Tuesday September 25, 2018

Want to Quit Smoking (Nicotine)?: Help is Here!

Cigarettes contain Nicotine which causes addiction

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Nicotine addiction
E Cigarettes are not a solution to those who wish to quite smoking because E Cigarettes too contain Nicotine. Image credit: www.SameCondition.com
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Dr. M.v. Annalarasi

We at samecondition.com in the previous articles have emphasized the need to quit smoking. Like mentioned earlier, it is true that it is easier said than done. In this article, we would like to communicate to you, in case you already didn’t know, the various recommended practices to adapt while trying to quit smoking. Apart from our articles, you might have come across several sources of the ill effects of smoking. But try adapting a different perspective to look at this issue. The beneficial effects of quitting smoking are aplenty.

It is a common knowledge that nicotine is the addictive substance that keeps you glued to smoking. But to abolish it from your life immediately can have some unfavorable implications: Nicotine withdrawal symptoms are insomnia, anxiety, difficulty to concentrate, intense craving to get your hands-on nicotine, depression etc.

To help you avoid quit as well aid you in a smooth transition towards “ the life without nicotine”, nicotine replacement products are recommended. These products are designed in such a way that they supply nicotine in controlled amounts. This would prepare your physical being to cooperate with your mental efforts to quit. Also, some of these products function on the mechanism of positive reinforcement and desensitizing the nicotine receptors by the nicotine replacement. Some of these products are sold under prescription and some are available over the counter. These are Nicotine transdermal patches, lozenges, inhaler, nasal spray, and chewing gums.

The safety of ‘the otherwise effective nicotine replacement therapy’ during pregnancy, remains to be determined. Nicotine in any form still poses a threat to the fetus. If you are a pregnant woman or have been diagnosed with any health condition like asthma, COPD, diabetes, hypertension, it is advisable to better consult a physician before buying these products on your own.

  1. Nicotine (Transdermal) patches: recommended not to be used alongside cigarette smoking. It has the advantage of moderating and maintaining sustainable levels of nicotine ( lesser than in cigarettes).

 2Nasal spray: available as prescription-only drug and the dosage delivered is tapered over time.

3. Gum: a slow release resin containing nicotine and polacrilin. It has a proved smoking cessation track record of up to 70%. ( available over the counter).

Each of these substances come with their own side effects like sore throat, dry mouth, nausea, dyspepsia etc. But the effects are controlled over a period and hence signal safety with uncontested clarity.

4. Medications: There are some non-nicotine containing pharmacotherapeutic substances (FDA approved and primary line of management) that come to your aid in ‘the quit smoking movement’. Two common examples are Bupropion hydrochloride and Varenicline tartrateClonidine, an alpha-2 adrenergic receptor agonist, used for treating hypertension has also demonstrated considerable efficacy but not FDA approved. Yet, it has been endorsed by the US clinical practice guidelines to be prescribed as a second line of treatment for tobacco addiction. Next in line is Nortriptyline, a tricyclic antidepressant, primarily prescribed to treat depression. It has also exhibited potential as the second line of treatment. The research to make patches with this drug is still under process.

An alkaloid called cytisine binds to the nicotinic acetylcholine receptor and in some clinical studies has proved to be superior to the replacement therapy.

Some of these are available commercially and some are still in the process to reach approval. It is heartening to know that the efforts to help people trying to quit are on the rise. Check the approval status of the drugs on the regulatory websites of your country. It is even better to approach a physician to get yourself a medically accurate blueprint to quit smoking.

Did you know? Nicotine vaccines might also become a reality soon. This new line of immunotherapy for smoking cessation is also underway.

Remember:

The harms due to tobacco will stay away from you if you stay away from tobacco.

The article first appeared at Same Condition website: https://www.samecondition.com/blog/trying-quit-nicotine-dont-struggle-alone/

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Usage of E-Cigarettes In American Teens Have Reached ‘Epidemic Proportions’: FDA

Gottlieb slammed the e-cigarette makers for approaching the problem of underage use as "a public relations challenge.''

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e-cigarettes
Do you believe e-cigarettes are a healthier alternative to smoking? Think again. Pixabay

American teens’ use of e-cigarettes has hit “epidemic proportions,” the U.S. Food and Drug Administration said in a statement released Wednesday.

In what it called the “largest coordinated enforcement effort in FDA history,” the agency issued written warnings and fines to 1,300 retailers for their role in selling the devices to children.

According to the data cited by the FDA, last year more than 2 million middle school and high school students used the devices, which deliver nicotine in an inhalable form.

In a speech at FDA headquarters, Commissioner Scott Gottlieb said, “The disturbing and accelerating trajectory of use we’re seeing in youth and the resulting path to addiction must end.”

 

e-cigarettes
In this April 11, 2018, photo, an unidentified 15-year-old high school student uses a vaping device near the school’s campus in Cambridge, Mass. Health and education officials across the country are raising alarms over wide underage use of e-cigarettes and other vaping products. The devices heat liquid into an inhalable vapor that’s sold in sugary flavors like mango and mint — and often with the addictive drug nicotine. VOA

 

Until now, the FDA had eyed e-cigarettes as a powerful tool to help adults break their habit of using conventional tobacco products. But research has found little evidence of such products’ effectiveness.

Gottlieb admitted that the agency had neglected to take into account how attractive the flavored products would be to youths.

The commissioner said the FDA would continue to study e-cigarettes as a less harmful alternative for adult smokers, but “that work can’t come at the expense of kids.”

The FDA said it was giving the makers of Juul, Vuse, MarkTen XL, Blu and Logic, the five top-selling brands, 60 days to present the agency with a viable plan to prevent vaping among children. If they fail, it could order the products off the market.

The five brands account for more than 97 percent of U.S. sales, according to the FDA.

 e-cigarettes
Packages of flavored liquids for e-cigarettes are seen displayed at a smoke shop in New York City. VOA

Critics have long argued that the manufacturers of e-cigarettes are deliberately targeting children by offering their products in sugary flavors.

Also Read: Daily Cigarette Smokers Develop Greater Risk of Heart Attack, Says Study

Gottlieb slammed the e-cigarette makers for approaching the problem of underage use as “a public relations challenge.”

“I’m here to tell them today that this prior approach is over,” he said. (VOA)