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1. Self-Help
2. Counseling
3. Bupropion SR
4. Nicotine Replacement Therapy
5. Chantix
6. Medication Combinations
7. Counseling and Medication Combinations

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Most smokers benefit from using counseling, medications and social support to help quit. To find out if a particular health insurance covers smoking cessation, call the plan administrator. National guidelines provide recommendations about the kinds of benefits that should be covered. Health insurance plans should cover the treatment options noted below:

* Counseling: Telephone-based counseling should be offered to all plan participants. Free counseling is available at 1-800-QUIT-NOW. Health plans can also contract with commercial services;

* Medications: Health plans should provide full coverage for the medications listed below, which should be offered to all smokers who want to quit, unless medically counter-indicated (e.g., special precautions for pregnant women).

Treatment Options

The treatments listed below are the most common ones used to help smokers quit. They include several different kinds of counseling and medications. Some medications are available over the counter, and others need a prescription. The table shows the likelihood of success for someone who tries to quit. As a patient, your doctor may recommend a combination of different types of treatments. It is important to understand that nicotine is not the ingredient in tobacco smoke that causes cancer. So, it is safe to use nicotine replacement. Don't be discouraged if you are not able to quit on the first attempt. Most smokers require a number of attempts (as many as 8 to 10) before they are able to stop smoking. The good news is that there are now more ex-smokers than current smokers.

Self-Help - Quit Rate 9-12%

There are many types of self-help interventions available to smokers (e.g., pamphlets/booklets/mailings/manuals, videotapes, audiotapes, referrals to 12-step programs, reactive telephone hotlines, help lines, computer programs/Internet, and community programs) but they have not been found to be very effective.

Counseling - Quit Rate13-17%

Two types of counseling and behavioral therapies result in higher quit rates: (1) providing smokers with practical counseling (problem solving skills/skills training), and (2) providing support and encouragement as part of treatment. These types of counseling should be included in smoking cessation interventions. Telephone quit lines, which may include call-back counseling and proactive interventions by quit line counselors, are the most common form of counseling. 1-800-QUIT-NOW is a free national counseling service that any smoker can call.

Bupropion SR (Zyban) - Quit Rate 24%

Bupropion SR was the first non-nicotine medication shown to be effective for smoking cessation and was approved by the FDA for that use in 1997. It acts on chemicals in the brain that are related to nicotine craving. It can be used alone or together with nicotine replacement.. It is contraindicated in patients with a seizure disorder, a current or prior diagnosis of bulimia or anorexia nervosa, use of a monoamine oxidase (MAO) inhibitor within the previous 14 days, or in patients taking another medication that contains bupropion. Bupropion SR can be used in combination with nicotine replacement therapies. It is available only with a prescription.

Nicotine Replacement Therapy - Quit Rate 19-26%

Nicotine replacement therapy (NRT) medications deliver nicotine with the intent to replace, at least partially, the nicotine obtained from cigarettes and to reduce the severity of nicotine withdrawal symptoms. Different forms of NRT (such as gum and patch) may be used in combination, and NRT may also be used in combination with Bupropion SR. NRT should not be used by pregnant women who try to quit.

Nicotine gum is an effective NRT smoking cessation treatment that patients should be encouraged to use. Highly dependent smokers should use 4mg instead of 2 mg. Nicotine gum when chewed delivers nicotine to the blood and then to the brain in minutes. Long-term use (more than 14 weeks) increases the likelihood of quitting. It is available only over the counter.

The nicotine inhaler is an effective NRT smoking cessation treatment that patients should be encouraged to use. Nicotine inhalers are a thin plastic tube with nicotine cartridge inside. When you puff on the inhaler, the cartridge releases a nicotine vapor. In terms of behavior, the inhaler is the closest thing to smoking a cigarette, which some smokers find helpful. It is only available by prescription. Quit Rate: 25%

The nicotine lozenge is an effective NRT smoking cessation treatment that patients should be encouraged to use. The lozenge is a tablet that dissolves in the mouth and releases nicotine. It is available only over the counter. Quit Rate: 24%

