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Once nicotine enters the brain, it starts to mimic
the brain’s most powerful chemical messengers. The result is a
temporary improvement in brain chemistry that is experienced by the
smoker as enhanced pleasure, decreased anxiety, and a state of alert
relaxation.
As a result of this positive reinforcement many dozens of times per
day, smoking becomes thoroughly a part of every aspect of the
smoker’s life. These positive effects of smoking explain why the
smoking habit holds its victims in such a tenacious grip.
Most smokers will say that smoking helps them
concentrate, keeps them from being bored, and helps reduce the
perceived level of tension in their lives. As well, smoking helps
them cope with an over-stimulating environment, gives them positive
pleasure, helps them relax, reduces their feeling of distress,
helplessness, and loneliness, helps them keep weight down, and makes
them feel more at ease in social situations. Smoking can even
provide a burst of energy when feeling tired, and can even help a
smoker concentrate more effectively. In fact, smoking helps a smoker
control his moods. Understandably, these substantial benefits would
be difficult to give up.
These “rewards” of smoking go a long way toward minimizing the
negative consequences, and an even longer way toward ensuring that
the act of smoking will be repeated again and again, until it
becomes a habit so well ingrained that you do it without even
thinking about it.
But smoking is not just a habit – it is also an
addiction. The nicotine in cigarettes is a powerful addictive drug
that makes smokers feel good. Each time you smoke, the positive
biological effects of nicotine add to all the other positive rewards
of smoking, which makes the smoking habit even stronger.
The Effects of Nicotine
Nicotine affects almost every system in the body. When you take a
puff, your heart beats faster, your pulse quickens, your veins
constrict, your blood pressure increases. Your adrenal glands pump
out adrenaline that increases your heart rate, relaxes many of your
smooth muscles, and raises your metabolic rate. Even the
electrical activity in your brain changes.
These are powerful biological effects. Indeed,
nicotine is a very powerful drug. In fact, it is one of the most
toxic of all drugs, comparable to cyanide. Take enough nicotine and
it can kill you. But the amount of nicotine in a single cigarette is
only 8 to 9 milligrams on average.
The amount of nicotine that smokers inhale from each
cigarette is even smaller. Most popular brands of cigarettes deliver
less than 1.5 milligrams per cigarette. This amount may be somewhat
higher or lower for each smoker, depending on how deeply you puff
and how many puffs you take from each cigarette.
But nicotine is so potent that even this small dose
causes significant changes in the functioning of numerous organs and
systems in your body. When people first take up smoking, these
physiological changes seem extremely unpleasant. Beginning smokers
usually experience nausea, dizziness, headache, stomach upset,
coughing and other uncomfortable symptoms. But people who continue
to smoke soon develop a tolerance to these symptoms, until they
become unnoticeable.
Tolerance is a term used to describe an important
feature of addiction. Tolerance has developed when, after the
repeated administration of a drug (in this case, nicotine) produces
a decreased effect. As well, tolerance has developed when
increasingly larger doses must be administered to obtain the effects
observed with the original dose.
What does this mean for the smoker? The small dose of
nicotine delivered by several puffs on a cigarette may make people
feel ill the first few times they try smoking. But after they’ve
been smoking for a week or so (repeated “self-administration” of
nicotine), several puffs and even an entire cigarette no longer have
that effect. Now they’ll feel ill only if they smoke several
cigarettes one after another (a larger dose).
Psychologically, tolerance to the unpleasant effects
of nicotine allows the smoker to focus on nicotine’s pleasurable
physiological effects. Many smokers don’t realize that nicotine’s
effects on the heart, the nervous system, and the endrocine system
are significant contributors to the relaxation, alertness, stress
relief, and other good feelings they experience.
This combination of physiological and psychological
effects provides so many positive reinforcements that smoking
quickly becomes an established habit.
As the term tolerance implies, a smoker actually
becomes accustomed to having a certain level of nicotine in his or
her body. In fact, research studies have shown that (without
realizing it) smokers regulate the number of cigarettes they smoke
in order to maintain their own personally preferred level of
nicotine. For example, smokers who are given a very high nicotine
cigarette will puff less often than usual, so they don’t take in
more nicotine than their preferred amount. Likewise, with a low
nicotine cigarette, the smoker will take more puffs than usual, in
order to get that preferred amount of nicotine.
When no cigarettes are smoked for a while (when
someone is trying to quit), the smoker doesn’t get any nicotine. And
it is the lack of nicotine that produces unpleasant physiological
symptoms in the body. Medically, these symptoms are called
“withdrawal effects.”
To relieve these withdrawal effects, many smokers
must continue to take in their usual amount of nicotine. This is a
sign of “physical dependence” on nicotine. Doctors define physical
dependence as a change in the body’s functioning that is produced by
repeated administration of a drug, such that continued doses of the
drug are needed to prevent withdrawal symptoms.
But that’s not all. Smokers also become accustomed to
the psychological effects of smoking. After the smoking habit is
established, the smoker needs to smoke in to feel “normal.” In other
words, the effects produced by nicotine, and the behaviors
associated with smoking, become necessary to maintain the person’s
optimal state of well-being. This condition is referred to as
“psychological dependence.”
At the extreme, many smokers who run out of
cigarettes or are unable to smoke, become totally preoccupied by
thoughts of having a cigarette. This behavior is often referred to
as “compulsive drug use.”
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