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Nicotine withdrawal is a group of symptoms that occur in the first few weeks after stopping or decreasing use of nicotine. Symptoms include intense cravings for nicotine, anger or irritability , anxiety , depression , impatience, trouble sleeping , restlessness , hunger , weight gain , and difficulty concentrating.
Nicotine-only products — Nicotine-containing products that do not contain tobacco, featuring nicotine either extracted from tobacco or non-tobacco nicotine, usually synthetic nicotine. Common nicotine-only products include e-liquid ( aerosolized using an e-cigarette or vape ), nicotine pouches , and various types of nicotine replacement ...
In nicotine-dependent smokers, quitting smoking can lead to nicotine withdrawal symptoms such as nicotine cravings, anxiety, irritability, depression, and weight gain. [23]: 2298 Professional smoking cessation support methods generally attempt to address nicotine withdrawal symptoms to help the person break free of nicotine addiction.
A nicotine lozenge is a modified-release dosage tablet (usually flavored) that contains a dose of nicotine polacrilex, which dissolves slowly in the mouth to release nicotine over the course of 20 to 30 minutes. Nicotine lozenges are intended to help individuals quit smoking and are generally an over-the-counter medication.
Using nicotine replacement therapy to quit smoking should be considered for people who are severely dependent on nicotine. [21] People who are severely dependent include those who smoke: more than one pack per day, within five minutes of awakening, while ill, when they wake up in the middle of the night, to ease withdrawal signs and symptoms. [21]
Mild nicotine withdrawal symptoms are measurable in unrestricted smokers, who experience normal moods only as their blood nicotine levels peak, with each cigarette. [35] On quitting, withdrawal symptoms worsen sharply, then gradually improve to a normal state. [35] Nicotine use as a tool for quitting smoking has a good safety history. [36]
A National Institute on Drug Abuse video entitled Anyone Can Become Addicted to Drugs. [21]Nicotine dependence is defined as a neurobiological adaptation to repeated drug exposure that is manifested by highly controlled or compulsive use, the development of tolerance, experiencing withdrawal symptoms upon cessation including cravings, and an inability to quit despite harmful effects. [9]
The effects on sleep vary after being intoxicated, during withdrawal, and from long-term use. [26] Nicotine may result in arousal and wakefulness, mainly via incitement in the basal forebrain. [27] Nicotine withdrawal, after abstaining from nicotine use in non-smokers, was linked with longer overall length of sleep and REM rebound. [26]
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