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Nicotine Addiction

Nicotine Addiction (Smoking, Tobacco chewing, Guktka)

More than 80 per cent of people who are dependent on alcohol or other drugs also smoke cigarettes. This rate is three times as high as in the general population. Some people with substance use problems say that quitting cigarettes can be even harder than giving up alcohol or other drugs.

Smoking is responsible for more deaths than alcohol, illegal drugs, HIV, hepatitis C, suicide, murder and motor vehicle accidents combined. Quitting or reducing smoking is worth the effort on its own; quitting has also been shown to help people with substance use problems to abstain from alcohol and other drugs .

Some people are able to change their tobacco use on their own, but many need help to succeed. Even people who aren’t ready to quit can get help cutting down and preparing to quit.



Fagerstrom test for nicotine dependence

How soon after you wake up do you smoke your first cigarette ?

Within 5 minutes (3 points)
5 to 30 minutes (2 points)
31 to 60 minutes (1 point)
After 60 minutes (0 points)

Do you find it difficult not to smoke in places where you should not, such as in church or school, in a movie, at the library, on a bus, in court or in hospital ?

Yes -1
No – 0

Which cigarette would you most hate to give up

1. The first one in the morning -1
2. Any other one- 0

How many cigarettes do you smoke each day ?

1. 10 or fewer (0 points)
2. 11 to 20 (1 point)
3. 21 to 30 (2 points)
4. 31 or more (3 points)

Do you smoke more during the first few hours after waking up than during the rest of the day ?

1. Yes (1 point)
2. No (0 points)

Do you still smoke if you are so sick that you are in bed most of the day, or if you have a cold or the flu and have trouble breathing?

1. Yes 1 point
2. No 0 point


7 to 10 points = highly dependent
4 to 6 points = moderately dependent
< 4 points = minimally dependent.


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