Nicotine dependence : Causes-Symptoms-Diagnosis-Treatment


 What is Nicotine dependence?

Nicotine dependence is a prevalent public health issue, affecting millions of people around the world. It is an addiction that can cause significant physical, psychological, and social problems. It is a very complex disorder, and it is important to have an understanding of the different factors that can contribute to its development and maintenance. Research has shown that a combination of biological, psychological, and environmental processes are involved in nicotine dependence, making it difficult to accurately identify its causes.

The effect of nicotine

Medical terms

Nicotine dependence, also known as tobacco dependence, is a condition characterized by a person's inability to stop or reduce their use of nicotine-containing products, despite experiencing negative health, social, or economic consequences. Nicotine is a highly addictive substance found in tobacco products such as cigarettes, cigars, and smokeless tobacco.

People become dependent on nicotine due to the psychoactive effects it produces. Nicotine stimulates the release of neurotransmitters, such as dopamine, in the brain, leading to feelings of pleasure and reward. Over time, individuals develop a tolerance to nicotine, requiring higher doses to achieve the same effects. As dependence deepens, quitting or reducing nicotine intake becomes increasingly difficult, and withdrawal symptoms may occur when attempting to do so.

Disease Definition Question and Answer American Hospitals Alternative Medicine

Symptoms Nicotine dependence

For a few humans, the use of any quantity of tobacco can quickly lead to nicotine dependence. Signs that you may be addicted encompass:

  • You can not stop smoking. You've made one or greater extreme, however unsuccessful, attempts to stop.

  • You have withdrawal signs and symptoms whilst you try to forestall. Your attempts at stopping have triggered physical and temper-related signs, including strong cravings, tension, irritability, restlessness, problem concentrating, depressed mood, frustration, anger, expanded hunger, insomnia, constipation or diarrhea.

  • You hold smoking notwithstanding health troubles. Even though you've developed fitness problems together with your lungs or your heart, you haven't been capable of forestalling.

  • You give up social sports. You might also stop going to smoke-free eating places or stop socializing with your own family or pals because you can't smoke in these situations.

When to see a medical doctor

You're not alone in case you've tried to prevent smoking however haven't been able to stop for exact. Most people who smoke make many attempts to prevent smoking earlier than they reap stable, lengthy-time period abstinence from smoking.

You're much more likely to forestall properly in case you observe a remedy plan that addresses each of the physical and the behavioral aspects of nicotine dependence. Using medications and running with a counselor specifically trained to help human beings forestall smoking (a tobacco treatment specialist) will significantly enhance your probabilities of success.

Ask your health care group that will help you develop a treatment plan that works for you or to endorse you on wherein to get help to forestall smoking.

Common situations that trigger the urge to smoke include:

  • Drinking coffee or taking breaks at work

  • Talking on the phone

  • Drinking alcohol

  • Driving your car

  • Spending time with friends

Risk Nicotine dependence

Anyone who smokes or uses different styles of tobacco is susceptible to becoming dependent. Factors that impact who will use tobacco encompass:

  • Age. Most humans start smoking at some stage in early life or the teenage years. The younger you're while you start smoking, the greater the hazard that you will turn out to be addicted.

  • Genetics. The likelihood that you'll start smoking and hold smoking may be in part inherited. Genetic factors may also affect how receptors on the floor of your mind's nerve cells reply to excessive doses of nicotine brought via cigarettes.

  • Parents and friends. Children who develop up with dad and mom who smoke are much more likely to come to be people who smoke. Children with pals who smoke are also more likely to try it.

  • Depression or different mental infection. Many research show an affiliation between depression and smoking. People who've depression, schizophrenia, publish-demanding stress sickness or different kinds of mental infection are much more likely to be people who smoke.

  • Substance use. People who abuse alcohol and unlawful pills are much more likely to be people who smoke.

Complications Nicotine dependence

Tobacco smoke carries more than 60 regarded cancers-inflicting chemicals and hundreds of other harmful substances. Even "all natural" or natural cigarettes have harmful chemicals.

You already know that folks who smoke cigarettes are much more likely to broaden and die of certain illnesses than folks who don't smoke. But you can now not realize just how many special fitness issues smoking causes:

  • Lung most cancers and lung sickness. Smoking is the main motive of lung cancer deaths. In addition, smoking causes lung illnesses, which include emphysema and continual bronchitis. Smoking additionally makes bronchial asthma worse.

  • Other cancers. Smoking increases the threat of many styles of most cancers, consisting of most cancers of the mouth, throat (pharynx), esophagus, larynx, bladder, pancreas, kidney, cervix and a few varieties of leukemia. Overall, smoking causes 30% of all cancers deaths.

  • Heart and circulatory device troubles. Smoking increases your danger of demise of coronary heart and blood vessel (cardiovascular) ailment, along with coronary heart attacks and strokes. If you've got coronary heart or blood vessel disease, which include coronary heart failure, smoking worsens your situation.

  • Diabetes. Smoking will increase insulin resistance, which may set the stage for kind 2 diabetes. If you have got diabetes, smoking can speed the development of complications, together with kidney sickness and eye issues.

  • Eye problems. Smoking can increase your threat of great eye problems which includes cataracts and lack of eyesight from macular degeneration.

  • Infertility and impotence. Smoking increases the danger of reduced fertility in ladies and the danger of impotence in guys.

  • Complications during being pregnant. Mothers who smoke while pregnant face a better risk of preterm transport and giving beginning to lower beginning weight infants.

