Journal of Neurology and Neurorehabilitation Research

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Nicotine is an addictive substance present in cigarette smoke that causes a great number of health effects and is a leading cause of preventable death

Joint Event on 3rd International Conference on Spine and Spine Disorders & International Conference on Addiction Research and Therapy
November 26-27, 2018 | Dubai, UAE

Wasana K Sumanasekera

Sullivan University College of Pharmacy, USA

Scientific Tracks Abstracts : J Neurol Neurorehabil Res

Abstract:

Objective: This article provides information regarding the addictive nature of nicotine, adverse health effects, current detection methods, alternative approaches, and smoking cessation.

Results and Discussion: An average cigarette allows a person to absorb approximately 1 mg of nicotine, which produces euphoria and establishes addiction. Nicotine binds to nicotinic receptors and activates cell signaling cascade leading to dopamine and other neurotransmitter release resulting in euphoria and pleasure. After exposure to nicotine for some time the receptors become unresponsive/desensitized. Later the receptors become responsive again due to abstinence, which is believed to play a role in dependence. A process called neuro adaptation also generates more nicotinic receptors in response to desensitization. Cigarette smoking produces harmful effects including cancer, cardiovascular disease, COPD, and congenital defects. Detection methods for nicotine include HPLC, HPLC MS/MS, semi-quantitative dipstick, Liquid Chromatography Tandem Mass Spectrometry (LCTMS), and Gas Chromatography Mass Spectrometry (GCMS). Alternative products/approaches to smoking includes cigars, pipe smoking, hookah, and e-cigarettes. Currently there is conflicting evidence comparing cigars, pipe smoking, and cigarettes on their effect on mortality. Many studies demonstrate modest efficacy for e-cigarettes as a smoking cessation tool; however, current guidelines recommend use of other forms of nicotine replacement, bupropion SR, or Varenicline.

Implications: This article provides an overview of nicotine addiction through cigarette smoke, their health effects and detection methods. This article discusses the effects of alternative tobacco products and e-cigarettes compared to cigarettes. It also provides current treatment options for smoking cessation.

Biography:

Wasana K Sumanasekera received her PhD. in Molecular Toxicology from Pennsylvania State University, USA in 2003. Currently she works as an Associate Professor of Pharmaceutical Sciences in College of Pharmacy, Sullivan University. Prior to joining Sullivan University, she has completed American Heart Association postdoctoral fellowship (2003-2006) in Biochemistry and Molecular Biology, worked as an adjunct professor in Biology and research associate in Cardiology (2006-2008) at the University of Louisville. She has completed numerous research projects in the areas of cardiology, cell and molecular biology, Biochemistry, substance abuse, and addiction. She has published her research in several peer-reviewed journals. She is a co-author of a U.S. patent, which was awarded in 2012. She is involved in the KY chapter of American Physiological Society (KY-APS) and currently serving as the president of KY chapter of American Physiological Society in USA. 

E-mail: wsumanasekera@sullivan.edu

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