[HN Gopher] Nicotine (2016)
       ___________________________________________________________________
        
       Nicotine (2016)
        
       Author : blitz_skull
       Score  : 130 points
       Date   : 2023-11-11 14:21 UTC (8 hours ago)
        
 (HTM) web link (gwern.net)
 (TXT) w3m dump (gwern.net)
        
       | roschdal wrote:
       | Smoking will give you cancer, and nicotine will make you addicted
       | so you can never ever stop.
        
         | goodluckchuck wrote:
         | The article wasn't talking about smoking, and nicotine is not
         | addictive.
        
           | Our_Benefactors wrote:
           | Nicotine not addictive? That's a bold claim.
        
             | goodluckchuck wrote:
             | The article cites some fairly convincing studies that the
             | addictiveness is from tobacco's other (non-nicotine)
             | chemicals including MAOIs.
             | 
             | Is smoking addictive? Absolutely, but not because it
             | contains nicotine.
        
               | bumby wrote:
               | The articles seems much more inconclusive than your
               | comment implies. On one hand, yes, they point out that
               | MAOIs may be confounding. But they also say:
               | 
               | "additional work since 2002 has clearly shown that
               | nicotine alone does have some addictive properties"
               | 
               | And, frustratingly, they point out that addiction effects
               | can't be parsed out using smokers because of the
               | confounding effects of other chemicals present in tobacco
               | yet they quote a study using smokers to support the non-
               | addiction claim.
        
               | Findecanor wrote:
               | If nicotine wasn't addictive then kids who never used
               | tobacco wouldn't get hooked on vape, which they do.
        
             | financltravsty wrote:
             | DFosB expression is lower from nicotine than it is
             | caffeine.
        
               | mort96 wrote:
               | I'm not familiar with the biochemistry involved or what
               | exactly "DFosB expression" means, and I don't know if the
               | term "addiction" is used in its strictly technical
               | definition here (i.e activating the reward circuit) or if
               | it's used to generally mean some form of dependence...
               | 
               | but it's worth noting that caffeine dependence is pretty
               | common.
        
           | mort96 wrote:
           | https://en.wikipedia.org/wiki/Nicotine
           | 
           | > Nicotine is highly addictive.
           | 
           | https://nida.nih.gov/publications/research-
           | reports/tobacco-n...
           | 
           | > Is nicotine addictive? Yes.
           | 
           | ---
           | 
           | If nicotine wasn't addictive, why would people find that
           | nicotine patches or nicotine gum helps with withdrawals from
           | various tobacco products?
        
             | goodluckchuck wrote:
             | Addiction is complex. Folks are generally addicted to a
             | combination of things. For example they'll do a particular
             | drug, sit in a particular environment, with or without a
             | social element, with or without food. Utilizing one of the
             | elements without the others helps break the association.
             | Its the same thing on a smaller level.
        
               | mort96 wrote:
               | You're completely right! Addiction is complex!
               | 
               | And nicotine is addictive.
        
             | tjpnz wrote:
             | Furthermore, why do people have withdrawal symptoms coming
             | off the patches and gum?
        
             | thecodedmessage wrote:
             | These sources do not address the claims made in the
             | article.
        
               | mort96 wrote:
               | You may be right, maybe those sources are examples of
               | ones which mix up tobacco and nicotine.
               | 
               | Let's take it from the article instead:
               | 
               | > like all stimulants, nicotine may raise blood pressure
               | somewhat, and is addictive to some degree, but the risks
               | do not appear much more strikingly harmful than caffeine
               | or modafinil
               | 
               | And:
               | 
               | > My take away is that there is addiction but it's
               | drastically overestimated by almost everyone and may been
               | conflated with the habit-formation capability
               | 
               | I'm not criticizing the article, I'm disagreeing with the
               | statement "nicotine is not addictive". I wouldn't have
               | commented to disagree with a statement like "nicotine's
               | addictiveness is exaggerated because it's conflated with
               | tobacco's addictiveness", but that wasn't what
               | goodluckchuck said
        
         | antiframe wrote:
         | I'll be your counter example. I'm no longer addicted.
        
           | roschdal wrote:
           | Logical fallacy of insufficient sample size. Do you work for
           | the tobacco industry?
        
       | trident5000 wrote:
       | Nicotine is just terrible for you. Smoking is linked to
       | alzheimers and I watched my grandfather smoke his pipe and
       | decline cognitively with that disease. Im not sure if its only
       | proven from the toxins in smoke or the nicotine but I would
       | assume constricting the blood vessels (with nicotine) leads to
       | plaque buildup in the body and brain.
       | 
       | Because of the vessel constriction is stops healing in the body
       | as well all the way to your bones dealing with microfractures and
       | remodeling.
       | 
       | That said, Ill have the occasional cigar.
        
         | goodluckchuck wrote:
         | You mean smoking is terrible for you. As the cited studies
         | indicate, nicotine itself (delivered by patched / gum) is
         | fairly harmless. Not completely risk free, but nothing at all
         | like smoking.
        
           | trident5000 wrote:
           | No, I mean nicotine as I clearly indicated in my comment.
           | It's not harmless and its ridiculous to think a drug that
           | constricts the vessels and blood flow in your body would be
           | so.
        
             | mijoharas wrote:
             | Like caffeine?
        
               | otabdeveloper4 wrote:
               | Good thing I don't drink coffee.
        
               | trident5000 wrote:
               | Is that a counterpoint? Pointing to something unrelated
               | from the conversation. Maybe both arnt great for you?
        
               | hatsix wrote:
               | it's a great counterpoint, because they're is a lot of
               | literature on the health effects of caffeine.
               | 
               | > Maybe both aren't great for you?
               | 
               | Maybe? You are the one making strong assertions about
               | vasoconstrictors. Maybe you should take this opportunity
               | to challenge your beliefs on this by digging into
               | scientific literature.
               | 
               | Also, "aren't great" is such a softening of your original
               | opinion "just terrible". Why argue for your ignorance
               | when there is actual scientific literature?
        
             | insanitybit wrote:
             | > It's not harmless and its ridiculous to think a drug that
             | constricts the vessels and blood flow in your body would be
             | so.
             | 
             | Why? Because it increases blood pressure?
             | 
             | That's a problem if it's chronic and severe, afaik a milk
             | vasoconstrictive effect isn't going to kill you.
        
             | lcnPylGDnU4H9OF wrote:
             | > its ridiculous to think a drug that constricts the
             | vessels and blood flow in your body would be [harmless]
             | 
             | Without knowing more about human physiology, this
             | physiological description is a boogeyman. Someone could
             | describe the physiological effects of eating lettuce while
             | making the same claim about said effect and it would be
             | obvious to a layperson as nonsense only because they know
             | the topic. It's not ridiculous to think this is possibly
             | harmless in certain contexts.
        
           | steeleyespan wrote:
           | There's some studies suggesting nordic Snus (like all natural
           | chew w/o chemicals added) is fairly harmless. Anecdotally
           | I've read people highly addicted to it, so very suspicious of
           | any claim that nicotine itself isn't addictive and just
           | smoking is.
        
             | goodluckchuck wrote:
             | That computes with this article which discusses the
             | addictiveness of naturally occurring MAOIs found in organic
             | tobacco.
        
             | Findecanor wrote:
             | Snus is quite common in my country, Sweden. Many users are
             | former smokers who "quit" by using snus instead as their
             | source of nicotine. Users I know have said that they feel
             | that it is highly addictive.
             | 
             | Studies of snus users have indicated increased risks of
             | cancer in the mouth, throat and gastrointestinal system but
             | have not been conclusive as to how. There's also a newer
             | type of snus not made from tobacco, with pure nicotine as a
             | separate ingredient, but it has been studied much less.
             | 
             | Nicotine is still widely considered harmful for the
             | cardiovascular system though. I've had two surgeries this
             | past year and been told to not even chew nicotine gum for a
             | week before because of how nicotine in my system could lead
             | to complications.
        
               | steeleyespan wrote:
               | It appears there are some conflicting studies, like with
               | everything.
               | 
               | My best interpretation is that nicotine itself probably
               | isn't the-worst-thing-ever if it was restricted to
               | occasional usage, like having a beer on the weekend.
               | 
               | It's probably not a good idea to make a habit of though
               | like with coffee.
               | 
               | There's a theory floating around that it may help with
               | long-Covid symptoms, but there's not a lot of evidence.
               | This may be in part due to the general opposition towards
               | tobacco as extremely unhealthy.
               | 
               | I only heard of this because a neighbor says using
               | nicotine gum restored her sense of smell.
               | 
               | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845100/
               | 
               | Again, anecdotally I had a relative, very heavy smoker,
               | who got Delta and had very mild symptoms. She's 80 and in
               | pretty poor health. Others younger in the same household
               | had it much worse.
               | 
               | https://aacijournal.biomedcentral.com/articles/10.1186/s1
               | 322...
        
             | abecedarius wrote:
             | Does snus have much flavor? I've wondered if the
             | psychological part of nicotine addiction is much stronger
             | when there's a smell/taste association with the drug
             | effect. (I'm not a smoker, just seen a couple hints
             | suggesting this.)
        
               | jddj wrote:
               | It does. It has a slight burning sensation on the gum
               | (salt?) and has an earthy / spiced flavour.
               | 
               | You don't taste it much unless you consume
               | beer/coffee/water at the same, but if so the right brands
               | and combinations can be quite pleasant.
               | 
               | They also make menthol ones.
        
         | carlmr wrote:
         | Isn't caffeine a vasoconstrictor as well? Wouldn't that make
         | coffee a silent killer?
        
           | goda90 wrote:
           | Maybe it is? It's really hard to know what things will cause
           | damage over decades.
        
           | trident5000 wrote:
           | Theres a lot of people who are dumping caffeine for all sorts
           | of reasons. Caffeine does indeed constrict blood vessels and
           | thats probably not great tbh. But people (including myself)
           | love their cup of coffee.
        
           | rtpg wrote:
           | Like... people do get addicted to caffeine right? I know
           | people who drink a very large amount of coffee, who "can't
           | function" without it, and who generally seem to be in a
           | pretty bad shape.
           | 
           | The behavior of a certain segment of the population with
           | regard to coffee looks a hell of a lot like the stereotypical
           | addictions to drugs, including just ending up in bad shape.
           | Totally anecdotal of course but "caffeine in large amounts
           | bad" aligns with a lot of human behavior.
        