Nicotine nasal spray is an effective NRT smoking cessation treatment that patients should be encouraged to use. The nasal spray delivers nicotine to the bloodstream as it is quickly absorbed through the nose. It is available only by prescription. Quite Rate: 27%

The nicotine patch is an effective NRT smoking cessation treatment that patients should be encouraged to use. Nicotine patches deliver nicotine through the skin. The nicotine dose is gradually decreased by switching to lower nicotine dose patches over the course of a few weeks. Use of high dose (greater than 25 mg) patches increases likelihood of quitting. Patches are available both with and without a prescription. Quit Rate: 23-27%

Varenicline (Chantix) - Quit Rate 33%

Varenicline is sold under the name of Chantix in the US and Champix in other countries. It is an effective smoking cessation treatment that patients should be encouraged to use. It is a non-nicotine medication that was approved by the FDA for the treatment of tobacco dependence in 2006. Its mechanism of action is presumed to be due to its partial nicotine receptor agonist and antagonist effects. It is well tolerated in most patients. In February and May 2008 , the FDA added warnings regarding the use of Chantix. Specifically, it noted that (1) the most common side effects reported among Chantix users include nausea (30%), sleep disturbance, constipation, gas, and/or vomiting; (2) depressed mood, agitation, changes in behavior, suicidal ideation, and suicide have been reported in patients attempting to quit smoking while using Chantix; (3) some Chantix users report vivid, unusual or strange dreams. The FDA recommends (1) if a patient who is taking Chantix, or their family or caregivers, notice agitation, depressed mood, or changes in behavior that are not typical, or if the patient develops suicidal thoughts or actions, they should stop taking Chantix and call their doctor right away, (2) that patients tell their health care provider about any history of psychiatric illness prior to starting Chantix; and (3) Patients should use caution driving or operating machinery until they know how quitting smoking with CHANTIX may affect them; and (4) that clinicians monitor patients for changes in mood and behavior when prescribing Chantix. In light of these FDA recommendations, clinicians should consider eliciting information on their patients' psychiatric history. It should be used with caution in patients with severe renal dysfunction. Chantix is not recommended for use in combination with nicotine replacement therapy (NRT). It is available only with a prescription. The quit rate presented here is for 2mg/day dose; a lower dose also has a lower quit rate.

Medication Combinations - Quit Rate 26-36%

Evidence exists that combining the nicotine patch long-term (> 14 weeks) with either nicotine gum or nicotine nasal spray, the nicotine patch with the nicotine inhaler, or the nicotine patch with bupropion SR, increases long-term quit rates.

Counseling and Medication Combinations - Quit Rate 26-32%

The combination of counseling and medication is more effective for smoking cessation than either medication or counseling alone. Therefore, whenever feasible and appropriate, both counseling and medication should be provided to patients trying to quit smoking. There is a strong relation between the number of sessions of counseling, when it is combined with medication, and the likelihood of successful smoking cessation.

Source: Fiore MC, Jaen, CR, Baker, TB, et al. Treating Tobacco Use and Dependence: 2008 Update . Clinical Practice Guideline. Rockville , MD : U.S. Department of Health and Human Services. Public Health Service. May 2008.

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Most smokers benefit from using counseling, medications and social support to help quit. To find out if a particular health insurance covers smoking cessation, call the plan administrator. National guidelines provide recommendations about the kinds of benefits that should be covered.

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Article of Law Updates on Tobacco Products

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Article of Law Updates on Tobacco Products

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Illinois has become the first midwest state and eighth state in the US to raise the minimum sales age of tobacco products to 21.

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'Tobacco 21': Pritzker Signs New Bill Raising Minimum Age

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Illinois becomes the eighth state in the nation and the first in the Midwest to raise the minimum legal sales age to 21 for all tobacco products as Governor Pritzker signed a new bill into law Sunday.

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1. Cigarettes: $2300
2. JUUL: $2200
3. Vape: $1500
4. E-Cigarettes: $600
5. Chewing Tobacco: $1100

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Electronic cigarettes have grown in popularity since they arrived on the U.S. market in 2007. Also called e-cigarettes, e-cigs, e-smokes and vapes, they simulate cigarette smoking without the smell and the smoke.

