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I think the most surprising part was how much they use of tobacco and nicotine has grown in the past years. I knew that there would be a lot of people that use the addictive drug, but not that many. I also learned that people believe there are good effects to nicotine. I disagree with this, because I believe that the negative effects outweigh the positives and it's not worth the risks.

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Validate User, academic.oup.com/ntr/article/22/9/1671/5847853.

“Nicotine: Facts, Effects, and Addiction.” Medical News Today, MediLexicon International, www.medicalnewstoday.com/articles/240820.

“University Health Service.” Vaping, E-Cigarette and Tobacco Cessation Help | University Health Service, uhs.umich.edu/tobacco.

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This article explains how the United States and other countries are handling the nicotine and tobacco issue during the pandemic.

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Tobacco Use Patterns in Five Countries During the COVID-19 Lockdown

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In their recent piece, Klemperer et al.1 explore how motivations to quit combustible and electronic cigarettes (e-cigs) changed in response to concerns about in

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This is an article I found on the University of Michigan's website containing lots of helpful information for students involving tobacco or nicotine.

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Cessation Services Now Available by Phone

Through our partners at U-M Tobacco Consultation Service, telephone cessation counseling for cigarettes or vaping is available free to U-M students, faculty, staff and the Ann Arbor community. Call 734-998-6222 or email quitsmoking@med.umich.edu for an appointment.

Health Alerts:

Looking to gain control and save some money along the way? U-M is a smoke-free campus, and students, faculty and staff can get support for quitting Learn more at the Smoke-Free University Initative webpage.

As part of this initiative, students, faculty and staff can get free one-on-one cessation counseling through Tobacco Consultation Services (available at UHS for students) and f ree nicotine replacement products. They can help you quit vaping and e-cigarette use as well!

Want to know about e-cigarettes? e-cigarettes contain chemical related to "popcorn lung."

On this page:

There is no better time to quit:

Millions have quit smoking, vaping and stopped using e-cigarettes, and you can quit too. Given the UM Smoke-Free Initiative, there is no better time--even if you've thought about quitting before, tried to quit or successfully quit in the past and started again.

Remember, if at first you don't succeed, quit, quit again! And hey, keep in mind that 94% of UM students have not smoked cigarettes in the past month (the vast majority have never used cigarettes), so you'll have a lot of support! (UM NCHA 2016)

What about hookahs?

Hookah pipes (also known as narghile, shisha, and goza) originated in the Middle East and have recently become popular on many college campuses. Flavored tobacco, which often used in hookahs, is sweet and marketed toward younger people.

The tobacco is heated in a water pipe and the smoke is moved through water in the base. It's commonly assumed that hookah pipes are safer than cigarettes because the smoke is "filtered" through water. In reality, the water only cools the smoke; it does not filter it.

The tobacco inhaled is similar to smoking an unfiltered cigarette. It has the same cancer-causing substances and is as addictive.

Also, smoking hookah pipes may cause more lung damage than cigarettes because hookah smokers tend to inhale much more smoke than cigarette smokers during a typical smoking session, exposing users to higher levels of nicotine, carbon monoxide, and other carcinogens found in tobacco. In fact, an hour spent smoking a hookah delivers as much carbon monoxide to the user as smoking a pack of cigarettes.

Again, smoking hookah is a rarity: 97% of UM students have not used hookah in the past month (the vast majority have never used).

Want more? See the Center for Disease Control and Prevention Fact Sheet on hookah and health effects.

Physical benefits of quitting

From the American Cancer Society
20 minutes after quitting
Your heart rate and blood pressure drop.
12 hours after quitting
The carbon monoxide level in your blood drops to normal.
2 weeks to 3 months after quitting
Your circulation improves and your lung function increases.
1 to 9 months after quitting
Coughing and shortness of breath decrease; cilia (tiny hair-like structures that move mucus out of the lungs) start to regain normal function in the lungs, increasing the ability to handle mucus, clean the lungs, and reduce the risk of infection.
1 year after quitting
The excess risk of coronary heart disease is half that of a continuing smoker's.
2-5 years after quitting
Risk of cancer of the mouth, throat, esophagus, and bladder are cut in half. Cervical cancer risk falls to that of a non-smoker. Stroke risk can fall to that of a non-smoker.
10 years after quitting
The risk of dying from lung cancer is about half that of a person who is still smoking. The risk of cancer of the larynx (voice box) and pancreas decreases.
15 years after quitting
The risk of coronary heart disease is that of a non-smoker's.

These are just a few of the benefits of quitting smoking for good. Quitting smoking lowers the risk of diabetes, lets blood vessels work better, and helps the heart and lungs. Quitting while you are younger will reduce your health risks more, but quitting at any age can give back years of life that would be lost by continuing to smoke.