             | dist-epoch wrote:
             | Caffeine physiological addiction is very light. Withdrawal
             | symptoms last about 2 days and are mild.
             | 
             | > including just ending up in bad shape
             | 
             | Not sure what you mean by that, I'm not aware of people
             | ending up on the streets because of caffeine.
        
               | andygeorge wrote:
               | street price of coffee is a little lower than other drugs
        
             | radicaldreamer wrote:
             | Coffee is linked with significant health benefits for most
             | people, but it isn't the caffeine that responsible.
             | 
             | Coffee has a significant amount of antioxidants and Is the
             | most significant source of antioxidants for many people.
             | Even decaf coffee has health benefits.
        
           | vik0 wrote:
           | I don't get how so many people like coffee. I've tried it
           | maybe a handful of times in my life, getting the type that my
           | friends said is great, and I've always found it to be
           | reminiscent of dirty water, that is, water that has been
           | contaminated with dirt.
           | 
           | Why do so many people like it?
           | 
           | My friends say they like the taste, but I don't believe them.
           | I think it has to do with them being coerced into liking
           | coffee at a young age, and now they're addicted to it because
           | of its caffeine content.
           | 
           | I come from a country (Macedonia, ruled over by the Ottomans
           | for more than 500 years. The Ottomans liked their coffee)
           | where every going out with friends is centered around coffee.
           | So when people want to hang out, they never, ever, say stuff
           | like "Hey, let's hang out", but always "Let's drink coffee"
           | (I understand people in the civilized world, people say stuff
           | like this too to hang out with friends, particularly in
           | America (I'm not familiar with Western Europe as I haven't
           | lived there, though I assume its similar to the US), but not
           | like they do here, and the surrounding regions.)
           | 
           | And when you do go out to hang out casually with friends,
           | it's always to a fucking cafe because they want to get their
           | daily dose of caffeine in, because they're totally not
           | addicted to it.
           | 
           | (The overwhelming majority of people here go to cafes every
           | day to drink coffee with their friends, who also drink
           | coffee. It's become something like a ritual for them at this
           | point.)
           | 
           | When I hang out with my friends in a cafe, naturally as their
           | sacred ritual insists, and I order anything other than
           | coffee, which I always do, other than those 2 times, they
           | look at me like I've just committed the mother of all sins.
           | 
           | I apologize for my off-topic rant, but I had to get it off my
           | chest.
        
             | pasquinelli wrote:
             | i can't taste cardamom. when i taste freshly ground
             | cardamom it's like eting a pinch of sand.
             | 
             | maybe you have something like that going on with coffee.
             | 
             | i'll say i had no interest in coffee until i tried it in my
             | early 30's and really enjoyed it, though i found the
             | caffine too strong. now i drink it every day (smaller cups
             | though.) point being, i wasn't made to like coffee at a
             | young age, and i've liked it ever since i started drinking
             | it.
        
             | laurentlassalle wrote:
             | > My friends say they like the taste, but I don't believe
             | them. I think it has to do with them being coerced into
             | liking coffee at a young age, and now they're addicted to
             | it because of its caffeine content.
             | 
             | Daily coffee drinker here. Maybe I'm in the minority but I
             | really enjoy the taste (strong espresso without sugar/milk)
             | and really dislike the caffeine content (always prefer
             | decaf, if available).
        
               | jrmg wrote:
               | Also a daily coffee drinker.
               | 
               | I have a theory that humans like _complexity_. I'm pretty
               | sure I didn't originally like coffee (or e.g. scotch),
               | but I do now because part of my brain really enjoys
               | analyzing the flavor.
               | 
               | It's a different enjoyment than e.g. donuts or bananas,
               | which just 'taste good'. Coffee (and whisky) 'tastes
               | interesting' to a degree that overcomes the initial
               | harshness.
               | 
               | So GP is sort of correct for the most basic
               | interpretation. They're just not appreciating that
               | enjoyment and liking are not always straightforward.
        
             | aappleby wrote:
             | Coffee is delicious and worsens my arthritis. I drink a
             | coffee substitute called Dandy Blend most days, but damn do
             | I miss the real stuff.
        
       | iteygib wrote:
       | I use nicotine gum (2mg) to concentrate on reading or programming
       | tasks from time to time. I have never smoked. I prefer it over
       | caffeine as I do no get the irritable withdrawals. The only
       | noticeable side affect I experience is some sleepiness after the
       | effect wears off (around 30-40 minutes).
        
         | 21eleven wrote:
         | I have the same experience, except I buy 4mg gum tablets and I
         | chew 1/4 - 1/3 of a tab at time. 2mg and 4mg tabs are priced
         | similarly.
        
         | arcanemachiner wrote:
         | I am going to ignore this recommendation, despite my
         | temptation. :/
        
         | whoodle wrote:
         | I've done this too as someone diagnosed with a lot of daytime
         | sleepiness.
         | 
         | Any worry about longterm effects of nicotine? I've tried to
         | find good studies online but most center around smoking, not
         | the gum or pure nicotine.
        
           | iteygib wrote:
           | I have been using it for about 3 years, perhaps at a max of
           | twice per week. I started using it for the same reason as
           | you, I had issues staying awake. I only drink coffee when
           | absolutely needed as I get very irritable withdrawals when
           | off it. I gave the gum a try after hearing about the use of
           | it from a Hamilton Morris podcast.
           | 
           | I personally have not felt any lingering affects outside of
           | some drowsiness after wards. It seems like an easy enough
           | habit to drop as well, as I have done so for a few months at
           | a time for surgery recoveries. I am in agreement with the
           | study linked in this article that nicotine by itself seems
           | the same (for me, better) as similar stimulants like
           | caffeine. I would never smoke however, as that seems to be
           | the real issue.
        
         | plexman wrote:
         | I think that the stimulant property is felt less if you are not
         | used to nicotine. You would notice a lot more of the
         | dizziness/light-headedness.
         | 
         | But on the other side it could be just the fact that when you
         | are hooked, you need it just to not feel the withdraw.
         | 
         | As with some drugs this one can be used beneficially if well
         | spaced (idk a full week, then 3m without it?). To me any use
         | beyond this small period is just not efficient, performance
         | wise.
         | 
         | I used to smoke a pack a month, last year i discovered this
         | pouches from a Swedish friend (he was talking about the under-
         | average incidence of lung cancer there). I got hooked, and it
         | was really bad to quit. Yes its not like its crack/heroine and
         | ill go steal or stop showering, but i had sever trouble
         | sleeping (of course i slept with them many times). The quit
         | moment for me was when i started to double dose on the
         | strongest ones, also my gums were sore and bled sometimes (if i
         | could not buy my preferred brand i would buy minted, felt like
         | a junkie going to crack on not finding whatever drug of
         | preference)...
        
           | bilsbie wrote:
           | I tried it once and got super dizzy. That's a common
           | occurance?
        
             | plexman wrote:
             | I think so, also nausea in some cases, but it may be
             | related to high dosage. People underestimate how strong
             | this stuff can be.
        
       | egnehots wrote:
       | I'm concerned that many might miss the nuance and subtlety of the
       | main issue:
       | 
       | - Nicotine _IS really addictive_ when distributed through common
       | uses (smoking, vaping).
       | 
       | Yes, if the absorption is progressive and in small dosages, the
       | addiction is less severe, but this is not useful for smokers who
       | want to quit and presents a dangerous introduction for others
        
         | petesergeant wrote:
         | I used gum to come off vapes, and I still use gum. Over time,
         | I've started to notice my tolerance is ... decreasing? I'm now
         | cutting a 2mg gum (lowest dose) in 4 with a pill cutter, and
         | that's about the right amount
        
         | camgunz wrote:
         | 100% correct. This article circulates every so often but it's
         | basically just super dangerous. Recommend just looking at NIH
         | [0] here.
         | 
         | [0]:
         | https://duckduckgo.com/?q=nicotine+site%3Awww.ncbi.nlm.nih.g...
        
           | insanitybit wrote:
           | Could you provide something way more specific than a DDG
           | search?
        
             | camgunz wrote:
             | No the thing I'm doing is burying this armchair gwern
             | hogwash with tons of actual research that spans decades.
        
         | insanitybit wrote:
         | I have zero interest in cigarettes though. So like, let's say I
         | started chewing a gum and then I became addicted to the gum.
         | I'm assuming the downside here would be primarily withdrawal
         | effects of not chewing the gum? It's not like it's going to be
         | a gateway to cigarettes for me. You'll experience caffeine
         | withdrawal too, so I'm not sure that's really a problem.
         | 
         | From the article,
         | 
         | > There is little evidence from the NRT literature that 'never-
         | smokers' like myself are all that likely to become highly
         | addicted,
         | 
         | That is to say, it does not seem to present a dangerous
         | introduction for others, assuming you mean an introduction to
         | cigarettes.
        
           | OfSanguineFire wrote:
           | Indeed, there are loads of occasional-cigar smokers out there
           | who have zero interest in smoking cigarettes, and in between
           | the times they feel they can afford a quality cigar, simply
           | do not smoke at all.
        
           | jtriangle wrote:
           | Anecdotally, I've accidentally quit vaping several times,
           | because I don't vape when I've caught a cold and that's
           | coincided with me needing to buy supplies.
           | 
           | I've gone back to it because I find it enjoyable, but, having
           | watched my father quit smoking several times, I can't say
           | that I've ever had withdrawals like that, or really at all.
           | 
           | So my theory is, really, that cigarettes and tobacco in
           | general is far more addicting and therefore far more
           | bioactive than just consuming nicotine is.
        
             | nannal wrote:
             | I have quit cigarettes successfully (for ~10 years now) and
             | found it wasn't too difficult. However, I have known people
             | who could quit indefinitely and pick it back up without
             | issue and people who are going through rounds of quitting,
             | returning, quitting and so forth.
             | 
             | I personally believe there are additional elements involved
             | that could be genetic or psychological.
        