Marketing campaigns have suggested that e-cigarettes are less hazardous to your health than smoking cigarettes, but the devices' long-term effects on health have not been studied. However, they may take less of a toll on your wallet.

NerdWallet compared e-cigarettes to regular tobacco cigarettes to weigh the pros and cons of vaping.

What are e-cigarettes?

E-cigs are devices that give you the sensation of smoking, including some nicotine, without the odor. There are two main types of e-cigarettes. Disposable e-cigs run on a built-in battery and come as one, single piece. Rechargeable e-cigs have batteries, chargers, e-liquid, cartridges and an atomizer. Some brands combine the cartridge and atomizer into one part, called a cartomizer or clearomizer. The liquid is sometimes combined with the battery or cartridge.

Both disposable and rechargeable vapes use a liquid containing water, nicotine, flavoring and glycerin or propylene glycol, as well as other chemicals. When a drag is taken from the e-cig, the liquid is converted into vapor, drawn into the lungs and exhaled. The vapor and smell disappear into the air within a few seconds.

Why are so many people vaping now?

Vapes are becoming more popular. With more than 460 brands available online, they're also sold in convenience stores and supermarkets. When e-cigs first hit the market in 2007 there was little awareness of electronic nicotine. According to a Consumer Style survey, about one-third of adults were aware of e-cigarettes by 2010. In fact, four times as many adults surveyed had tried them at least once as compared to a similar survey from 2009.

What makes e-cigs more attractive?

E-cigarettes are now offered in about 7,000 flavors, ranging from the comforting essence of apple pie to the exotic style of tiger's blood. Tobacco and menthol tobacco flavors are available if you want to mimic the taste or sensation of smoking cigarettes. In contrast, tobacco cigarettes are available in two flavors in the U.S., regular and menthol.

Vapes present fewer concerns about breaking smoking laws in public places, but there are other factors to consider. Manufacturers and distributors are marketing e-cigs as a positive alternative to smoking cigarettes because they're cheaper, cleaner and can be smoked anywhere. Many also link vaping with quitting smoking.

Does vaping help you quit smoking?

Nicotine is an addictive substance that occurs naturally in tobacco. E-cigarette manufacturers offer products with varying levels of nicotine, including some with no nicotine. A study conducted in New Zealand found e-cigarettes to be slightly more effective than nicotine patches in helping participants quit. According to the U.S. Department of Health and Human Services, no e-cigs have been approved as therapeutic devices to help people quit smoking. The Food and Drug Administration recently added e-cigarettes to its list of items it wants to regulate, but it's not clear whether this will happen.

Are e-cigs healthier than regular cigarettes?

Tobacco is the No. 1 cause of preventable death in the U.S., according to the Centers for Disease Control and Prevention. While e-cigarettes are touted by some manufacturers as alternatives to tobacco use, they haven't been available long enough for a long-term study on health effects.

Vapor from e-cigarettes contains some toxic substances, but a study in 2013 that tested a dozen brands of e-cigs found the toxicity levels were between nine and 450 times lower than regular cigarette smoke.

How does the cost of e-cigarettes compare to tobacco cigarettes?

E-cigs are much cheaper than tobacco cigarettes. A regular cigarette offers about 10 puffs in five to 10 minutes, and each pack has 20 cigarettes. The number of puffs that can be taken continuously with e-cigs varies. Vaping cartridges that last about 200 puffs are equivalent to about one pack of cigarettes. The cost of e-cigarettes versus regular tobacco cigarettes depends on how much and how long you smoke. The type of e-cigarette you buy greatly affects the cost.

The average cost of a pack of cigarettes in the U.S. is $7.04. That's $2,569.60 per year for a pack-a-day smoker.

Disposable vapes cost more per cartridge, but there's no charger, battery or e-liquid to buy and replenish. They run about $9 or $10 per e-cigarette. At an average of $9.50 apiece and an equivalent of 2.5 packs of smokes, they cost about $1,387 per year.

Rechargeable starter kits are initially more expensive and vary widely in price. One vendor's prices range from $25 to $145, for example.

