorders, and demographics with drug use among high-risk youth. Addictive Behaviors, 28, 1159-1166. [adicciones.es]
- Euphoria
This triggers euphoria, boosts mood and enhances memory. However, nicotine can also cause a number of immediate and long-term health problems. Exposure to nicotine can be fatal. [drugrehab.com]
A clear liquid dance drug said to induce euphoria, also described as a date rape drug. Can trigger comas and suppress breathing. Caused 20 deaths and 47 seizures were recorded. 18. Ecstasy Class A. Psychoactive dance drug. [mentalhealth.com]
It meets the criteria of a highly addictive drug, in that it is a potent psychoactive substance that induces euphoria, reinforces its own use, and leads to nicotine withdrawal syndrome when it is absent. [emedicine.medscape.com]
Neurologic
- Irritability
Nicotine withdrawal creates anxiety, irritability, headache, hunger, and a craving for cigarettes or other sources of nicotine. [patientslikeme.com]
Symptoms of nicotine dependence include irritability, anger, impatience, and problems in concentrating. There are different ways of measuring nicotine dependence. [en.wikipedia.org]
An addiction may be present if the person: cannot stop smoking or chewing, despite attempts to quit has withdrawal symptoms when they try to quit (shaky hands, sweating, irritability, or rapid heart rate) must smoke or chew after every meal or after long [healthline.com]
Finally, those with higher levels of neuroticism (i.e. higher levels of moodiness, anxiety and irritability) were also more likely to be smokers. [ndarc.med.unsw.edu.au]
Withdrawal symptoms include depression; difficulty sleeping; irritability, frustration, and anger; anxiety; problems concentrating; restlessness; slowed heart rate; dry cough; and increased appetite/weight gain. [mentalhelp.net]
- Headache
Nicotine withdrawal creates anxiety, irritability, headache, hunger, and a craving for cigarettes or other sources of nicotine. [patientslikeme.com]
[…] s primary areas of research include behavioral medicine, pain (with a particular focus on recurrent headache disorders), stress, and biofeedback and applied psychophysiology. [books.google.de]
Nicotine withdrawal symptoms include headaches, cravings and anxiety. While nicotine does not cause cancer, tobacco products contain a variety of cancer-causing compounds, such as tar and acetaldehyde. [drugrehab.com]
[…] nicotine poisoning include: Abdominal cramps Agitation, restlessness, excitement, or confusion Burning sensation in mouth, drooling (increased saliva) Fainting or even coma Convulsions Depression Breathing that may be difficult, rapid, or even stopped Headache [medlineplus.gov]
Common symptoms include: Intense craving for nicotine Anxiety Depression Drowsiness or trouble sleeping Bad dreams and nightmares Feeling tense, restless, or frustrated Headaches Increased appetite and weight gain Problems concentrating You may notice [nlm.nih.gov]
- Burning Sensation
Symptoms of nicotine poisoning include: Abdominal cramps Agitation, restlessness, excitement, or confusion Burning sensation in mouth, drooling (increased saliva) Fainting or even coma Convulsions Depression Breathing that may be difficult, rapid, or [medlineplus.gov]
Workup
Tobacco (or a closely related substance, such as nicotine) is taken to relieve or avoid withdrawal symptoms See Workup for more detail. Management Tobacco use remains the single largest preventable cause of death and disease in the United States. [emedicine.medscape.com]
Treatment
NAC treatment significantly reduced the HDRS score in patients with tobacco use disorder. CONCLUSIONS: These data show that treatment with NAC may have a clinical efficacy in TUD. [ncbi.nlm.nih.gov]
The integration of tobacco dependence treatment and tobacco-free standards into residential addictions treatment in New Jersey. Journal of substance abuse treatment, 28 (4), 331-340. [mdquit.org]
Prognosis
Abstract Background: Patients with co-occurring mood disorders either major depressive disorders or bipolar disorders and tobacco use disorder have more severe depressive and anxiety symptoms and recover more slowly and smoking worsens treatment prognosis [omicsonline.org]
