Withdrawal from nicotine; Smoking - nicotine addiction and withdrawal; Smokeless tobacco - nicotine addiction; Cigar smoking; Pipe smoking; Smokeless snuff; Tobacco use; Chewing tobacco
Tobacco and nicotine have a potential for addiction that is similar to alcohol, cocaine, and morphine.
Nicotine withdrawal creates anxiety, irritability, headache, hunger, and a craving for cigarettes or other sources of nicotine. These symptoms occur when a nicotine-dependent person suddenly stops smoking or using tobacco, or cuts back on the number of cigarettes or amount of tobacco products used.
See also: Smoking - tips on how to quit
Tobacco is a plant grown for its leaves, which are smoked, chewed, or sniffed for a variety of effects.
More than 38 million people in the United States have successfully quit smoking. Yet there are still around 50 million Americans who smoke. Most say they would like to quit.
Although the number of cigarette smokers in the United States has dropped in recent years, the number of smokeless tobacco users has steadily risen. Smokeless tobacco products are either placed in the mouth, cheek, or lip and sucked or chewed on, or placed in the nasal passage. Nicotine absorption from smokeless tobacco is similar to smoking tobacco, and addiction is still very strong.
Both smoking and smokeless tobacco use carry many health risks. See: Making the decision to quit tobacco.
Almost all people who try to quit have some form of nicotine withdrawal. Generally, people who smoked the longest or smoked a greater number of cigarettes each day are more likely to have withdrawal symptoms. Withdrawal symptoms are both physical and psychological.
People who are regular smokers tend to have particularly strong cravings. Their withdrawal symptoms get worse at certain times, places, or situations associated with smoking.
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Burke MV, Ebbert JO, Hays JT. Treatment of tobacco dependence. Mayo Clin Proc. 2008;83:479-483.
Hays JT, Ebbert JO, Sood A. Treating tobacco dependence in light of the 2008 US Department of Health and Human Services clinical practice guideline. Mayo Clin Proc. 2009;84:730-735.
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