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Smoking or tobacco addiction

Also known as Nicotine Addiction and Nicotine Dependence

Nicotine is a potent parasympathomimetic alkaloid found in the nightshade family of plants (Solanaceae). It acts as a nicotinic acetylcholine receptor agonist. It is made in the roots and accumulates in the leaves of the plants. It constitutes approximately 0.6–3.0% of the dry weight of tobacco and is present in the range of 2–7 µg/kg of various edible plants. It functions as an antiherbivore chemical; therefore, nicotine was widely used as an insecticide in the past and nicotine analogs such as imidacloprid are currently widely used.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with smoking or tobacco addiction, 44% report having smoking problems, 42% report having cough, and 34% report having sharp chest pain. The symptoms that are highly suggestive of smoking or tobacco addiction are smoking problems, although you may still have smoking or tobacco addiction without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with smoking or tobacco addiction often receive mental health counseling, psychotherapy, lipid panel, hemoglobin a1c measurement, nebulizer therapy, depression screen, prostate specific antigen measurement and mammography .

Common Medications

The most commonly prescribed drugs for patients with smoking or tobacco addiction include varenicline (chantix), nicotine, buprenorphine / naloxone, dextromethorphan / promethazine, emtricitabine, magnesium hydroxide (m.a.h.), capsaicin topical, rapacuronium, etravirine (intelence), dexchlorpheniramine/dextromethorphan/pse, aspirin / hydrocodone, chlorthalidone / clonidine and docosanol topical .

Who is at risk?

Groups of people at highest risk for smoking or tobacco addiction include age 30-44 years age 45-59 years. On the other hand, age 1-4 years and age < 1 years almost never get smoking or tobacco addiction.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.1x
15-29 years
1.2x
30-44 years
1.6x
45-59 years
1.6x
60-74 years
0.8x
75+ years
0.2x

Sex

Male
1.2x
Female
0.8x

Race/Ethnicity

Black
1.0x
Hispanic
0.6x
White
1.1x
Other
0.9x
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