               | pawelwentpawel wrote:
               | I used to both smoke and extensively used pure Nicotine
               | (gums, sprays etc.)
               | 
               | In my opinion, majority of the people who are stopping
               | Nicotine (not just smoking) approach it as an incredibly
               | hard challenge. The process is demonised and described as
               | something that is really hard to complete. That's exactly
               | what I would like people to think if I'd be to work in a
               | marketing department for tobacco corporations.
               | 
               | While there is a longer story behind it, I quit cold
               | turkey in March this year. This time was much easier - I
               | didn't approach it as something that is hard to do. While
               | this might sound banal, I focused on what am I getting
               | out of it, not what I'm loosing. Everything, from my gums
               | to my muscles got better.
               | 
               | Nicotine in its pure form is definitely great brain
               | stimulant, I'm still a big fan. I just don't think it's
               | worth the cost, both from financial and health
               | perspective to use it often.
        
               | jihiggins wrote:
               | cigarette smoke also has a bunch of other stuff,
               | including MAOIs. it's definitely not _just_ the nicotine.
               | iirc, cigarettes also have additives to make the nicotine
               | hit harder / cross the blood brain barrier faster, which
               | probably doesn't help
        
             | dml2135 wrote:
             | I dunno about that. Personally, I smoked cigarettes for
             | about 5 years, then quit for about a decade, and then
             | picked up vaping a few years ago.
             | 
             | I'm definitely just as addicted to the Juul as I ever was
             | to cigarettes, if not more so, and it definitely seems like
             | it will be harder to quit. Cigarettes are so gross it's
             | almost a benefit, you need to go outside to smoke, the vape
             | is just so easy and so much cleaner, I've definitely found
             | it much harder to cut down.
        
               | xorbax wrote:
               | My friends who took up vaping (esp in pandemic) ended up
               | vaping near-constantly
               | 
               | It's not the 80s, so vaping allows one to sit around the
               | house and duff it in a way that most people wouldn't do
               | with cigarettes.
               | 
               | I feel like nicotine intake can dramatically increase
               | with vaping.
        
               | jtriangle wrote:
               | Mathwise it's about 6mg of nicotine adsorbed per
               | cigarette. That gives you a way to compare dosage of
               | nicotine to vaping a certain concentration of juice.
               | 
               | Probably not a great 1:1 because there are other things
               | in play with smoking, but, ballparky enough.
               | 
               | If you wanted something closer, you'd need to figure out
               | how the other compounds in cigarette smoke affect
               | nicotine adsorption and activity.
        
             | saila wrote:
             | I was an occasional smoker for over a decade and only got
             | addicted to nicotine when I started vaping. It's more
             | anecdata, but I don't think vaping is any less addictive
             | than smoking cigarettes, and for many people vaping will
             | increase their likelihood of addiction just because it's
             | easier to vape unnoticed and there's no natural stopping
             | point like there is with cigarettes.
             | 
             | I've also temporarily quit nicotine and caffeine when I got
             | sick, and I think part of the reason is that the withdrawal
             | effects are less noticeable and/or maybe you attribute them
             | to the illness. Also, if you get sick enough to take time
             | off from work, that tends to coincide with the worst
             | withdrawal effects, which last about three days in my
             | experience.
        
           | galangalalgol wrote:
           | Anecdata follows. As a never smoker I used nicotine gum
           | during strength training workouts. I never had any urge to
           | use it at other times. I did not find the effect very
           | pleasant either, so while I couls see its benefit plotting my
           | progress, ultimately I stopped using it. I do have tobacco
           | addiction in my family history.
        
           | permo-w wrote:
           | everyone's a never-smoker until they're not. the sense I got
           | with this article is that the author started with the
           | presumption that nicotine from sources other than smoking is
           | basically okay and built up from there. that's not to say
           | that he's wrong, just that it didn't feel like a rational
           | approach
        
             | mock-possum wrote:
             | To give an alternate perspective:
             | 
             | smoking cigarettes is just an all around bad experience, it
             | smells bad, it tastes bad, it hurts my throat, and for
             | what? Light headedness, possibly with the spins? And the
             | smell _lingers_ it gets into everything, you basically need
             | to change your clothes after you smoke a cigarette.
             | 
             | I'm a non smoker period, and I can only assume this "oh
             | everyone says they can't get addicted to cigarettes until
             | they start smoking" attitude can only be projection from
             | hapless addicts. It just doesn't work that way for me.
             | 
             | I've even tried nicotine gum, just to see if maybe it's the
             | smoking itself that's a turnoff - without the smell and the
             | taste, maybe nicotine is good on its own? But it's not -
             | it's the same head-spinning mild nausea that I recognize
             | right away from cigarettes. _who is this drug for_? Because
             | it's certainly not me. Addicted to _this_? I literally
             | cannot imagine it, why would I seek such a comprehensively
             | bad experience compulsively and repeatedly? It just doesn't
             | compute for me.
        
           | reactordev wrote:
           | The withdrawal effects are more like kicking a heroin
           | addiction.
        
             | insanitybit wrote:
             | That doesn't sound true.
        
               | reactordev wrote:
               | Try it then. As someone who smoked and quit and have had
               | friends who smoked and quit who also had heroin habits,
               | they corroborate the difficulty. It's a different type of
               | struggle but the struggle is strong just the same.
        
               | insanitybit wrote:
               | I feel like I shouldn't have to try heroin to understand
               | this. A solid paper on the topic would suffice.
        
               | reactordev wrote:
               | A simple Google search returns hundreds if not thousands
               | of results.
               | 
               | Here's one for you
               | https://academic.oup.com/ntr/article/20/9/1038/4096884
        
               | insanitybit wrote:
               | That paper does not look like it actually measures
               | addiction, and I don't want to sort through hundreds or
               | thousands of results...
               | 
               | But I don't really care. It doesn't sound true but it
               | also doesn't change anything.
        
               | edgyquant wrote:
               | No it wouldn't unless you can consistently reproduce any
               | found results among differing populations and I have
               | serious doubts such a paper, with said follow ups,
               | exists.
        
               | insanitybit wrote:
               | OK, then I'm going to go with "doesn't sound true"...
        
               | nickelpro wrote:
               | I've quit both cigarettes and a middling amphetamines
               | addiction.
               | 
               | Quitting cigarettes was trivial. I decided not to buy a
               | pack that day and then never bought another pack. That's
               | my anecdotal contribution to the discussion.
               | 
               | Less anecdotally:
               | 
               | Opioid withdrawal, in extreme cases, has killed people
               | from persistent vomiting and diarrhea. It has measurable
               | physical symptoms with an understood pathophysiology
               | largely connected to the cAMP-signaling system.
               | 
               | Nicotine withdrawal is far less understood, to the degree
               | it has been classified at all (mostly in studies of
               | mice). It certainly has never killed anyone, you're not
               | going to shit yourself to death. They're not comparable
               | to one another.
        
               | Turing_Machine wrote:
               | Purely anecdotal, but I believe Keith Richards is on
               | record stating that kicking heroin was far easier than
               | kicking nicotine.
               | 
               | There's evidence for this, too -- he quit using heroin
               | decades ago, but only managed to quit smoking a few years
               | back.
               | 
               | So it seems to be true, at least for him.
        
               | incrudible wrote:
               | That is different from withdrawal being worse. Opiate
               | withdrawal can be rather severe from a physical
               | standpoint. Nicotine withdrawal simply is not.
        
               | thebigspacefuck wrote:
               | You're conflating nicotine with tobacco again.
               | 
               | For me, quitting smoking was easier than quitting coffee
               | addiction. Coffee is everywhere, cheap, and consumption
               | is all but encouraged. If I were to smoke I take on all
               | sorts of baggage. Much of smoking is about being a smoker
               | which is a mindset and community that is hard to leave.
               | Social effects can be much stronger than physical
               | dependence.
        
               | Turing_Machine wrote:
               | > For me, quitting smoking was easier than quitting
               | coffee addiction
               | 
               | Operative phrase here: "for you".
        
               | trmonx wrote:
               | Yes, but only because nicotine is cheap, easily
               | available, won't cause any real immediate problems or
               | drain your bank account.
               | 
               | As a substance its no where near as addicting as heroin,
               | no one would actually ruin their lives for nicotine in
               | case it was illegal and expensive.
        
               | insanitybit wrote:
               | That is not surprising.
               | 
               | a) The downsides to smoking are far longer term and
               | harder to feel daily
               | 
               | b) You're surrounded by smokers, you can literally smell
               | them smoking just by walking down the street
               | 
               | c) Smoking is legal. You can just go buy a pack.
               | 
               | I am unsurprised that quitting smoking is harder for some
               | people, given that. But in terms of withdrawal symptoms,
               | that's where I think heroin is probably worse. But I also
               | don't really know. So far someone linked a Google search
               | and an irrelevant paper.
        
             | meepmorp wrote:
             | That's somewhat person dependent. I was a heavy smoker (3-4
             | packs a day) for several years, but quitting cold turkey
             | was very easy for me. I basically had no cravings unless I
             | was drinking, and those went away after a month.
             | 
             | I realize I'm an outlier.
        
               | reactordev wrote:
               | I also believe it's the duration of use and not the
               | concentration of use that plays more a role here. Being a
               | heavy smoker for 4 years isn't the same _mentally_ as
               | someone who smoked normally for 20 years. I think past
               | the 10 year mark and your brain has suffered damage to
               | the point where the addiction becomes life. However, in
               | about 10% of cases, smokers who quit were able to because
               | the effects of nicotine addiction hadn't taken hold. Much
               | like some people feel nothing from taking cocaine.
               | 
               | IANAE though.
               | 
               | Either way. I was a smoker but not a heroin user and
               | quitting was the hardest thing for me. It took me almost
               | a month to feel normal.
        
