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Reducing nicotine in cigarettes

Dr_Hays
Mayo Clinic
2 20 620

In June 2009 the Food and Drug Administration (FDA) was authorized to regulate cigarettes, roll-your-own tobacco, and smokeless tobacco products.  In June 2016 this authority was extended to all tobacco products.  The rule empowered the FDA to regulate marketing, strengthen warning labels, and take measures to reduce youth smoking.  The FDA was limited in its ability to recommend changes to cigarette design or elimination of harmful compounds in cigarette smoke.

 

The new FDA commissioner recently announced a new strategy. The agency is delaying a plan to regulate E-cigarettes and vape devices, and embarking upon a plan to reduce the nicotine content in cigarettes.  The idea is that, without nicotine, cigarettes will not be addicting.  While nicotine is not one of the many toxic compounds in cigarettes that causes the myriad of health problems, and hundreds of thousands of deaths each year; however, it is the chemical that causes the addiction to cigarettes.

 

Reducing nicotine in cigarettes, so that young people do not become addicted and smokers will not maintain their addiction, has been a strategy recommended by some public health researchers and advocates since 1988.  The real life effect has never been demonstrated in actual practice.   Tobacco stocks did drop after the announcement, which may be an indicator of the impact of nicotine reduction.

 

We would be interested in hearing your thoughts about this new FDA plan.

20 Comments
Thomas3.20.2010

What kind of sense does this make? If Sickerettes are so destructive - and we all agree on that - why not just make them illegal to sale? To me it seems like a cowardly half-step because politicians don't want to face the music with Big Tobacco. Did you see this article 2 days ago?

Cigarette-makers to run corrective ads on smoking dangers starting in November | Local Business | jo... 

It's time to make Sickerettes illegal - period!

Smoking costs the United States billions of dollars each year.

  • Total economic cost of smoking is more than $300 billion a year, including
    • Nearly $170 billion in direct medical care for adults
    • More than $156 billion in lost productivity due to premature death and exposure to secondhand smoke

CDC - Fact Sheet - Fast Facts - Smoking & Tobacco Use 

YoungAtHeart
Member

If I were still a smoker, I think I would just smoke MORE to get my required amount of nicotine.  Perhaps, over time, it might lessen young people's becoming addicted......but isn't there a way to test this theory before putting it into practice?  Excuse me - but the people recommending this might be the same ones who told me, when I quit, to keep a pack of cigarettes in my freezer.  The idea behind that was that during a crave, I could take one out to thaw, and by the time it did, the crave would be gone.  HELLO?  Tobacco doesn't FREEZE!!!!  Great in theory, not so true in practice!!!!

If they are not going to do anything about e-cigarettes, then kids might just gravitate to them to get the dopamine high they USED to get from cigarettes....and we create a bunch of e-cig addicts.

Not seeing this combination as helping anything.

Nancy

bacardigirl
Member

Personally, I think I was more addicted to the act of smoking than the nicotine...

To this day, it is not the nicotine that I think of when I have a craving, it's the act itself.

Barbara145
Member

Good morning Dr. Hayes.  I like the plan.  Anything to get the ball rolling.

ahkhippiechic
Member

Well THAT is interesting.  I know I was addicted to nicotine.  Still AM if I use. Maybe we could just outlaw cigarettes all together?  They provide no benefits right?  Let people smoke marijuana if they want to smoke...

JonesCarpeDiem

They'll smoke more to even the score. 🙂

JonesCarpeDiem

blackmarket ejuice will contain even more.

maryfreecig
Member

Step in the right direction. Not because of the lowered nicotine, but because it indicates a continued movement away from tobacco(all or nothing is rare). I believe that tobacco should be banned, but that the right to grow tobacco (not sell) and to use it by an individual, is the only right that ought to exist regarding tobacco.

Widespread nicotine addiction through the use of tobacco did not  exist prior to mass manufacturing of the filtered sweetened cig in the early 1920s. Likewise lung cancer was rare. Yet society acts as if cigarettes are as old as Adam and Eve and are some kind of divine right: We hold these truths to be self evident that we retain the right to smoke a cigarette every twenty minutes to an hour because we just love to smoke um. 

I'm hopeful that 100 years does not 1000 years or an eternity make. 

Thomas3.20.2010
Thomas3.20.2010
JonesCarpeDiem

Thomas, I read the link.

The most striking thing I found in it was this.

One study showed that, "while nicotine levels in the bloodstreams of the VLNC group were indeed lower, the number of cigarettes smoked remained the same."

That would indicate to me that many timed our smoking on a daily cycle/routine.

It makes sense. Pack a day smokers smoke a pack a day.

They do it every day. Why else would they do it if it wasn't to sustain a certain nicotine level? BECAUSE SOME SMOKED BASED MORE UPON ROUTINE, NOT NICOTINE LEVELS.

Another showed that users compensate for lower nicotine levels either by using different puffing styles or by using other nicotine products, mainly e-cigarettes.

JonesCarpeDiem

So that tells me they would be ingesting the same amount of tar and carcinogens into their lungs while getting less nicotine.

So reducing nicotine won't halt health amage except perhaps less hardening of the arteries and possible greater blood flow.

Thomas3.20.2010

So is that the consequence? Diversion to E-cigarettes? Still Big Tobacco - still Nicotine Addiction and harm reduction is debatable...

JonesCarpeDiem

that's what it looks like from Carps Cranium. What's your opinion Dr. Hays?.

JonesCarpeDiem

that line about the ecigs was after what I quoted in the big letters. but it would appear some people smoke as a routine and others smoke more for the nicotine

elvan
Member

I can only speak for myself, I tried "lower tar and nicotine" cigarettes and smoked twice as much.  I had to keep my nicotine level up. THEN, as my COPD got worse and worse, I smoked less and less, did I need the nicotine less???  I don't think so, I needed the BREATHING more.  I could not smoke more than four or five puffs off a cigarette in the final months of my addiction.  I still needed or THOUGHT I needed, the nicotine, I still ran for my cigarettes when I was uncomfortable, emotionally.  I was convinced that I needed the nicotine.  I think I would have smoked more if there was less nicotine...back when I was a "dedicated" smoker, that was a while ago...I am concerned that e-cigarettes are being touted as the answer to quitting.  Quitting is quitting, not substituting.

MaxLongley
Member

This just will lead people to buy more cigerettes and cigars to achieve thier nicotine cravings. Seems like just a ploy so big tobacco will make even more money off the deaths of so many. Why limit the addicting factor and not the chemicals that cause all the problems? I think we are missing the mark on solving the problem here!

ahkhippiechic
Member

I am loving reading all these comments.  I am POSITIVE I would have just smoked more.  For me it was and continues to be about the addiction and every quit I have ever had (and the way my brain responded) told me so.  I like the idea that someone had to make them illegal to sell and let folks grown their own baccy.  Too bad there is too much $$ wrapped up in big tobacco to make that a reality....

elvan
Member

Interesting but I think I need to re-read it when I am not close to being unconscious.  Thanks for taking the time to post it.

About the Author
An expert in tobacco use and dependence, Dr. Hays has authored and co-authored over 70 peer-reviewed scholarly articles and book chapters on various aspects tobacco dependence and its treatment. Since joining the Nicotine Dependence Center in 1992, he and its staff have treated more than 50,000 patients for tobacco dependence.