  • Cold, flu and other illnesses. Smokers are more vulnerable to respiratory infections, such as colds, the flu and bronchitis.

  • Tooth and gum ailment. Smoking is related to an expanded threat of developing irritation of the gum and a severe gum contamination that can spoil the support gadget for tooth (periodontitis).

Smoking also poses health risks to those around you. Nonsmoking spouses and partners of people who smoke have a higher risk of lung cancer and coronary heart ailment in comparison with people who don't live with a smoker. Children whose mother and father smoke are extra at risk of worsening allergies, ear infections and colds.

Prevention Nicotine dependence

The fine manner to save you nicotine dependence is to no longer use tobacco inside the first region.

The quality manner to keep kids from smoking is to not smoke yourself. Research has shown that kids whose mother and father do no longer smoke or who correctly end smoking are tons much less likely to soak up smoking.

Diagnosis Nicotine dependence

Your doctor may ask you questions or have you fill out a questionnaire to see how established you are on nicotine. Knowing your diploma of dependence will assist your health practitioner decide the proper remedy plan for you. The extra cigarettes you smoke each day and the sooner you smoke after awakening, the extra established you're.

Treatment Nicotine dependence

Like maximum smokers, you've in all likelihood made a minimum one serious attempt to forestall. But it's uncommon to prevent smoking on your first try — mainly if you attempt to do it without help. You're more likely to forestall smoking if you use medications and counseling, which have each been proven powerful, specially in mixture.


Some cease-smoking products are referred to as nicotine replacement remedy due to the fact they contain varying amounts of nicotine. Some of those nicotine substitute therapies require a prescription, but others do not. There are  approved give up-smoking medicines that don't comprise nicotine, and both are available most effective with the aid of prescription.

Any of those products can assist lessen nicotine cravings and withdrawal signs — making it more likely that you'll stop smoking for good. Using multiple may additionally help you get higher results.

Although you may buy some give up-smoking products without a prescription, it is a terrific idea to talk to your health practitioner first. Together you could explore which merchandise is probably right for you, whilst to start taking them and possible facet results.


Medications help you cope by reducing withdrawal signs and cravings, while behavioral treatments assist you broaden the competencies you want to give up tobacco for good. The greater time you spend with a counselor, the higher your treatment outcomes might be.

During man or woman or institution counseling, you study strategies you can use to help you forestall smoking. Many hospitals, health care plans, health care providers and employers offer remedy applications. Some clinical facilities offer residential remedy programs — the maximum extensive treatment to be had.

Methods to avoid

Electronic cigarettes (e-cigarettes) have not proved to be safe nor are they more effective in supporting human beings forestall smoking than nicotine alternative medicines. In fact, many those who use e-cigarettes to prevent smoking discover themselves using each product as opposed to quitting.

It's no longer a very good concept to replace every other sort of tobacco use for smoking. Tobacco in any form isn't secure. Steer clean of these merchandise:

  • Dissolvable tobacco merchandise

  • Smokeless tobacco

  • Nicotine lollipops and balms

  • Cigars and pipes

  • Hookahs

Coping and support

Social guidance is fundamental to accomplishing a solid and strong, smoke-free life. Ask your family, buddies and co-workers for guidance and encouragement. Be direct and let them know what would assist you most.

Also keep in mind attempting these sources:

  • Support organizations. Often to be had at little or no price, support groups offer coaching and mutual support from others trying to end. Nicotine Anonymous organizations are available in many places.

  • Telephone counseling. Quit lines offer handy access to skilled counselors. In the U.S., name 800-QUIT-NOW (800-784-8669) to attach at once to your nation's cease line.

  • Text messaging and cellular apps. A wide variety of offerings are available to get reminders and tips introduced in your cell cellphone.

  • Web-based packages. Sites consisting of BecomeAnEX offer unfastened customized aid, interactive courses and gear, and discussion corporations to help you end.

Preparing in your appointment

You're probably to begin by seeing your primary care health practitioner. Here's a few records that will help you get prepared, and what to expect from your medical doctor.

What you could do

To get geared up for your appointment:

  • Consider your smoking triggers. List the circumstances while you're most likely to reach for a cigarette. In what conditions has smoking turned out to be a ritual?

  • Make be aware of any signs and symptoms that may be associated with smoking. Include the period of time you have had each one.

  • Make a list of your medicines. Include any nutrients, herbs or other supplements.

  • Invite a family member or friend along. Sometimes it can be hard to take in all of the facts furnished at some point of an appointment.

What to count on out of your physician

Being geared up to answer questions your physician may additionally ask reserves time to move over any points you need to spend more time on. Some questions your doctor may additionally ask consist of:

  • How many cigarettes do you smoke each day? How soon after waking do you smoke?

  • Have you formerly tried to stop smoking? If so, what came about? What worked? What failed to paint?

  • What is motivating you to forestall smoking now?

  • Do you have any physical health problems, along with heart ailment or diabetes, which you suspect are associated with smoking?

  • Has smoking induced any troubles at paintings or for your relationships?

General summary

Nicotine dependence is a significant public health concern, as tobacco use is a major risk factor for various health issues, including cardiovascular diseases, respiratory diseases, and cancer. It can also lead to addiction-related behaviors that negatively impact personal, social, and economic well-being. Treatment options for nicotine dependence often include behavioral interventions, counseling, and pharmacotherapy to help individuals quit or reduce their tobacco use. If you or someone you know is struggling with nicotine dependence, seeking support from healthcare professionals or smoking cessation programs is advisable.

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