Chapter 20 Nicotine and Addiction

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Nicotine and Addiction: General

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The 1988 Surgeon General report The Health Consequences of Smoking: Nicotine

Addiction concluded that: 1. Cigarettes and other forms of tobacco are addictive. 2.

Nicotine is the drug in tobacco that causes addiction. 3. The pharmacologic and

behavioral processes that determine nicotine addiction are similar to those that

determine addiction to drugs such as heroin and cocaine.

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Rush Limbaugh said in April 1994 that "It has not been proven that nicotine is

addictive", despite the fact that in 1988, Surgeon General C. Everett Koop issued a

6l8-page report unequivocally saying that it is indeed addictive.

San Francisco Chronicle, July 5, 1994, p. E8

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Brown and Williamson and the British American Tobacco Company "recognized

more than 30 years ago that nicotine is addictive and that tobacco smoke is

'biologically active' (e.g. carcinogenic)."

JAMA, July 19, 1995, p. 219

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Back in 1972, a high-ranking Philip Morris official, Dr. William Dunn, summarized a

conference sponsored by the Council for Tobacco research: "The majority of the

conferees would go even further and accept the proposition that nicotine is the active

constituent of cigarette smoke. Without nicotine, the argument goes, there would be

no smoking. Some strong evidence can be marshalled to support this argument: 1)

No one has ever become a cigarette smoker by smoking cigarettes without nicotine.

2) Most of the physiological responses to inhaled smoke have been shown to be

nicotine-related. 3) Despite many low nicotine brand entries in the market place, none

of them have captured a substantial segment of the market..."

Federal Register, August 11, 1995, p. 41596

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Thursday, July 06, 2000

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