The yearly expense for a rechargeable e-cigarette for a converted pack-a-day smoker is about $2.66 per cartridge, or $605 per year. That comes out to about 227 cartridges per year.

You can buy liquid refills for a kit instead at about $43 per month, or $516 per year, for a pack-a-day equivalent.

While there's little scientific data showing whether e-cigs are less harmful, they don't have the immediate health concerns of tobacco cigarettes. Vapes are less expensive, whether you buy the disposable or rechargeable kind. E-cigs are an option if you want to try to quit smoking, but the long-term effects of health benefits and hazards are still unknown.
E-cigarette photo via Shutterstock.

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Are E-Cigarettes Any Better Than Smoking? - NerdWallet

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Electronic cigarettes have grown in popularity since they arrived on the U.S. market in 2007. Also called e-cigarettes, e-cigs, e-smokes and vapes, they simulate cigarette smoking without the smell and the smoke. Marketing campaigns have suggested that e-cigarettes are less hazardous to your health than smoking cigarettes, but the devices' long-term effects on health have not been studied.

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1. Cigarettes: $7.00
2. JUUL: $45.00 for Starter Pack
3. Vape: $35.00 for device
4. E-Cigarette: $25-$125 for Starter Pack
5. Chewing Tobacco: $3.00

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Introduction

So you're a dipper and you'd like to quit.

Maybe you've already found that quitting dip or chew is not easy. But you can do it! This guide is intended to help you make your own plan for quitting.

Many former dippers have shared advice on quitting that can help you. This guide is the result of advice from chewers and dippers who have canned the habit.

Like most dippers, you probably know that the health-related reasons to quit are awesome. But you must find your own personal reasons for quitting. They can motivate you more than the fear of health consequences. It's important to develop your own recipe for willpower.

In this guide we refer more to dip than chew, just to keep it simple. Also, note that we call it spit tobacco, not smokeless tobacco. Smokeless tobacco is the term preferred by the tobacco industry. It makes the products sound safe; they aren't.

The Dangers of Dip and Chew

Here's a brief summary of the harm dipping does.

Sugar in spit tobacco may cause decay in exposed tooth roots.

Dip and chew can cause your gums to pull away from the teeth in the place where the tobacco is held. The gums do not grow back.

Leathery white patches, called leukoplakia (loo-ko-play-kia), and red sores are common in dippers and chewers and can turn into cancer.

Mouth Cancer - among the toughest cancers to treat. Surgery needed to treat mouth cancer is often difficult and disfiguring. The disease can spread quickly. On average, only half of those with mouth cancer will survive more than five years.

Need more reasons to quit?

It's expensive!

A can of dip costs an average of nearly $3. A two-can-a-week habit costs about $300 per year. A can-a-day habit costs nearly $1,100 per year. Likewise, chewing tobacco costs about $2. A pouch-a-day habit costs over $700 a year. Think of all the things you could do with that money instead of dipping or chewing. It adds up.

It's disgusting!

If the health effects don't worry you, think of how other people see your addiction.

The smell of spit tobacco in your mouth is not pleasant. While you may have become used to the odor and don't mind it, others around you notice.

Check out your clothes. Do you have tobacco juice stains on your clothes, your furniture, or on your car's upholstery? Your tobacco spit and drool could be making a mess.

Look at your teeth. Are they stained from tobacco juice? Brushing your teeth won't make this go away.

Understanding Your Addiction

Hard to believe you're a nicotine addict?

Believe it.

Nicotine, found in all tobacco products, is a highly addictive drug that acts in the brain and throughout the body.

Dip and chew contain more nicotine than cigarettes.

Some facts:

Holding an average-size dip in your mouth for 30 minutes gives you as much nicotine as smoking three cigarettes. A 2-can-a-week snuff dipper gets as much nicotine as a 1-1/2 pack-a-day smoker does.

Below is a listing comparing the nicotine levels of some popular snuff brands. Think about your own habit. Check how many of the following apply to you

Nicotine Levels of Popular Brands - Highest to Lowest

Kodiak Wintergreen

Skoal Longcut Straight

Copenhagen Snuff

Copenhagen Long Cut

Skoal Bandits Mint

Hawken Wintergreen

* This list is provided for information only. NIDCR and NCI do not endorse the use of any tobacco product

How Addicted Are You?

