Nicotine

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    Last Updated: September 28, 2022

    Nicotine is the main stimulatory compound found in cigarettes and is now sold in vaporizers and patches in isolation. It works on the acetylcholine system, and is implicated in cognitive enhancement.

    Nicotine is most often used for .

    Summary

    Nicotine is one of the many, albeit most famous, alkaloid in cigarettes that naturally occurs in tobacco. Nicotine itself exists in many other plants (those of the Solanaceae family such as eggplant or peppers) but at miniscule doses. When nicotine is isolated from tobacco containing products or cigarettes, it has a significantly different profile of effects in the body and for all intents and purposes should be seen as a different intervention.

    Nicotine has a few mechanisms at its roots. The first is that nicotine mimics the neurotransmitter acetylcholine and can directly activate acetylcholine receptors (which can then induce increases of catecholamines such as adrenaline and dopamine; this mechanism underlies both potential addiction and fat burning). Nicotine may also act as an anti-estrogenic compound, inhibiting aromatase and one of the two estrogen receptors directly; this may underlie some of the side-effects associated with chronic usage of nicotine, particularly in women. Finally, nicotine is pro-oxidative in nature but at a level which may be hormetic in nature, that works with the acetylcholine mechanism just mentioned to exert anti-inflammatory effects.

    Nicotine appears to have a role as a fat burner due to its mechanisms, which for the most part increase adrenaline and then work through beta-adrenergic receptors (the molecular target of ephedrine); this increase in adrenaline mediates the increase in metabolic rate which is significant but short-lived with moderate usage. The increase in lipolysis (how available fatty acids are to be burnt) appears to be mediated by other, possibly pro-oxidative, mechanisms and not by adrenaline.

    This increase in catecholamines also underlies many benefits of nicotine on cognition (attention and focus mainly) while the acetylcholine mimicking may promote a nootropic effect inherently.

    In regards to addiction, the risk of nicotine and addiction is a measurement between how much nicotine is taken (with more nicotine being associated with greater risk) and the speed of nicotine reaching the brain (with faster spikes in neural concentration being associated with both greater perceived benefits and greater risk of addiction). Gums and patches have less potential risk for addiction than do cigarettes (with inhalers in the middle) due to speed nicotine reaches the brain.

    Acutely, potential side-effects of nicotine are similar to acute side-effects of other stimulants such as ephedrine, yohimbine, or caffeine due to increasing catecholamines. Over the long term, the side-effect profile of nicotine may rival ephedrine as those two retain a degree of catecholamine secretion over time (the other two losing efficacy in 2 weeks or less).

    What are other names for Nicotine

    Nicotine should not be confused with:
    • Nicotinic acid (a name for niacin or Vitamin B3)
    • Cigarettes (The vessel containing nicotine)

    Dosage information

    Nicotine can be administered via several methods (excluding cigarettes, which are not recommended due to risks greatly exceeding benefits):

    • An inhaler, which lets you rapidly feel the effects of nicotine (and inherently carries more risk than other forms due to the speed at which it works)
    • Topical patches, which have about a 1 hour delay between application and absorption and maintain constant serum levels of nicotine but with less cognitive spike (least risk potential, least nootropic potential)
    • Chewing gums, which are sort of an intermediate between the two

    There is currently insufficient evidence to suggest an 'optimal dose' of nicotine for non-smoking individuals.

    For non-smoking individuals, it would be prudent to follow stimulant usage guidelines and start with a low dose and work up. This includes buying 2mg gums or cutting a 24mg nicotine patch into quarters to start, then work up to what is seen as the minimum effective dose. There is currently no established 'threshold' for when risk becomes too great as it varies between individuals.

    If using nicotine as Nicotine Replacment Therapy (to curb smoking cravings), then following the instructions on the product is sufficient. These instructions may be excessive for a non-smoking individual.

    Examine Database: Nicotine

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    Examine Database References

    1. Libido - Harte CB, Meston CMThe inhibitory effects of nicotine on physiological sexual arousal in nonsmoking women: results from a randomized, double-blind, placebo-controlled, cross-over trialJ Sex Med.(2008 May)
    2. Prolactin - Mendelson JH, Sholar MB, Mutschler NH, Jaszyna-Gasior M, Goletiani NV, Siegel AJ, Mello NKEffects of intravenous cocaine and cigarette smoking on luteinizing hormone, testosterone, and prolactin in menJ Pharmacol Exp Ther.(2003 Oct)
    3. Blood Pressure - Newhouse P, Kellar K, Aisen P, White H, Wesnes K, Coderre E, Pfaff A, Wilkins H, Howard D, Levin EDNicotine treatment of mild cognitive impairment: a 6-month double-blind pilot clinical trialNeurology.(2012 Jan 10)
    4. Anxiety Symptoms - Kobiella A, Ulshöfer DE, Vollmert C, Vollstädt-Klein S, Bühler M, Esslinger C, Smolka MNNicotine increases neural response to unpleasant stimuli and anxiety in non-smokersAddict Biol.(2011 Apr)
    5. Reaction Time - Petrovsky N, Ettinger U, Quednow BB, Walter H, Schnell K, Kessler H, Mössner R, Maier W, Wagner MNicotine differentially modulates antisaccade performance in healthy male non-smoking volunteers stratified for low and high accuracyPsychopharmacology (Berl).(2012 May)
    6. Blood Pressure - Harte CB, Meston CMAcute effects of nicotine on physiological and subjective sexual arousal in nonsmoking men: a randomized, double-blind, placebo-controlled trialJ Sex Med.(2008 Jan)
    7. Insulin - Morgan TM, Crawford L, Stoller A, Toth D, Yeo KT, Baron JAAcute effects of nicotine on serum glucose insulin growth hormone and cortisol in healthy smokersMetabolism.(2004 May)
    8. Glycemic Control - Axelsson T, Jansson PA, Smith U, Eliasson BNicotine infusion acutely impairs insulin sensitivity in type 2 diabetic patients but not in healthy subjectsJ Intern Med.(2001 Jun)
    9. Attention - Elizabeth Ralevski, Edward B Perry Jr, D Cyril D'Souza, Vanessa Bufis, Jacqueline Elander, Diana Limoncelli, Michael Vendetti, Erica Dean, Thomas B Cooper, Sherry McKee, Ismene PetrakisPreliminary findings on the interactive effects of IV ethanol and IV nicotine on human behavior and cognition: a laboratory studyNicotine Tob Res.(2012 May)
    10. Fat Oxidation - Jessen AB, Toubro S, Astrup AEffect of chewing gum containing nicotine and caffeine on energy expenditure and substrate utilization in menAm J Clin Nutr.(2003 Jun)
    11. Impulse Control - McGrath DS, Barrett SP, Stewart SH, Schmid EAThe effects of acute doses of nicotine on video lottery terminal gambling in daily smokersPsychopharmacology (Berl).(2012 Mar)