INTRODUCTION Derived from the leaves of the genus Nicotiana, a plant from the night-shade family, indigenous to North and South America. Use of tobacco from around first century BC, when Maya people of Central America used tobacco leaves for smoking, in sacred and religious ceremonies. The major tobacco-growing and consuming countries are China, USA, the Former Soviet States, India, and Brazil.
Mode of Use The smoking form of tobacco, since its introduction in South Asian countries, has been used in several forms, like hukka (water pipe), chilam (clay pipe), cigarettes, rolled tobacco in the form of bidees , etc., The nonsmoking or chewable tobacco is in the form of snuff/ naswar (roasted and finely powdered for inhalation), mawa , qiwam , gutkha, kheni (mixture of dry raw tobacco with lime), zarda , betel quid with tobacco, paan-masala, etc. In Indonesia, tobacco is mixed with clove and dipped in the oral cavity.
Tobacco Related Disorders Tobacco Use Disorder Tobacco Withdrawal Tobacco-Induced Mental Disorders Unspecified Tobacco-Related Disorder
Tobacco Use Disorder Tobacco use disorder can develop with use of all forms of tobacco and with prescription nicotine containing medicine Tolerance to tobacco is exemplified by the disappearance of nausea and dizziness after intake and by a more intense effect of tobacco the first time it is used during the day Serious medical conditions often occur, including lung and other cancers, cardiac and pulmonary disease, perinatal problems, cough, shortness of breath, and accelerated skin aging.
Tobacco Withdrawal Daily use of tobacco for at least several weeks. Abrupt cessation of tobacco use, or reduction in the amount of tobacco used, followed within 24 hours by four (or more) of the following signs or symptoms: 1. Irritability, frustration, or anger. 2. Anxiety. 3. Difficulty concentrating. 4. Increased appetite. 5. Restlessness. 6. Depressed mood. 7. Insomnia.