I no longer get sick or dizzy when I dip or chew, like I did when I first started.

I dip more often and in different settings.

I've switched to stronger products, with more nicotine.

I swallow juice from my tobacco on a regular basis.

I sometimes sleep with dip or chew in my mouth.

I take my first dip or chew first thing in the morning.

I find it hard to go more than a few hours without dip or chew.

I have strong cravings when I go without dip or chew.

The more items you check, the more likely that you are addicted.

Myths and Truths

There are several myths about spit tobacco.

Sometimes these myths make users feel more comfortable in their habits. Below are some myths and the truths that relate to them.

Myth: Spit tobacco is a harmless alternative to smoking.

Truth: Spit tobacco is still tobacco. In tobacco are nitrosamines, cancer-causing chemicals from the curing process. Note the warnings on the cans.

Myth: Dip (or chew) improves my athletic performance.

Truth: A study of professional bas

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So you're a dipper and you'd like to quit. Maybe you've already found that quitting dip or chew is not easy. But you can do it! This guide is intended to help you make your own plan for quitting. Many former dippers have shared advice on quitting that can help you.

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1. Nicotine
2. Tar
3. Carbon Monoxide
4. Arsenic
5. Ammonia
6. Acetone
7. Toluene
8. Methylamine
9. Pesticides
10. Polonium-210
11. Methanol

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Tobacco smoke is both toxic and addictive. Find out more about the lethal chemical cocktail inside cigarettes.

Tobacco smoke contains around 7,000 chemicals. Many of these are poisonous and over 60 are known to be cancer causing (carcinogenic). No wonder so many smokers would like help quitting.

The chemical constituents of cigarettes include:

Nicotine

Nicotine is a colourless, poisonous alkaloid derived from the tobacco plant. It is a powerful drug, which affects the brain and quickly becomes addictive.

Tar

'Tar' is the term used to describe the toxic chemicals found in cigarettes. It's a sticky brown substance that forms when tobacco cools and condenses. It collects in the lungs and can cause cancer.

Carbon monoxide

An odourless, colourless gas that is released from burning tobacco. When it is inhaled it enters the blood stream and interferes with the working of the heart and the blood vessels. Up to 15% of a smoker's blood can be carrying carbon monoxide instead of oxygen.

Arsenic

Arsenic-containing pesticides used in tobacco farming occur in small quantities in cigarette smoke. Arsenic is commonly found in rat poison.

Ammonia

Ammonia is a toxic, colourless gas with a sharp odour. Ammonia compounds are commonly used in cleaning products and fertilisers. Also used to boost the impact of nicotine in manufactured cigarettes.

Acetone

Fragrant volatile liquid ketone, used as a solvent. Nail polish remover is a solvent, for example.

Toluene

Toluene is a highly toxic chemical. Industrial uses include rubbers, oils, resins, adhesives, inks, detergents, dyes and explosives.

Methylamine

Chemical found in tanning lotion.

Pesticides

A number of pesticides (toxic chemicals used to kill pests, usually insects) are present in cigarette smoke. These pesticides find their way into cigarettes because they're used on tobacco plants as they are growing.

Polonium - 210

Radioactive element - used in nuclear weapons as well as an atomic heat source.

Methanol

Fuel used in the aviation industry.

More information
For information and support on how to quit smoking, call the HSE Quit Team on Freefone 1800 201 203 or visit Quit.ie

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Tobacco smoke is both toxic and addictive. Find out more about the lethal chemical cocktail inside cigarettes.Tobacco smoke contains around 7,000 chemicals. Many of these are poisonous and over 60 are known to be cancer causing (carcinogenic). No wonder so many smokers would like help quitting.

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1. Increases the risk of oral cancer.
2. Increase heart rate and blood pressure.
3. Increases risk of developing leukoplakia.

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1. Can worsen heart disease.
2. Can irritate eyes and airways.
3. May cause cancer.

