Cigarette smoking damages nearly every organ of the body and is the leading preventable cause of morbidity and mortality in the U.S. and New York State.1 Smoking causes about 28,000 deaths in adult New Yorkers annually, and an estimated 750,000 New Yorker adults live with serious smoking-attributable disease.2,3
Tobacco dependence is a chronic relapsing disease caused by nicotine addiction.1 About 80-90% of people who smoke are addicted to nicotine.4 Deliberate changes in the design and composition of cigarettes over the past 50 years make them more addictive than ever before.1Today's cigarettes deliver more nicotine from the lungs to the heart and brain more quickly.1
Nicotine affects the body as soon as it enters the bloodstream:
Nearly 70% of adults who smoke want to quit, but only about 7% who make a quit attempt each year succeed.6 Nicotine withdrawal can lead to relapse for those who try.
Symptoms of nicotine withdrawal include:
People who smoke can and do quit although it can be difficult and may require multiple attempts before they succeed in quitting for good.7 As with any addiction, relapse is common.7
You can assist your patients in managing nicotine withdrawal by treating their tobacco dependence with evidence-based medication and brief motivational counseling that improves their ability to sustain cessation.
For more information on treating nicotine withdrawal, see:
Although nicotine interacts with some medications, cigarette smoke is responsible for most drug interactions.8 For patients not ready to quit, you may need to adjust the doses of other medications you prescribe. See Drug Interactions with Tobacco Smoke for more information.
“The reality is that smoking is not … a choice. For most smokers, tobacco use is an addiction, and nicotine is the primary drug of choice.” – Let’s Make the Next Generation Tobacco-Free, Your Guide to the 50th Anniversary Surgeon General’s Report on Smoking and Health