Why Is It So Hard to Quit Smoking?

We've all seen the commercials "The Sunny Side ofepinephrine. The rush of adrenaline stimulates the body
Truth". We all know the truth about smoking. It kills. Didand causes a sudden release of glucose, as well as
you know that nearly 1 in 5 deaths are related toan increase in blood pressure, respiration, and heart
smoke? But, studies show that still, at least 21% ofrate. Nicotine also suppresses insulin output from the
Americans still smoke. Why is that?pancreas, which means that smokers have elevated
One word. Nicotine. Out of the 4,000 chemicals inblood sugar levels. The calming effect of nicotine for
tobacco, it's the main drug that acts on the brain.most smokers is usually associated with a decline in
When inhaling tobacco smoke, the average smokerthe withdrawal from nicotine, rather than direct effects
takes in 1 to 2 mg of nicotine per cigarette. Whenof nicotine.
tobacco is smoked, nicotine rapidly reaches peakYou see, nicotine activates the part of the brain that
levels in the bloodstream and enters the brain. A typicalregulates feelings of pleasure. Cigarette smoking
smoker will take 10 puffs on a cigarette over a periodproduces a rapid distribution of nicotine to the brain,
of 5 minutes that the cigarette is lit. Thus, a personwith drug levels peaking within 10 seconds of inhalation.
who smokes about 1-1/2 packs (30 cigarettes) dailyBut, the intense effects of nicotine subsides in a few
gets 300 "hits" of nicotine to the brain each day.minutes, as do the associated feelings of pleasure,
People that typically do not inhale the smoke-such aswhich causes the smoker to continue smoking more
cigar and pipe smokers and smokeless tobaccoand more to maintain the drug's pleasurable effects
users--nicotine is absorbed through the mucosaland prevent withdrawal.
membranes and reaches peak blood levels and theNicotine withdrawal symptoms include irritability, craving,
brain slowly.cognitive and attentional deficits, sleep disturbances,
Immediately after exposure to nicotine, there is a rushand increased appetite. These symptoms may begin
of adrenaline, caused in part by the drug's stimulationwithin a few hours after the last cigarette, quickly
of the adrenal glands and resulting discharge ofdriving people back to tobacco use.