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1. More than 16 million Americans live with a disease caused by smoking
2. Smoking causes erectile dysfunction in males
3. Cigarette smoking causes 480,000 deaths per year in the US

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Centers for Disease Control and Prevention

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Read through a Fast Facts fact sheet that discusses diseases and death, costs and expenditures, cigarette smoking in the US, and the impact of smoking and tobacco use.

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Facts About JUUL, Vape, and E-Cigarette Use

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Facts About JUUL, Vape, and E-Cigarette Use

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1. Most E-Cigarettes contain nicotine.
2. Young people who use E-Cigarettes have a higher chance to smoke cigarettes in the future.
3. Using an E-Cigarette is sometimes called "vaping" or "JUULing".
4. E-Cigarettes produce an aerosol by heating a liquid that contains several chemicals such as nicotine.
5. All JUUL e-cigarettes contain a high level of nicotine.
6. There is widespread use of JUUL by students in school.
7. They are sold in different flavors such as fruit and candy.
8. E-Cigarettes don't help with quitting tobacco.
9. You can order all of these online.

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1. More nicotine is absorbed by chewing tobacco than by smoking cigarettes.
2. Chewing Tobacco can lead to gum disease, tooth decay, and tooth loss.
3. Products that help with quitting smoking also help with quitting chewing tobacco.

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What is chewing tobacco?

Chewing tobacco contains nicotine and many known cancer-causing substances.

Chewing tobacco is sometimes known as smokeless tobacco or spitting tobacco. It is available in two forms, snuff, and chewing tobacco. Both types of chewing tobacco are held in the mouth inside the cheek or between the cheek and gum. Snuff and chewing tobacco are commonly available in tins or pouches; popular brand names include Skoal and Copenhagen. Snus (pronounced like "snoose") is a finely ground form of snuff that originated in Norway and Sweden that comes in small tins. The amount of snuff placed in the mouth is referred to as a pinch, dip, lipper, or quid. A portion of chewing tobacco is referred to as a plug, wad, or chew.

Chewing tobacco is known to contain at least 28 cancer-causing chemicals, medically known as carcinogens. The main carcinogens in chewing tobacco are tobacco-specific nitrosamines (TSNAs). Some of the other cancer-causing agents found in chewing tobacco are formaldehyde, acetaldehyde, arsenic, benzopyrene, nickel, and cadmium. Many people mistakenly believe that snus is a safe form of chewing tobacco because it is steam-heated rather than fermented when produced in Norway or Sweden, causing it to have fewer nitrosamines. However, snus still contains several cancer-causing chemicals. Snus made in America is not necessarily processed in the same way as in Norway or Sweden.

Nicotine is also found in snuff and chewing tobacco, like all tobacco products. Although nicotine is absorbed more slowly from chewing tobacco than from cigarettes, 3 to 4 times more nicotine is absorbed from chewing tobacco than from a cigarette, and the nicotine from chewing tobacco remains longer in the bloodstream. Nicotine is the substance responsible for tobacco addiction.

Chewing tobacco is not the same thing as chewing cigarettes. Chewing cigarettes (also termed e-cigarettes) are designed to provide nicotine in vapor to the user without burning tobacco. However, smokeless cigarettes still provide addictive nicotine to the user and secondhand nicotine to others.

What are the health risks of chewing tobacco?

Several significant health risks are associated with the use of chewing tobacco.

Cancer risk and chewing tobacco

Users of snuff and chewing tobacco are at an increased risk for certain types of cancer, most notably cancer of the oral cavity including cancers of the following:

Some studies have suggested a link between the use of chewing tobacco and the development of the following:

Other health risks of chewing tobacco

Those who use chewing tobacco have an increased risk of the following:

Developing gum diseases and gum recession (pulling away of the gum tissue from the teeth)

Leukoplakia (whitish patches inside the mouth that can become cancerous)

Abrasion (wearing down) of teeth

Staining of teeth

Tooth decay

Tooth loss

All of the above have been linked to chewing tobacco use.

Some studies have shown a link between an increased risk of cardiovascular disease (including heart attacks and stroke) in users of snuff and chewing tobacco, although these risks are not as great as those observed in smokers. Further research is needed to determine whether or not chewing tobacco use presents a significant risk of heart disease and stroke.