Resources for quitting:
UHS resources:
Quit Kits are available in Wolverine Wellness on the ground floor of UHS. If you have questions please call, 734-763-1320.

See Smoking Cessation Products for more on nicotine replacement. You can get free NRT by engaging in a quit program with a Tobacco Consultation Service Specialist. Make an appointment for individual smoking/vaping/e-cigarette cessation meetings through UM Health System Tobacco Consultation Service--it's free of charge! Email quitsmoking@med.umich.edu or call 734-998-6222 (99 T-OBAC)

Schedule an Appointment with a UHS clinician to discuss your health and quitting. See also Who Can Use UHS? for eligibility.
Local programs:
MHealthy Tobacco Consultation Service
734-998-6222
Free nicotine replacement products for students who meet one-on-one with with a Tobacco Treatment Specialist at UHS or the Traverwood location on North Campus.

Freedom from Smoking
American Lung Association
800-586-4872

Free on-line program with focus on withdrawal symptoms, weight control, stress management, assertiveness and relaxation techniques

Group sessions for 10 or more people; fees may apply

Veterans Administration Center
Call toll-free 800-361-8387 and ask for your primary care team to help you with tobacco.
One-on-one counseling. Focus is on smoking reduction and/or cessation using nicotine replacement therapy, Zyban and Chantix. Only for veterans (free).

Smoking cessation products may help you to quit if you are addicted to nicotine. If you are not physically addicted, these products probably will not help you quit.

Nicotine Replacement Therapy (NRT) products: These products provide nicotine to ease withdrawal symptoms (such as nervousness, restlessness, irritability, headache, dizziness and stomach upset) until you are weaned from smoking. They don't make you quit and they don't help you cope with the psychological challenges of quitting.

As part of the SmokeFree Initiative, UM offers free nicotine replacement products:

For U-M employees: Follow link for information

For U-M students: You can get free nicotine replacement products when you consult a Tobacco Treatment Specialist. To arrange a free consultation (or a quit-smoking program), contact Tobacco Consultation Services at quitsmoking@med.umich.edu or 734-998-6222. For your convenience, consultations can take place at University Health Service.

Non-prescription NRT products are:

Patches, applied once a day, provide a steady amount of nicotine through your skin.

Nicotine gum is chewed and held in your mouth throughout the day.

Nicotine lozenges are used throughout the day so nicotine is absorbed through your mouth.

Prescription NRT products are:

Nicotrol Inhaler, which has a plastic mouthpiece similar to a cigarette. Cartridges containing nicotine are placed into the mouthpiece and puffed on for up to 20 minutes.

Nicotrol nasal spray is absorbed through your nose and is used several times a day.

Non-nicotine products, available by prescription, can also assist in smoking cessation. Talk to a clinician if you are interested in these products:

Zyban (bupropion HIC) is believed to work on the brain chemistry involved in nicotine addiction and withdrawal. Zyban comes in pill form and is usually taken twice a day.

Chantix (verenicline tartrate) works on nicotine receptors in the brain. It is believed to decrease the reward mechanism of smoking and reduce the urge to smoke. It comes in pill form and is taken once or twice a day. It may cause serious neuropsychiatric symptoms. Before starting Chantix, tell your clinician about any history of psychiatric illness. While taking it, inform your clinician of behavior and mood changes.

Other resources:
Family and friends: Social support is probably the most valuable resource! Ask for what you need - encouragement, congratulations, company. If you know someone else who wants to quit, try a buddy system.

Michigan Department of Community Health offers a Tobacco Quit Line at 800-784-8669.

National Cancer Institute 800-4-CANCER

Nicotine Anonymous uses a 12-step approach. Free. 415-750-0328

The American Cancer Society (ACS) sponsors the Great American Smokeout, an event that challenges smokers to quit, one day at a time, and connects people with local resources. 800-227-2345 or 877-44U-QUIT

Internet: Try using search terms such as "nicotine" or "smoking" for tobacco facts, tips for quitting and on-line support groups. Our standout favorite is thetruth.com

Quit vaping offers online help.

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Millions have quit smoking, vaping and using e-cigarettes, and you can quit too. Given the U-M SmokeFree Initiative, there is no better time to quit, even if you've thought about quitting before, tried to quit or successfully quit in the past and started again.

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There are many options for  nicotine or tobacco addiction, depending what might work best for you. If you cannot deal with the withdrawal symptoms you can use behavioral therapy, prescribed medications, and outpatient or residential programs.

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Compared to other addictive drugs, nicotine or tobacco is the second most addictive drug behind alcohol.

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The popularity of nicotine has risen especially in teens about 8% in the last 7 years.

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Uses:
- As a stimulant
- As an anxiolytic
- Recreationally
Effects:
- Addiction
- Increased heart rate and blood pressure
- Could lead to a heart attack

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-Nitrogen
-Nicotiana tabacum (from tobacco plants)