               | warent wrote:
               | WOW that's amazing how different people's experiences can
               | be.
               | 
               | I smoked _one_ pack spread out 2 or 3 days, for about 3
               | years (in college). Rarely would do a full pack in a day.
               | 
               | Quitting was pure torture. I stayed up 24 hours walking
               | laps around my campus. Took like four full days for
               | cravings to go away.
               | 
               | Haven't had a cigarette in 10 yrs. Occasionally enjoy a
               | cigar without problems
        
               | retrac wrote:
               | I was terribly addicted for a decade, smoking and then
               | vaping, and for me, withdrawal was almost intolerable.
               | For about three days, it was a terrible experience. I
               | felt sick, raged with anger, cried, felt unhinged, and
               | even had minor visual disturbances. It can really only
               | only be compared to a bad psychedelic trip. But once I
               | did manage to get through it, that was it. It hasn't much
               | bothered me since. Stopped thinking about smoking about a
               | week after. I can't say I crave it really, and I cannot
               | relate to the long-term experiences where people say it
               | takes months or years to get fully over it. We're all
               | different.
        
             | jdietrich wrote:
             | I'm not really sure whether I can or should dispute your
             | basic point, but I will say that pharmaceutically pure
             | nicotine is radically different to tobacco smoke.
             | 
             | People who quit smoking are actually quitting a synergistic
             | cocktail of drugs - nicotine and a variety of MAO
             | inhibitors found in tobacco smoke. There is good evidence
             | to suggest that these MAOI components dramatically increase
             | the addictiveness of nicotine.
             | 
             | https://www.sciencedirect.com/science/article/abs/pii/S0161
             | 8...
        
             | baby wrote:
             | I've heard you can actually quit cigaret cold turkey and be
             | fine. Whereas I imagine you could die if you tried that
             | with heroin?
        
         | thecodedmessage wrote:
         | For the word "dangerous" to be appropriate, it needs to be
         | established (1) that nicotine is bad for you or (2) that this
         | introduction ever leads to smoking. Or are you just taking all
         | the harms of smoking and applying them to nicotine because of
         | cultural reasons?
        
         | huytersd wrote:
         | Honestly addiction itself is not enough of a downside.
        
         | jrsj wrote:
         | Nicotine itself really isn't particularly dangerous. If you
         | haven't already been a smoker, you have no mental connection
         | between nicotine cravings and cigarettes, so you don't really
         | have any reason to desire them. If you were used to something
         | like Zyn & tried a cigarette, you probably wouldn't even like
         | it that much in my opinion. It may kick in significantly
         | quicker, but there's also substantially less nicotine in a
         | cigarette vs a nicotine pouch and it would probably leave you
         | dissatisfied and annoyed at the bad taste in your mouth.
        
         | vGPU wrote:
         | Not particularly. Pure nicotine in and of itself is
         | significantly less addictive than the form presented in a
         | cigarette. Modern big tobacco has managed to create an
         | incredibly nasty and addictive chemical slurry in a stick, with
         | acetaldehyde, ammonia, MAOIs, and a bunch of other chemicals
         | which significantly increase the addictiveness of nicotine.
         | 
         | Gwern has noted the same in his post:
         | 
         | > Wikipedia summarizes Guillem et al 2005 as "Technically,
         | nicotine is not significantly addictive, as nicotine
         | administered alone does not produce significant reinforcing
         | properties" - the addictiveness coming from MAOIs (eg. Khalil
         | et al 2000, Khalil et al 2006) & possibly other compounds
         | present in tobacco
        
           | vGPU wrote:
           | Gwern has noted the same in his post:
           | 
           | > Wikipedia summarizes Guillem et al 2005 as "Technically,
           | nicotine is not significantly addictive, as nicotine
           | administered alone does not produce significant reinforcing
           | properties" - the addictiveness coming from MAOIs (eg. Khalil
           | et al 2000, Khalil et al 2006) & possibly other compounds
           | present in tobacco
        
             | ShamelessC wrote:
             | Gwern has noted the same in his post:
             | 
             | > Wikipedia summarizes Guillem et al 2005 as "Technically,
             | nicotine is not significantly addictive, as nicotine
             | administered alone does not produce significant reinforcing
             | properties" - the addictiveness coming from MAOIs (eg.
             | Khalil et al 2000, Khalil et al 2006) & possibly other
             | compounds present in tobacco
        
       | pkoird wrote:
       | Nicotine is a stimulant but weirdly enough, it has always
       | improved my sleep (even when taken close to sleep). I never
       | really understood why.
        
       | dijit wrote:
       | After being on IRC for the best part of two decades (and the
       | fringe groups who frequent the medium) I have seen the word
       | "nootropics" banded about.
       | 
       | The first time, I thought it was a fun idea but nothing I wanted,
       | see; my brain is all I have so I dont much fancy experimenting
       | with it- this is also why I avoided alcohol and coffee despite
       | social pressures.
       | 
       | The community that formed went away as quickly as it had been
       | created; various people began having psychological issues.
       | 
       | The next time I heard about nootropics I passed along the
       | information. "This time, will be different" the anonymous
       | internet handle claimed.
       | 
       | "We know more, we will not do anything dangerous".
       | 
       | Alas, the same fate befell them, and the community that formed
       | quickly dissapated as they became incoherent even amongst each
       | other. Prone to fits of paranoia and delusions of a grandiose
       | conspiracy - which they were the only people who could see the
       | truth.
       | 
       | Later, on of my fellow IRC opers followed this path, I gave
       | strict warning that it was hubris to believe himself smarter at
       | drug use for brain optimisation than the scores of admittedly
       | intelligent people who came before. He (much) later would become
       | unhinged and fly cross continent to find me at my irl work
       | location where he threatened my mother.
       | 
       | He was incoherent most of the time and dropped out of university.
       | 
       | So, forgive the hesitance, but I am even more hardened on the
       | notion that we should probably not mess with our brains too much.
       | I know some people must be pioneers to understand what works but
       | I always took "YOLO" as a warning and not as a reason to throw
       | caution to the wind.
       | 
       | That said, I am a heavy user of caffeine in adulthood and I am
       | more susceptible to pressure on drinking alcohol now. So I will
       | admit to being hypocritical when it comes to the socially
       | acceptable brain altering drugs.
       | 
       | NB: Nicotine itself is addictive mostly because it has such a
       | long half life, it stays in the body for multiple weeks; so if
       | you decide to take this advice, make sure you wait at least a
       | fortnight between doses.
        
         | insanitybit wrote:
         | That's definitely an anecdote, but I think the salient point is
         | this:
         | 
         | > So, forgive the hesitance, but I am even more hardened on the
         | notion that we should probably not mess with our brains too
         | much
         | 
         | And that's true, insofar as we are able to agree on what "mess
         | with our brains" and "too much" means.
         | 
         | Is taking some choline "messing" with the brain? Definitely. Is
         | it "too much?" well, perhaps you think so. Is drinking coffee
         | "too much"? Apparently we both agree that it is not "too much",
         | I'm drinking some caffeine right now.
         | 
         | One thing about Choline and Caffeine is that they are very well
         | studied, especially in terms of safety. The further you go into
         | the nootropics world the less studied options you'll find -
         | things range from "zero data" to "used for 1000s of years by an
         | unscientific people" to "animal studies exist" and beyond.
         | 
         | My personal "too much" is when there's a combination of weak
         | evidence to support benefits and weak evidence to support
         | safety in humans.
        
           | dijit wrote:
           | Well said.
           | 
           | I think that is definitely a strong and salient way to think
           | about mind altering chemicals.
        
         | pitched wrote:
         | The best place to start is the Beginner's Guide put together by
         | the Nootropics subreddit:
         | https://www.reddit.com/r/Nootropics/wiki/beginners/
         | 
         | TLDR: Your starting point is exercise, sleep and sunlight.
         | Nothing after that really has as large of an effect.
        
           | insanitybit wrote:
           | > Nothing after that really has as large of an effect.
           | 
           | Most people would disagree - at least, anyone who drinks
           | caffeine would.
        
             | justsomehnguy wrote:
             | Most people can't understand why they aren't feeling well
             | after 1kg of pasta with meatballs.
             | 
             | I love caffeine and _coffee_ , but if we are talking about
             | well-feeling, 5 minute calistenics would make you feel
             | better in 99% compared to a cup of sugar laden cappuccino
        
               | insanitybit wrote:
               | None of that is relevant. Caffeine has a blatant
               | cognitive effect.
        
               | adrianN wrote:
               | So do sleep exercise and sunlight
        
               | insanitybit wrote:
               | I _explicitly_ quoted  "> Nothing after that really has
               | as large of an effect."
        
         | VHRanger wrote:
         | It might be about the nootropics, but this might also be the
         | conditiona that people who are in IRC chatrooms about
         | braindrugs are more prone to psychotic breaks for whatever
         | reason.
         | 
         | Stimulants increase likelihood of psychosis, but that's
         | conditional on dosage and precursor risk variables
        
           | caddemon wrote:
           | Nicotine specifically is also more likely to be used by
           | people with psychotic disorders than the general population,
           | as a form of self-medicating. Many Schizophrenic people
           | report smoking cigarettes to help their symptoms in the short
           | term, though I'm not sure what research says about long term
           | mental health effects of this practice.
        
         | financltravsty wrote:
         | I would say that's a sampling bias, considering the type of
         | people that frequent IRC. Numerous more students everywhere buy
         | some piracetam or related due to a TikTok video, and never
         | suffer any consequence.
         | 
         | I would also mention that nicotine itself has a marginally
         | lower addictive rating if we go by DFosB expression. Having
         | been someone that got hooked on cigarettes (and quit), the same
         | habits never formed for nicotine, and the inclination was never
         | there. And it is trivial to quit nicotine (compared to
         | caffeine, even more so for cigarettes).
         | 
         | Though, I do agree in essence with your post. It is hubris to
         | play around with this sort of thing. And there is never a free
         | lunch (unless we're speaking strictly of micronutrients and
         | pseudomicronutrients/vitamins).
        
         | deegles wrote:
         | The best nootropic is really high quality, regular sleep,
         | regular exercise, and good diet. If you don't have the basics
         | down, no supplement will make up for it.
        
           | cmrdporcupine wrote:
           | Agreed, and many of the supplements and drugs people are
           | taking actually mess with sleep in a big way; so seems
           | entirely counterproductive.
        