Outlook (Prognosis) People who are trying to quit smoking often become discouraged when they do not succeed at first. Research shows that the more times you try, the more likely you are to succeed. [mountsinai.org]
Food and Drug Administration's Center for Tobacco Products, 3 million middle and high school students reported using e-cigarettes in 2015, compared with 2.46 million in 2014. [22] Prognosis Mortality and morbidity The detrimental health consequences of [emedicine.medscape.com]
Etiology
We found epidemiological evidence consistent with a common underlying etiology for BD and TUD, as well as evidence of both genetic and environmental influences on BD and TUD. [ncbi.nlm.nih.gov]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Therapy: randomized controlled trial Drug Therapy: multicenter randomized controlled trial Drug Therapy: placebo-controlled randomized controlled trial Economic Impact Education Electroconvulsive Therapy Embryology Enzymology Epidemiology Escitalopram Etiology [mentalhealth.com]
The nicotinic acetylcholine receptor (nAChR), to which nicotine binds, is a plausible and biologically relevant candidate for smoking etiology. Neuronal nAChRs are widely distributed throughout the central and peripheral nervous system. [doi.org]
Pathological gambling: Etiology, comorbidity and treatment. Washington, DC: American Psychological Association. Pettinati, H, Pierce, J., Belden, P. y Meyers, K. (1999). [adicciones.es]
Epidemiology
This article reviews the epidemiology of tobacco use in youth, with a description of cigarettes, alternative tobacco product, and polytobacco use patterns among the general population and among adolescents with psychiatric and/or substance use disorders [ncbi.nlm.nih.gov]
A limited number of prospective studies are available assessing smoking or ND as risk factors for incident ADs in population-based epidemiological studies. [doi.org]
With an administration time of approximately 15 minutes, the MINI is the structured psychiatric interview of choice for psychiatric evaluation and outcome tracking in clinical psychopharmacology trials and epidemiological studies. [harmresearch.org]
Rouse BA (1989) Epidemiology of smokeless tobacco use: a national study. NCI Monographs 8:29–33. View Article Google Scholar 10. [journals.plos.org]
Pathophysiology
It is hypothesized that the ST2in.12 allele by modulating the metabolism of serotonin may participate in the pathophysiology of tobacco use disorder or nicotine dependence. [ncbi.nlm.nih.gov]
Course Format Homestudy Course Syllabus Introduction Smoking And Tobacco Use In The United States Nicotine Pathophysiology Of Acute Nicotine Addiction The Definition And Diagnosis Of Tobacco Use Disorder Tobacco Withdrawal Smoking Cessation: Basic Principles [nursece4less.com]
Pathophysiology Of Acute Nicotine Addiction 5. The Definition And Diagnosis Of Tobacco Use Disorder 6. Tobacco Withdrawal 7. Smoking Cessation: Basic Principles 8. Risks Of Smoking Cessation 9.Beginning The Process Of Smoking Cessation 10. [ce4less.com]
Serotonin and the serotonin transporter (5-HTT) are implicated in the pathophysiology of tobacco use disorder [ 6 ]. [bmcgenet.biomedcentral.com]
Pathophysiology Nicotine exerts its neurophysiologic action principally through the brain’s reward center. [emedicine.medscape.com]
Prevention
Centers for Disease Control and Prevention. Best Practices User Guide: Health Equity in Tobacco Prevention and Control. Atlanta: U.S. [cdc.gov]
Tobacco use is a pervasive public health problem and the leading cause of preventable morbidity and mortality in the United States. [ncbi.nlm.nih.gov]
Tobacco Use Cessation and Prevention A Review 1. Senior Lecturer, Department of Public Health Dentistry, Panineeya Institute of Dental Sciences and Hospital, Hyderabad, Telangana, India. 2. [doi.org]
Describes three types of tobacco control and prevention efforts in rural areas: cessation, prevention of initiation, and smoke free air. [ruralhealthinfo.org]
A longer treatment period or change in approach may prevent a future relapse. [healthline.com]