top of page

How does nicotine work?

  • Nov 21, 2020
  • 3 min read

Updated: Nov 25, 2020

Why is it important to know? As per the Centers for Disease, Control and Prevention (CDC) report, in the list of leading causes for disability, preventable disease and even death, tobacco use is on the top of the list in the United States.


There is a habit of smoking cigarettes in about 40 million U.S. adults. Moreover, approximately 4.7 million high school and middle students have been using at least one tobacco product. It also includes e-cigarettes.


The shocking numbers of approximately 1,600 youth younger than 18 years in the U.S. daily smoke their first cigarette. Premature deaths of about half a million population have also been recorded prematurely of smoking or exposure to second-hand smoke. Except for these deaths, there are 16 million living with a serious illness caused by smoking. There is almost an expense of nearly $170 billion each year in the United States on medical care to treat smoking-related diseases in adults.


What happened to Anna?


It was very difficult for Anna to quit smoking. She was so addicted that she smoked morning, noon and night. Anna smoked for whatever reason there was to light up a cigarette. She even smoked the day of her surgery, right up to the front door of the hospital. Anna remembers her surgeon wheeling her in and he said, "Miss Anna, you have smoked your last cigarette. She didn't know how he knew she had smoked.


Anna got out of the hospital, she went home and the automatic thing to do was to go find a cigarette and try to light it up. When she did, she immediately saw herself in the mirror and realized what she was doing? She doesn't want anyone else to go through what she has been going through because of her addiction to tobacco and cigarettes and that's what keeps her going.


Keeping into consideration the above stats and the story of Anna, it is imperative to know the working of nicotine.


Overview


It is very interesting to know about the state of our brain while smoking. There are two chemicals you can call one as nice and the other one as not so nice. The process starts with the first puff. It races into the lungs then travelling from here, it enters the blood and finally it reaches the brain in no time.


There are many cells involved in the making of the brain namely “neurons”. The nicotine affects pathways in the brain called the reward pathway. The longer you smoke, the more and more receptors are created. And each one is craving its nicotine fix. Over time the body learns that it needs nicotine to feel good but it can never get enough. That's why it's so hard to quit. With no nicotine to bind to nicotine receptors, the reward pathway is not stimulated anymore; this means there is less dopamine. With less dopamine, people get withdrawal symptoms.


The good news is that these changes in the brain start returning to normal the longer you go without a cigarette. Getting past the first stage of withdrawal when you quit can be hard with lots of empty nicotine receptors screaming out for their fix. But luckily over time there are fewer and fewer nicotine receptor as your brain goes back to the way it was before you smoked. If you need help kicking the habit you can visit here:


You can also know addiction rehabilitation secrets from here:


You can also read the following books to learn the skill of getting rid of addiction:-



In the end, let’s see this amazing video to save us from Alcohol use disorder.





Comments


About Dr. Viveck Baluja and KneeTie Vascular Neurology

Dr. Viveck Baluja, MD, is a board-certified vascular neurologist (American Board of Psychiatry and Neurology — Vascular Neurology) practicing telemedicine across California, Michigan, and Colorado, with additional consultation services available to international families, particularly in India.

KneeTie offers three focused services: emergency stroke second opinions delivered within 24 hours, traumatic brain injury (TBI) consultations for survivors and caregivers, and same-day adult ADHD evaluations for residents of CA, MI, and CO.

Stroke Second Opinion

After a stroke, families often have minutes to make decisions. Dr. Baluja provides a second set of expert eyes from a board-certified vascular neurologist — reviewing imaging, hospital records, and current treatment — typically within 24 hours of request. Common questions include: Was tPA appropriate? Should we pursue thrombectomy? What is the recovery outlook? What rehabilitation makes sense?

TBI Consultation

Traumatic brain injury recovery is rarely linear. Dr. Baluja helps patients and families understand recovery timelines, treatment options, post-concussion syndrome, and red flags that warrant emergency evaluation. Consultations typically last 50 minutes and are scheduled within the same week.

Same-Day Adult ADHD Evaluation

A real evaluation by a board-certified neurologist — not a 7-minute screening. Dr. Baluja's ADHD evaluations include comprehensive history, sleep and lifestyle assessment, and behavioral strategy alongside any medication discussion. Available same-day for residents of California, Michigan, and Colorado.

Why a Vascular Neurologist?

Vascular neurology is a subspecialty focused on stroke, cerebrovascular disease, and brain blood flow — among the rarest neurology subspecialties in the U.S. Most online telehealth services use general practitioners or nurse practitioners. KneeTie is led by a board-certified vascular neurologist with full state licensure and HIPAA-compliant telehealth infrastructure.

Schedule a consultation: Use the booking calendar above to choose a service and reserve a time. For active stroke or post-tPA emergencies, email gorungo@kneetie.com directly with "URGENT" in the subject line.

© 2020 KneeTie, Jagannatha Health LLC 

bottom of page