           | bitzun wrote:
           | And once you have all that (assuming exercise is cardio),
           | weight lifting has great mental health effects IME
        
         | bezier-curve wrote:
         | > Nicotine itself is addictive mostly because it has such a
         | long half life, it stays in the body for multiple weeks.
         | 
         | It has a half-life of 2 hours [0]. If it lasted longer I think
         | its withdrawal effect would be less steep and more gradual.
         | 
         | [0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7794006/
        
         | FredPret wrote:
         | I've seen a similar story.
         | 
         | Problems that could be solved by exercise, sunlight, sleep, and
         | a positive mental attitude, but then they try nootropics
         | instead.
         | 
         | It always ends the same way - psychosis, incoherence, paranoia.
         | 
         | The brain is a finely tuned network, use it's built-in hapiness
         | generators rather than throwing sledgehammers at it.
        
         | yojo wrote:
         | I think it is useful to draw a distinction between "new"
         | nootropics and those with hundreds of years of demonstrated
         | use.
         | 
         | While nicotine has not historically been used in isolation, it
         | has been used both in recreation and religion settings for
         | around 2000 years. Caffeine use is similar, perhaps older.
         | 
         | There's still reason to be wary of higher dosages or new
         | delivery routes, but it seems unlikely that dabbling in low-
         | dose caffeine or nicotine use will make you go crazy, based on
         | the mountain of historical evidence to the contrary.
        
         | binary132 wrote:
         | I know how these communities can be and it honestly sounds much
         | more like a community problem than like a "people who drink
         | some coffee and smoke some cigarettes" problem, because there
         | are many millions of those who don't have crazy, out-of-control
         | behavioral problems.
        
       | johnwheeler wrote:
       | Modafinil is a Dave Asprey bullshit lie. It does not promote
       | nootropic benefits or flow work or anything like that. Pretty
       | much anything Dave Asprey says is bullshit.
        
         | geraldwhen wrote:
         | It is, however, extremely useful to treat narcolepsy.
        
         | jtriangle wrote:
         | I've anecdotally found modafinil to be great for focus if I
         | didn't sleep the night before, makes the day less miserable.
         | Never tried it casually.
        
         | idontwantthis wrote:
         | I wrote some terrible code on modafanil but I did write it for
         | 6 hours straight.
        
           | Exoristos wrote:
           | That's called a work day.
        
         | coldblues wrote:
         | I have ADHD; getting Concerta here is near impossible, so I've
         | been using Modafinil. It's been extremely effective.
        
           | geraldwhen wrote:
           | That's incredible. Unlike adhd meds, modafinil is neither
           | addictive nor neuro toxic.
        
       | adamsb6 wrote:
       | Relevant auto tune the news: https://youtu.be/1dqTrUpmwPg
        
       | dist-epoch wrote:
       | In sports there are two "legal" performance enhancing doping
       | substances: caffeine and nicotine
        
       | mpreda wrote:
       | I'm a non smoker, I never smoked. Once I decided to try a
       | nicotine chewing gum, took one pillow and chewed it thoroughly.
       | After about 5-10minutes I suffered some very very severe effects,
       | including: I started sweating extremelly such that all my clothes
       | become wet quickly and sweat was dripping down my nose, ears, and
       | into my eyes. I felt an intense and urgent need to urinate and
       | defecate, which luckily I could do on the spot (happened to be in
       | the proximity of a public toilet). I think after about 30minutes
       | the simptoms subsided. I subjectivelly imagined that I ran the
       | risk of a heart attack there.
       | 
       | So, I'd like to warn any non-smoker that may want to try out
       | nicotine: please start with a very small dose, and only gradually
       | build up; because otherwise it can be dangerous.
        
         | thebigspacefuck wrote:
         | You're supposed to chew it only until it tastes peppery then
         | park it in your gum/cheek
        
           | sieste wrote:
           | Thanks for the PSA. One would think a 10,000 word article on
           | the benefits of non-smoking nicotine use, with a dedicated
           | section on health issues, might mention this important
           | detail...
        
             | thebigspacefuck wrote:
             | Instructions are usually on the box, but you're right, no
             | mention of nicotine overdose which is quite unpleasant and
             | easily negates any productivity benefits if experienced.
        
         | reactordev wrote:
         | Welcome to nicotine poisoning. You are only supposed to chew
         | until you get flavor, then suck on it like you would spitting
         | tobacco except not spitting. When you get a craving, you chew a
         | few more times. The symptoms you describe are classic nicotine
         | poisoning symptoms. Sweats, expulsions of fluids, rapid heart
         | rate, disorientation.
        
           | cmrdporcupine wrote:
           | It also describes what I felt like the first time I ever
           | tried a cigarette.
        
             | reactordev wrote:
             | The disorientation is why most kids vape. Then they are
             | addicted.
        
               | ThrowawayTestr wrote:
               | The kids call that a head rush.
        
         | mpreda wrote:
         | And the funny follow-up: after this one-time rather completly
         | unpleasant experience, I developed an intense smell sensibility
         | to nicotine that lasted about one month: I could feel/smell the
         | presence of small amounts of nicotine and have a very somatic
         | "sick" reaction to it. I guess my body learned quickly to alert
         | me of the "poison". Luckily, this reaction dissapeared and
         | everything reverted to normal after about one month.
        
         | mp05 wrote:
         | Nicotine poisoning is one of the worst feelings imaginable. The
         | headache is stuff of legends and, interestingly, the same
         | headache I had with Covid and for weeks after. I get a bit sick
         | even thinking about it.
        
         | extr wrote:
         | FYI, nicotine poisoning is uncomfortable but if it happens to
         | you, you can greatly reduce the effect by eating something
         | sweet, the effects seem to be blood sugar dependent. Try a
         | spoonful of honey or a can of coke, you will feel better almost
         | instantly.
         | 
         | This tip brought to you by cigar smokers.
        
         | walleeee wrote:
         | FWIW, you're not supposed to chew it thoroughly, even if you're
         | a smoker. You're supposed to gently bite once to break it open,
         | then tuck it in your cheek or under your lip for a while, and
         | repeat as necessary. Chewing like normal gum releases it all at
         | once which is _not_ advisable.
        
         | caesil wrote:
         | Or just never build up and always use small doses. No real
         | addiction, and you still get great effects similar to caffeine
         | or amphetamine as long as you don't use it often enough to
         | build up a tolerance (which isn't too hard).
        
       | reactordev wrote:
       | >"...and is addictive to some degree"
       | 
       | I stopped reading after this part. I'm sorry, but passing off
       | decades of research as "to some degree" when it's been found to
       | be as addictive as heroin. [0]
       | 
       | So it's completely asinine to say "to some degree". By all means,
       | go chew some nicotine gum, you'll be wanting more in an hour.
       | Next thing you know you're eating a pack a day, for 30 years,
       | until your arteries hardened and you block your heart. All for a
       | pick me up in the evening. Take a nap.
       | 
       | [0] https://www.ucsfhealth.org/conditions/nicotine-dependence
        
         | thebigspacefuck wrote:
         | You really should have kept reading because this is addressed
        
           | reactordev wrote:
           | And dismissed over and over again. The author is playing with
           | cyanide and doesn't even understand that.
        
             | thw09j9m wrote:
             | Tobacco is addictive, nicotine alone without MAOIs is not
             | nearly as addictive.
        
         | sfeng wrote:
         | It would probably be useful to actually read before you
         | comment. He meticulously cites the sources of his claims with
         | actual studies.
        
           | reactordev wrote:
           | >"...My take away is that there is addiction but it's
           | drastically overestimated"
           | 
           | It goes on and on. The author is ignorant.
        
       | jdorfman wrote:
       | I was always fascinated by cigarettes and stole one when I was 10
       | and that was where my journey of addition to nicotine began. I
       | now vape everyday and chew 2mg of gum if I'm on a plane or some
       | other situation.
       | 
       | I've tried to quit multiple times but I'm weak. I can go a few
       | months but always get pulled back.
       | 
       | IMO there are no benefits. If you never had nicotine and this
       | link made you curious don't. You will most likely become a life
       | long user to one of the most addictive chemicals known to man.
        
         | cmrdporcupine wrote:
         | It really seems to vary by person, perhaps genetic.
         | 
         | In university I used to bum cigarettes off people all the time
         | and have one here and there, esp back when you could smoke at
         | the club, at a rave, etc. before bylaws. I'd even buy a pack of
         | cigarettes here and there, and then just...forget about them
         | and never finish them. Sometimes I'd have a bit of a craving
         | for two or three days after and just power through it, and that
         | was that.
         | 
         | In the summer I'll smoke some pipe tobacco, and every few years
         | smoke a cigar. Don't really crave after.
         | 
         | Before my older sister was born my father was a heavy smoker.
         | When my mom got pregnant, he just quit, and that was that,
         | never ever showed any interest in smoking again.
         | 
         | But then I've seen the very brutal suffering that I saw friends
         | go through trying to quite their smoking habit. Just awful.
         | 
         | All said, I don't think nicotine is a wise thing to mess with.
         | Vaping especially to me seems like a slippery slope because it
         | kind of gives the vibe of a kind of "consequence-less"
         | interaction with the drug. If you smoke a pipe or cigar, you
         | stink, you might get a headache, and it actually costs quite a
         | bit of $$. Vaping is set up to seem like this casual
         | entertainment with few consequences. I'm glad my teens have so
         | far ridiculed it and shown no interest.
        
           | jdorfman wrote:
           | You are absolutely correct. Most of my friends were able to
           | quit while some are in the same situation as me. All I'm
           | saying is don't take the risk.
        
         | thebigspacefuck wrote:
         | Why do you get pulled back if there are no benefits?
        
           | jdorfman wrote:
           | As I said I'm weak.
           | 
           | Edit: the only benefit I get now is not thinking about
           | nicotine until my cravings kick in again. While loop from
           | hell.
        
             | nilespotter wrote:
             | Addiction isn't a question of will. You're not weak for not
             | being able to walk away, and you wouldn't be strong if you
             | were able to.
        
