Archive for the ‘Addiction Medicine’ Category
Posted on March 11, 2010 11:00:00 AM
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In the previous posting I discussed the possibility of FDA requiring that no tobacco products be allowed to emit Carbon Monoxide. While appealing in its simplicity, such a strategy may have problems in that it could be interpreted as a ban on a whole class (or classes) of tobacco products, which the legislation does not allow.
Another strategy might be to reduce the harm from tobacco by lowering the nicotine content/delivery of cigarettes down to the level at which they are no longer addictive. A form of this strategy was proposed in the 1990’s by leading tobacco researchers Professor Neal Benowitz, and Professor Jack Henningfield. The FDA legislation singles out nicotine as the only chemical that cannot be reduced to zero, but this allows FDA the right to reduce the nicotine delivery of tobacco products down to a level just above zero at which they would no longer be addictive. (more…)
This post, Will Nicotine-Free Cigarettes Be Mandated By The FDA?, was originally published on
Healthine.com by Jonathan Foulds M.A., M.App.Sci., Ph.D..
Posted on March 1, 2010 01:00:30 PM
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A year ago we wrote about a death of a San Jose teenager from poisoning by hydrogen sulfide gas, or H2S. At the time, I had hypothesized that the death might have been from an attempt at synthesizing methamphetamine gone awry.
But while one can mistakenly generate hydrogen sulfide gas from improper meth synthesis, I soon learned that intentional suicides with H2S is an increasing US trend imported from Japan. One can easily mix commonly-available consumer products to generate the gas and high enough concentrations can cause death. The gas acts in a manner similar to cyanide by binding to the heme in cytochrome c oxidase and inhibiting electron transport and ATP production by oxidative phosphorylation in the mitochondria. (Interestingly, small amounts of H2S are made in the body and is being investigated as a neurotransmitter and biological modulator.) (more…)
*This blog post was originally published at Terra Sigillata*
Posted on February 18, 2010 09:00:00 AM
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E-cigarettes continue to create a lot of media buzz and chatter among smokers and smoking cessation experts alike. Today, Professor Thomas Eissenberg of Virginia Commonwealth University published an important study demonstrating that E-cigarettes, despite claims on the packaging and advertising, deliver almost no nicotine to the user.
The study is published in the latest edition of the journal, Tobacco Control. Professor Eissenberg had 16 smokers abstain overnight, then come to the lab. on different days and (a) smoke two of their usual cigarettes (b) puff on two unlit cigarettes or (c) “smoke” 2 leading brands of E-cigarette using their “high nicotine” cartridge (16mg), each brand on a separate occasion. On each occasion he measured the blood nicotine levels before, during and up to 45 minutes after using the products. (more…)
This post, Are E-Cigarettes Anything More Than A Theater Prop?, was originally published on
Healthine.com by Jonathan Foulds M.A., M.App.Sci., Ph.D..
Posted on February 7, 2010 11:00:00 AM

The journal Tobacco Control has on its website a list of the top 10 most read articles each month. One paper that has been near the top ever since it was published in 2005, was written by Dr Kjell Bjartveit and his colleague Dr Tverdal, on “Health consequences of smoking 1-4 cigrettes per day.”
The study included 23,521 men and 19,201 women, aged 35–49 years when they were initially screened for cardiovascular disease risk factors in the mid 1970s and followed them up to 2002. The researchers calculated the total risks of death and relative risks adjusted for confounding variables, of dying from ischaemic heart disease, all cancer, lung cancer, and from all causes, and examined the effects of regular smoking of only a few cigarettes per day. (more…)
This post, Classic Study: There’s No Safe Threshold For Cigarette Smoking, was originally published on
Healthine.com by Jonathan Foulds M.A., M.App.Sci., Ph.D..
Posted on February 4, 2010 01:00:00 PM
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Most smokers dread lung cancer. They are aware that by continuing to smoke the chances of developing lung cancer are increased 20 times, and that once it has developed the treatment is unpleasant and prognosis poor. Many patients (and unfortunately many clinicians) assume that once you have lung cancer it is too late to quit.
This week a new report was published in the BMJ, based on a review of the evidence that smoking cessation after diagnosis of a primary lung tumour affects prognosis. The study, by Drs Parsons, Daley and Aveyard at the UK Centre for Tobacco Control Studies, combined the data from 10 studies. They found that those who quit smoking after diagnosis were significantly less likely to develop another tumor and significantly more likely to still be alive 5 years later. (more…)
This post, Once You Have Lung Cancer, Should You Bother To Quit Smoking?, was originally published on
Healthine.com by Jonathan Foulds M.A., M.App.Sci., Ph.D..