SLIDESHOW
See Slideshow

Is chewing tobacco safer than cigarette smoking?

Chewing tobacco has been widely marketed as a way for cigarette smokers to use tobacco in smoke-free areas, so it is safer for other people because they are not exposed to secondhand smoke. However, in 1986, a statement from the U.S. Surgeon General concluded that users of chewing tobacco should know that chewing tobacco "is not a safe substitute for smoking cigarettes." Chewing tobacco contains nicotine, which is highly addictive, as well as several known cancer-causing chemicals. Any form of tobacco use poses an increased risk of developing cancer, and no level is considered safe.

While the risks of getting cancer from chewing tobacco are lower than those associated with smoking cigarettes, the health risks of chewing tobacco are very real and potentially fatal. Chewing tobacco use also is not helpful for smokers who want to quit smoking.

What is being done to reduce the use of chewing tobacco?

Parents are encouraged by healthcare professionals, school authorities, and public health officials to include the topic of chewing tobacco use when they discuss the hazards of tobacco use with their children, especially teenage children. It is better never to start than try to stop the addictive tobacco (nicotine) habit in any form.

Legislation has been enacted to help reduce the number of people who use tobacco products and reduce adverse health risks associated with tobacco use. The Family Smoking Prevention and Tobacco Control Act of 2009 gives the Food and Drug Administration (FDA) the power to regulate tobacco products in the U.S., which will allow for increased regulation of the marketing and advertising of tobacco products, including chewing tobacco.

In 2015, San Francisco became the first U.S. city to ban the use of smokeless tobacco at sporting events, including AT&T Park, home of the city's Major League Baseball team, the Giants.

What treatments are available to help people quit using chewing tobacco?

Chewing tobacco is an addiction that can be overcome. As with cigarette smoking, various support systems, programs, and even prescription medications are available to help people quit using chewing tobacco.

Examples of products available used to wean a person from nicotine addiction from chewing tobacco include:

Prescription medicines such as bupropion SR ( Zyban and Wellbutrin SR) and varenicline tartrate ( Chantix) have been effective in some patients who are trying to quit nicotine.
Medically Reviewed on 6/5/2023
American Cancer Society. "Smokeless Tobacco." <http://www.cancer.org/cancer/cancercauses/tobaccocancer/smokeless-tobacco>.

American Cancer Society. "Smokeless tobacco and how to quit." <http://www.cancer.org/docroot/PED/content/PED_10_13X_Quitting_Smokeless_Tobacco.asp>.

Boffeta P, Hecht S, Gray N, Gupta P, Straif K. "Smokeless tobacco and Cancer." Lancet Oncol 2008 Jul;9(7):667-75.

eMedicine.com. "Smokeless tobacco lesions." <http://emedicine.medscape.com/article/1077117-overview>.

Gupta R, Gurm H, Bartholomew JR. "Smokeless tobacco and cardiovascular risk." Arch Intern Med 2004 Sept;164(17):1845-9.

U.S. National Cancer Institute (NCI). "Smokeless tobacco and cancer, questions and answers." <http://www.cancer.gov/cancertopics/factsheet/Tobacco/smokeless>.

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Chewing Tobacco Health Side Effects, Risks, Tips on Quitting

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Using chewing tobacco, snuff, or smokeless tobacco can cause oral cancers, gum disease, tooth decay (cavities), tooth loss, and bad breath. Learn how to quit chewing tobacco, the side effects of chewing tobacco, and how mouth cancer can arise from chewing tobacco.

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1. Poisons from the tar make the blood thicker and can lead to clot formation.
2. Smoking damages your heart and blood circulation.
3. Smoking reduces the amount of oxygen that gets into the skin which could cause cellulite.

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Physical Effects of JUUL, and E-Cigarette Use

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Physical Effects of JUUL, and E-Cigarette Use

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1. Harms the adolescent brain.
2. May be harmful to the lungs.
3. Can be poisoned by swallowing, breathing, or absorbing e-cigarette liquid through the skin or eyes.