           | andygeorge wrote:
           | addiction is wild
        
       | dan_man wrote:
       | Quoting one of the reply [0] from the linked thread in the OP:
       | 
       |  _Nicotine is considered one of the most (if not THE most)
       | physically and psychologically addictive substances in the entire
       | world. Prior to introducing nicotine into your body, there is no
       | compulsion for your body want /need it. However, as SOON as you
       | introduce it for the first time, it gives birth to a "little
       | monster" of need within you. This monster will remain within you
       | until the day you die. Sure, eventually you can starve this
       | "little monster" down into a tiny little husk, so that it no
       | longer has any effect on you, but there's always going to be that
       | slight twinge... That slight trickle in the back of your mind
       | that something's missing. I feel that once you go down the road
       | of nicotine you'll forever regret it._
       | 
       | However, if you have been a smoker I guess it's alright to try
       | but,
       | 
       | Another interesting thing I found in the same thread is the
       | Moderator's note [1]:
       | 
       |  _The study below demonstrates that nicotine, regardless of
       | administration method causes Smoker 's Melanosis, and it is
       | likely that by extension, whether specifically demonstrated or
       | not, this action will accelerate the visible signs of skin aging
       | by a similar uneven discoloration and an increase in the number
       | of moles which smokers and their families get.
       | 
       | The long-term effect of nicotine on the oral mucosa [2]._
       | 
       | So, it's still not safe completely. I have been a smoker and I
       | quit long ago but after reading the article I'd still stick with
       | the good ol' coffee!
       | 
       | 0: https://www.longecity.org/forum/topic/23915-nicotine-
       | patch-f...
       | 
       | 1: https://www.longecity.org/forum/topic/23915-nicotine-
       | patch-f...
       | 
       | 2: https://www.ncbi.nlm.nih.gov/pubmed/10605870
        
         | binary132 wrote:
         | I used to smoke cigarettes fairly frequently (about 1-2 a day
         | perhaps 10-15 years ago) and have never experienced this. Every
         | now and then, perhaps every few months, I think it might be
         | pleasant to get into pipe tobacco, try snuff or snus, or enjoy
         | a cigar. I can categorically say that I experience nothing I
         | would remotely categorize as regret or craving whatsoever.
        
           | Clubber wrote:
           | Did you inhale? Once I learned how to inhale I got hooked
           | pretty quick. I do know people who can put them down whenever
           | they want, but I wasn't one of them.
           | 
           | The one good thing I got out of it was knowing what addiction
           | felt like. I'm sure it kept me from getting addicted to more
           | dangerous things when I was younger.
        
       | bartwr wrote:
       | I used to be a daily smoker for over 2y and a casual/social
       | smoker for close to a decade. Since moving to US, for the last
       | decade, I don't smoke as "nobody" smokes here (compared to
       | Europe). I smoke now 1-2 cigarettes a year, mostly when visiting
       | Europe and with smoker friends. (I never got addicted and never
       | had any problem quiting cold turkey; I smoked because it was
       | great social relationship builder - some of my best friends are
       | people met on cigarette breaks).
       | 
       | Sometimes I use nicotine gums / patches as a dieting aid
       | (effective appetite suppressant).
       | 
       | And I want to warn against this premise of short half life. This
       | is not true in general. There are active metabolites like
       | cotinine with elimination half life of 20h+, depending on your
       | liver enzymes, gender, ethnicity.
       | 
       | If I chew a nicotine gum around noon, I have trouble sleeping the
       | whole following night with my brain unable to calm down, mild jaw
       | clenching etc.
       | 
       | So yes, moldafinil is a terrible stimulant due to too long half
       | life, but so is nicotine (for many). I definitely don't recommend
       | for that purpose. Maybe for extreme (crash) dieting, but this is
       | unhealthy in general.
        
       | imsurgio wrote:
       | I am a smoker. I wouldn't advise this. Before you get any
       | stimulant effects. Which are minimal. You get very sick at first.
       | By the time you have enough tolerance you are addicted
       | physically. Some can quit easy but it can be a slippery slope.
       | It's too risky as you don't know how hard it is to quit for you
       | in advance.
       | 
       | I've tried off and on to quit for 20 years at least. Don't do it,
       | it's a lot of work to get past the sickness. If I weren't young
       | and ignorant, I'd have never started.
        
         | Clubber wrote:
         | I started smoking at 12 and got completely hooked in a week. I
         | also tried several times to quit. I quit for 3 months _TWICE_
         | and started back up. I finally got off cigarettes with Juul. I
         | also don 't recommend nicotine. You'll likely be a customer for
         | life.
        
           | antiframe wrote:
           | I once read a book called 'The Easy Way to Stop Smoking' and,
           | as advertised, after finishing it I haven't had a cigarette
           | or craving since. It was literally like magic and it's worked
           | for two of my friends as well.
        
         | joshjob42 wrote:
         | I occasionally use a 2mg piece of nicotine gum as a pick me up
         | if I've already had too much caffeine or if it's late at night
         | (or if I'm at a conference where I'm getting little sleep), and
         | I certainly feel the stimulant effect and nothing else. Never
         | had any sort of tolerance, never felt any draw to take it
         | except in the sense of "Boy I'm really dragging, I need a
         | stimulant. Should I get coffee or a piece of gum?".
         | 
         | Most weeks I use none, some conferences I've used 2 pieces a
         | day every day for 4-5 days straight. No problems stopping
         | afterward.
        
         | brbrodude wrote:
         | Fellow nic addict of 18 years here. If you haven't yet I'd
         | recommend trying out Tabex. I'm still addicted but was able to
         | cut it off by like 85% this year with its aid.
        
       | Joel_Mckay wrote:
       | The nicotine chemical is a natural pesticide manufactured by
       | several species of tobacco plants, and in trace amounts within
       | some peppers.
       | 
       | It is approximately 35 times more addictive than Heroin, and has
       | an LD50 so lethal the contents of a few packs/mg of smokes would
       | kill most adult users if they took it all at once.
       | 
       | Due to the intended role in nature, humans also use the compound
       | for its mutagenic properties, and increased lethality in
       | insecticides.
       | 
       | People are foolish, and addicts are experts at rationalizing
       | self-destructive coping methods. Smoking/Vaping is primarily
       | considered a disgusting habit in many western culture now, but is
       | still plaguing the poor of many countries.
       | 
       | Get angry, quit cold turkey, and stay angry for 3 months... Then
       | tell others to switch to rage-o-hol if they don't want skin like
       | a dried out pear later in life.
       | 
       | I am sure people that generate 94% well structured LLM
       | nonsense... also assume the side effects on their sites
       | reputations will be negligible. The content makes it sound like a
       | psychopath wrote it by the way. lol
       | 
       | Keep well our there, =)
        
       | donatj wrote:
       | I agree very much with the addiction aspect being genetic. My
       | mother has tried to quit cigarettes umpteen times and never been
       | successful. Smokes multiple packs a day.
       | 
       | My dad has smoked here and there my whole life but mostly in the
       | summer. He'll go all 6 months of winter (Minnesota) without
       | smoking not wanting to be in the cold and not wanting to smoke in
       | the house.
       | 
       | He never "needs" a smoke, unlike my mother. It's always "oh a
       | smoke would be nice on this beautiful night".
       | 
       | I like to smoke a tobacco pipe and do so about 6-10 times a year.
       | I think I got my dad's side of it
        
       | stevehawk wrote:
       | author shrugged this off pretty easily but nicotine is a
       | vasoconstrictor which is an issue when combined with it being
       | addictive. that's a problem if you ever have certain types
       | surgery due to wound healing and lack of blood flow. There's more
       | than a few people that effed their plastic surgery results
       | because they immediately went back to nicotine. (note: not all
       | plastics are necessarily volunteer, such as after certain
       | cancer/tumor/melanoma removals).
        
         | potatopatch wrote:
         | Alcohol and caffeine are also vasoconstrictors in high usage
         | one would associate with addiction (they seem to have a lot of
         | paradoxical effects depending on dosage/habit).
         | 
         | If the theory that nicotine alone is not as addictive as
         | smoking is correct I'm not sure the concern makes more sense
         | than concern over other common addictions.
        
       | octatrack wrote:
       | I used to be a smoker, for a good decade. Then, switched to
       | vaping for 3-4 years, which allowed me to taper down my nicotine
       | use and quit completely.
       | 
       | This was about 5 years ago.
       | 
       | Recently, I've started using nicotine gum to increase focus while
       | working. I usually use 1 mg, maximum 4 times a day. I typically
       | begin taking it in the afternoon, my morning work sessions are
       | usually nicotine-free. I have been using it on most days for
       | about 3 months.
       | 
       | I have zero desire to smoke or vape. On days when I am not taking
       | it, I don't have a strong craving for the gum.
       | 
       | I've also quit caffeine a few days ago, with the intention to not
       | use it for at least 3 months. I find that even low amounts of tea
       | increases my anxiety to the point that it becomes difficult to
       | focus. I've been very productive since I stopped caffeine. Mild
       | withdrawal effects in the form of physical tiredness, but I am
       | fine with the tradeoff for less anxiety.
       | 
       | I might have developed some level of physical dependency to
       | nicotine, I'll see it once I'll do an extended break. For now,
       | it's the only dopamine-increasing substance I consume, and I'm
       | fine with it.
        
         | huytersd wrote:
         | You have zero desire to smoke or vape now but the usual way is
         | you end up having a strong craving for your preferred mode of
         | delivery (gum in your case) when it's not available and then
         | attempt another one to tide you through till your order gets
         | here. Now you have two modes of delivery.
        
           | octatrack wrote:
           | I am committed to not smoking or vaping, no matter what.
           | 
           | So far, I haven't experienced any strong cravings for the gum
           | when not taking it for a day or two. When I decide to stop in
           | about a couple months, I will power through with discipline.
        
             | huytersd wrote:
             | Easy to say. I have excellent discipline in most areas of
             | my life but nicotine is a hard one. Doesn't help that I
             | don't want to quit either because the actual health risks
             | seem minimal (I vape, flavorless, lab grade)
        
       | pasquinelli wrote:
       | i wonder why the author needs stimulants so much.
        
         | ThrowAway1922A wrote:
         | Why not? Stimulants are the best thing known to man. There's a
         | reason people enjoy them so much.
        
         | GaryNumanVevo wrote:
         | Stimulant abuse is pretty accepted in the US. Unless it's meth,
         | which has a negative class connotation.
        
       | m3047 wrote:
       | Nicotine improves rote memorization and learning on repetitive
       | tasks. Nicotine will teach you to be a really really good smoker
       | unless you overlay some other ritual and modulate your ingestion
       | mechanics.
        
       | zingababba wrote:
       | Snus is one of life's greatest pleasures.
        
         | ThrowAway1922A wrote:
         | It is without a doubt. It's baffling to me that people smoke
         | when things like snus exist. Far, far safer than smoking, much
         | cleaner, and it doesn't impact those around you.
         | 
         | Nicotine is a great drug that the world largely insists of
         | using an awful delivery method for.
        
       | thebigspacefuck wrote:
       | I started smoking in high school and got turned onto dip by
       | someone I ran cross country with that was on the wrestling team
       | (very common for them to use for weight loss). The dip was really
       | intense and I got a huge buzz from it, but after taking some
       | magic mushrooms around my age 16 I tried to quit it all at once
       | and really thought I was going insane. It was an incredibly
       | potent nootropic though and was easy to hide for taking tests. I
       | felt incredible taking the ACT. I switched back to smoking most
       | of the time because most people think dip is disgusting, but
       | eventually I tired of going outside in the cold and having to the
       | fund the addiction, so I quit. It really wasn't all that hard in
       | the grand scheme of things, but took a couple of tries. It's not
       | something you want to undertake without planning or research and
       | you are going to gain some weight and be out of it for a couple
       | weeks. Years later I'd miss it and get back into the occasional
       | cig or e-cigs or nicotine lozenges. Any time I did though they
       | eventually just make me kind of lazy to where I just want to lay
       | around and I realized I was better off going for walks or
       | exercising. I don't think it's so bad to quit but it can mess up
       | your stomach and you might lose a night of sleep so it's not the
       | funnest thing in the world. The last time I did this it was at
       | night, I had an interview the next morning, and my stomach hurt
       | from constipation so I gave up and put in a lozenge for a minute
       | which unstopped me, but then couldn't sleep due to the
       | stimulation, had a horrible interview the next day and then went
       | through with quitting.
       | 
       | If you can find the right dose/form then it really does have a
       | boost to your brain, but my experience with this sort of thing is
       | sort of like putting NOS in your fuel, it doesn't matter if you
       | can accelerate fast most of the time, because most of life is
       | about driving safely and consistently at a steady speed and
       | sometimes you can get ahead by speeding up and going through a
       | yellow light to avoid a red, which the NOS can help with but
       | usually burning NOS all the time is just an unnecessary expense.
       | And you don't want to have something like nicotine withdrawals
       | slowing you down when you're hitting a yellow like my interview
       | which was a disaster. Having quit amphetamines, coffee, and
       | nicotine multiple times, it's not that bad, but it's still a
       | hassle and there's never a good time and you're better off
       | eliminating as many hassles as you can from your life imo.
       | 
       | I definitely think the more addictive than heroin line is likely
       | not accurate for nicotine itself but I've never been addicted to
       | heroin so idk. I actually still think about starting it up again
       | sometimes even though it's been 15 years since I quit, maybe 3
       | since my last lozenge, but overall this experiment for me is
       | concluded and nicotine is something I'm better off living
       | without.
        
       | GaryNumanVevo wrote:
       | Reminds me of the guy in my high school class that got addicted
       | to nicotine patches and had to be hospitalized after he poisoned
       | himself accidentally...
        
       | aappleby wrote:
       | Anecdata of one here-
       | 
       | Non-smoker, originally tried nicotine vapes as an alternative to
       | caffeine which I tend to overuse.
       | 
       | Not very effective for me as I seem to have a paradoxical
       | reaction to it that makes me want to take a nap for 5-10 minutes
       | after inhaling, but I found the sensation was pleasurable when
       | combined with cannabis edibles so I kept the vape around.
       | 
       | Absolutely zero physical addiction. I can and have stopped using
       | the vape cold turkey for weeks or months at a time and I felt no
       | withdrawal at all. At the present moment I haven't used it in
       | months.
        
         | waveBidder wrote:
         | apparently stimulants behaving like depressants is something
         | that may be associated with ADHD, so you may want to visit a
         | psychiatrist.
        
           | hirvi74 wrote:
           | I believe that is more dose dependent than ADHD dependent. I
           | would imagine if you gave someone with ADHD enough
           | stimulants, then that reaction would reverse.
           | 
           | People commonly believe that stimulants affect people with
           | ADHD differently than non-ADHD people, but I have never seen
           | any research to back that up. It's merely just anecdotes, and
           | I honestly think stimulants, like anything, just affect
           | people differently regardless of ADHD or not.
           | 
           | If anyone has data either way, I would love to see it.
        
       | credit_guy wrote:
       | I tried nicotine patches (lifelong non-smoker). I didn't see any
       | benefit. I was hoping I can focus more on some boring stuff I
       | needed to get done against a deadline. I just didn't see
       | anything.
       | 
       | I then disclosed that I used nicotine products when I applied for
       | some life insurance. They wanted to put me in the smoker
       | category, I had to spend time with them to explain I never smoked
       | in my life, and the nicotine patches were not for smoking
       | cessation, but just to improve focus.
        
       | standardUser wrote:
       | The addictive properties of nicotine aren't magic. It requires
       | sustained, repeated consumption, like any physically addicting
       | substances. And research has shown that different people have
       | different propensities for addiction (same with cocaine and
       | alcohol).
       | 
       | But if you do become addicted to nicotine, and are one of the
       | people with a high propensity for nicotine addiction, you're
       | fucked. It's one of the most challenging addictions to quit, as
       | we all know. Is this a risk you want to take for some mild
       | stimulation? As a former smoker, I can only believe that anyone
       | who takes this risk does not fully appreciate the consequences.
       | The exception might be people who have consumed nicotine on and
       | off but have never had addictive tendencies. Those people
       | definitely exist, but it still seems like a risky thing to assume
       | about yourself since being wrong could be life altering.
       | 
       | I also take exception to the articles emphasis that moving on to
       | cigarettes is the only real risk. Yes, that's where the majority
       | of the health problems come from. But don't underestimate the
       | negative consequences of a physical addiction, even one that does
       | not lead to health problems. It is not fun to be addicted to
       | anything that contorts your body and mind outside of your
       | control.
        
         | throwbadubadu wrote:
         | As a former smoker I think you didn't fully read the article
         | und understood author's and other's thesis that it is actually
         | not the nicotine that makes for the strong cigarette addiction.
        
           | standardUser wrote:
           | There is no such thing as a cigarette addiction. Nicotine is
           | the addictive chemical in cigarettes. Yes, method of
           | consumption matters, but if you regularly consume an
           | addictive chemical you are at risk to develop an addiction to
           | that chemical, regardless of method (though not necessarily
           | regardless of quantity).
        
             | nrclark wrote:
             | You might be overlooking a chemical conditioning element. A
             | smoker gets a dopamine hit every time they take a pull from
             | their cigarette. The smell, the sizzle, and the routine -
             | all become associated with a reward pathway.
             | 
             | Nicotine is the chemical that causes this, but the
             | addiction is far more than just nicotine alone.
        
               | darkerside wrote:
               | Exactly. What is the chemical element in a smartphone
               | addiction? Or a pornography addiction?
               | 
               | What a shortsighted and close minded comment (talking
               | about parent).
        
               | standardUser wrote:
               | As I just said in another comment, the fact that people
               | can maintain their nicotine addiction with vapes or
               | patches or gum shows that the primary addictive substance
               | is nicotine and it can be effectively addictive all by
               | itself.
        
               | dieselgate wrote:
               | Do you have personal experience with a nicotine or
               | tobacco addiction? Many of us may agree that nicotine is
               | the _primary_ addictive substance but there are other
               | considerations. It's not one size fit all and everyone is
               | an individual.
        
             | throwbadubadu wrote:
             | Not really right.. but again you also either didn't read
             | the article, didn't get the point, or strongly object it?
             | (And also ignore authentic experiences other people give
             | here)? Beyond nicotine, which is addictive yes, there is
             | more in the cigarette cocktail (especially in nowadays
             | highly optimized industrialized ones) that is also
             | addictive. So there is such a thing as a cigarette
             | addiction.
             | 
             | Or in other words: Why do people only get little addicted
             | and can easily stop chewing nicotin gums, while for only a
             | small percentage of smokers it is possible to quit via the
             | nicotin gum replacement?
             | 
             | Or in even other words: Both coffeine and heroine are
             | addictive, but we can agree that there are differences?
        
               | standardUser wrote:
               | Third time I'm writing the same comment - nicotine
               | addiction can be formed and sustained without tobacco.
               | This is obvious.
        
             | bilsbie wrote:
             | You seem pretty confident about this despite there being
             | thousands of chemicals in cigarettes and presumably the
             | companies being very interested in hooking their users.
        
               | standardUser wrote:
               | Lots of people manage nicotine addiction with the patch
               | or gum or vapes. None of those contain the chemicals in
               | tobacco, but all of them sustain the addiction.
        
           | dageshi wrote:
           | So I have some personal experience with nicotine in different
           | formats. Cigars (not inhaled) and zyn packets you slip under
           | your lip.
           | 
           | My experience is that nicotine is highly addictive based on
           | dosage and delivery.
           | 
           | Cigars were in no way addictive, I suspect because the
           | delivery of the nicotine takes quite a while.
           | 
           | The zyn though, I quickly ramped up from low dosages (1-3mg)
           | to the higest dosages (10mg+). And at my worst I'd go through
           | a 20 pack of those per day.
           | 
           | I tried quitting cold turkey multiple times from the zyn,
           | failed each time. Tried slowly decreasing strength till I
           | reached 3mg and then quit, that worked fine and was actually
           | relatively easy.
           | 
           | I still smoke cigars, they just don't trigger the same
           | reactions that the zyn did.
        
             | dieselgate wrote:
             | Strongly agree with the slow decrease method. One of the
             | nice things about nicotine pouches/gum is they come pre-
             | dosed so it's pretty simple in how to ramp down. Doing it
             | is the tough part.
             | 
             | For more fine grained decreases I've used the 3mg, then
             | 2mg, then split up pieces of nicotine gum (2 or 4 mg) to
             | get down to like 1 and .5 mg doses.
        
         | friend_and_foe wrote:
         | I used to smoke cigarettes for many years. Over a decade. In
         | the last few years of smoking, I tried to quit numerous times,
         | trying to replace it with vaping because nicotine is what I'm
         | addicted to, right? So I shouldn't have that hard a time, it's
         | about breaking the physical habit not the drug addiction since
         | I'm not quitting that. Often I would go a few months. The last
         | failed attempt, withdrawals gave me panic attacks well into 3
         | months in. So I gave up, got some cigarettes, a year later I
         | tried again and succeeded, I'm a few years smoke free.
         | 
         | I'm still addicted to nicotine, I vape. But I wake up, where my
         | vape is is not the first thing I think about. I dont plan my
         | day by how much nicotine I have left. When I get under the
         | weather I can give it up for a few days with no problem. This
         | is _not_ the same addiction I had when smoking cigarettes, this
         | is a milder, more casual thing, I don 't get cravings, I get
         | these small little desires for a puff. Whatever is going on
         | with cigarettes, nicotine is only a small part of that.
         | Quitting cigarettes is one of the hardest things I've ever
         | done, I could not vape for the rest of the day and only feel a
         | mild annoyance. In my experience the article is correct,
         | there's something more going on with cigarettes than just
         | nicotine.
        
           | api wrote:
           | The obvious question is whether there are other addictive
           | compounds in cigarettes. I've heard stories like yours
           | before.
        
             | friend_and_foe wrote:
             | They say there are MAOIs in tobacco that increase nicotine
             | uptake, but I'm not entirely convinced that that's the sole
             | culprit either. I could chew some tobacco right now, or
             | smoke a pipe or cigar, I could even inhale it, and I
             | wouldn't have a problem. If I were to smoke a single
             | cigarette I'd be smoking a pack a day within a week and who
             | knows how many months or years it would take me to rectify
             | that. Whatever it is I suspect it's done deliberately in
             | processing.
        
               | kallistisoft wrote:
               | Tobacco contains Harmaline which is an MAOI - it both
               | increases the bioavailability of nicotine as well as
               | adding an additional psychoactive effect; stimulant +
               | anti-depressant
               | 
               | I've recently started adding free base harmaline to my
               | vape juice to create a proper tobacco substitute... I
               | found that nicotine alone didn't provide the relaxation
               | that I would get from smoking tobacco. After a fair
               | amount of research I discovered that it was that lack of
               | harmala compounds.
               | 
               | https://en.wikipedia.org/wiki/Harmala_alkaloid
        
         | anbende wrote:
         | Research anecdote here. I'm a psychologist in a different area
         | and a friend who did his PhD in cocaine research with rats told
         | me this.
         | 
         | Addiction is highly dependent on the immediacy of the drug's
         | effect on the brain. For this reason, people who smoke cocaine
         | (directly or as crack) are highly likely to get addicted. It
         | may be the majority. People who snort it are less likely to get
         | addicted. And there are a lot of casual cocaine users
         | (snorting) who do not develop a long term life altering
         | addiction. I believe he (researcher friend) said it was 10-15%
         | who go on to become addicted. Still substantial and dangerous
         | but much less than smoking.
         | 
         | His research was looking at delayed onset of cocaine in rats
         | after they pushed their cocaine lever. At longer delays more
         | and more rats showed little interest.
         | 
         | This is part of the overall addiction picture. Decoupling drug
         | use behaviors (smoking, snorting, and lever pressing) from
         | noticeable drug onset prevents reinforcement of the behavior
         | and makes addiction less likely, often much less.
         | 
         | This would explain why nicotine patches and gum would
         | potentially be much less addictive than cigarettes.
        
           | bilsbie wrote:
           | I've never heard this idea. It seems like coffee bucks this
           | trend though? I'll take 20 minutes to drink a cup but still
           | wildly addicted.
        
             | baby wrote:
             | I don't think people are addicted to coffee in the same way
             | they're addicted to cocain
        
               | GordonS wrote:
               | Agreed. I drink coffee because I like the taste and the
               | caffeine gives a little boost. I could be said to be
               | dependant on caffeine, as I get withdrawal symptoms on
               | cessation (headaches) - but I feel no _compulsion_ to
               | drink coffee, as there would be with addiction.
        
               | standardUser wrote:
               | You'd be surprised! Some people have as hard a time
               | quitting coffee as they do nicotine. And lots of people
               | do coke and never become addicted. It varies a lot from
               | person to person, which is a fact that is
               | underappreciated. Luckily, there is a lot of research now
               | to support this.
        
         | southernplaces7 wrote:
         | >As a former smoker, I can only believe that anyone who takes
         | this risk does not fully appreciate the consequences.
         | 
         | That's the key thing there, "smoker". If you become addicted to
         | nicotine via smoking tobacco, then you're possibly fucked, but
         | nicotine by itself is nowhere near as dangerous for health, it
         | even has some benefits for well-being.
         | 
         | I don't know why you take exception to some people or articles
         | emphasizing the above, or that cigarettes are the major risk.
         | It's mostly true and addiction by itself specifically to a
         | cheap, easily available substance like nicotine, which doesn't
         | devastate daily functionality or economic solvency as many
         | other narcotics do, is not terrible by itself.
        
           | dieselgate wrote:
           | I understand what you're saying and have mixed feelings. My
           | opinion is that a nicotine addiction is terrible no matter
           | how it's consumed but smoking tobacco is the most harmful way
           | to consume.
           | 
           | I was able to switch from chewing tobacco to nicotine pouches
           | and gum but still feel the addiction is terrible.
        
       | fwungy wrote:
       | I've used 2mg nicotine gum as a mental clarity aid for years.
       | It's cheap, effective, and harmless AFAIK.
       | 
       | I have stopped using it for months at a time and never has any
       | withdrawal symptoms. Caffeine otoh is addictive for me and will
       | cause withdrawal symptoms if I indulge too often. The caffeine
       | buzz can make me jittery and increase ADHD type behaviors for me.
       | Ymmv.
        
         | namanyayg wrote:
         | How long does the effect last?
         | 
         | I started taking caffeine pills before working out (a ~100mg
         | dose) and it works really well, I wonder if I should try out
         | nicotine gum too
        
           | fwungy wrote:
           | Nicotine gum just gets me on track. No buzz really, I just
           | get more directed, keep my eye on the prize better.
           | 
           | I don't do it everyday and I take breaks. It all comes very
           | organically, I don't have to plan it.
        
           | qingcharles wrote:
           | For me it is just like a more concentrated caffeine dose.
           | 
           | I had no noticeable addiction whatsoever, and I was
           | hyperaware of the risk from the all the press over smoking
           | addiction.
           | 
           | Amazon usually has some really great offers on nicotine gum
           | if you drill through their site long enough.
        
         | GordonS wrote:
         | You say it's harmless, but are there any negative health
         | effects? (I seem to recall reading nicotine can cause thinning
         | of the arteries, or something like that)
        
           | fwungy wrote:
           | I've heard there are but haven't noticed anything personally.
           | 
           | Nicotine has antifungal and antimicrobial attributes. I have
           | even seen studies claiming smokers were less likely to get
           | serious covid infections likely due to some property of
           | nicotine.
           | 
           | Native Americans treated tobacco as a sacred plant and
           | praised it for all sorts of health and spiritual properties.
           | That makes me think the plant and its consumption is probably
           | a net benefit and it may be the way commercial cigarettes and
           | tobacco are processed that cause the problems.
        
       | 01100011 wrote:
       | I've smoked on and off over the years, starting at 12. I never
       | developed an addiction so I guess I'm lucky.
       | 
       | I really enjoy smoking a pipe, but generally don't because of the
       | health risks and the difficulty finding a place to comfortably
       | smoke as a renter of a non-smoking apartment.
       | 
       | Lately though I've been vaping 0-4x/day to help me focus and get
       | mental energy. I also occasionally use half-doses of modafinil
       | and notice the two work well together. The biggest downside of
       | vaping for me is that I feel a little more agitated and depressed
       | the next day or so. I guess this is what might normally feed the
       | addictive cycle for others, but with type-2 bipolar depression
       | it's a feeling I'm familiar with and I just ride it out vs trying
       | to eliminate the feeling with more nicotine.
        
       | sotix wrote:
       | Is there any research into nicotine's role in assisting those
       | with ADHD? It's a stimulant as the article points out, which many
       | ADHD medications are as well of course. I'm curious if nicotine
       | was (perhaps unintentionally) used in the 20th century to help
       | those with ADHD stay focused on tasks and if an increase of
       | diagnosed ADHD cases in the 21st century stems from its declined
       | use or if it's entirely due to other factors such as generally
       | being diagnosed to a greater degree.
        
         | brbrodude wrote:
         | You can find some things online on a thesis that some nicotine
         | addicts could be self-medicating indeed.
        
         | VHRanger wrote:
         | Dr. Russell Barkley has research on the topic if I'm not wrong.
         | 
         | He says it's effective as a treatment for ADHD, but less than
         | traditional stimulants, more prone to addiction and side
         | effects.
         | 
         | Also, despite the rest of the discussion in this thread,
         | nicotine ITSELF is carcinogenic, regardless of the way it's
         | ingested. Not something you want to take long run recurrently.
        
       | whalesalad wrote:
       | Swedish snus is my preferred delivery mechanism.
        
       | hiAndrewQuinn wrote:
       | I occasionally suck on a 2mg nicotine lozenge when doing
       | activities I want to encourage (Anki, low intensity stationary
       | biking). Seems to work well for habit formation for me, and I
       | never really feel the urge to use them outside of those contexts.
        
         | hirvi74 wrote:
         | After reading Gwern's writings on nicotine some years back, I
         | did a bit of research myself. I can't recall where I read this,
         | but I did come across some anecdotal datum about a person using
         | nicotine to help them workout.
         | 
         | However, that person was quite strict about their usage. He or
         | she would only using nicotine when working out but never any
         | other time. The reasoning was that nicotine helps in habit
         | formation while active in one's system. So, hopefully the brain
         | would crave working out because it would associate the reward
         | of nicotine with working out.
         | 
         | I do not know how it turned out, but I thought that was an
         | interesting idea. What if nicotine could be used to aid in
         | forming healthy habits, and once the habits are established,
         | nicotine could be weened out?
         | 
         | Do you think nicotine has any kind of similar effects for you?
        
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