Facts You Should Know About Smokeless (Spit) Tobacco

Facts You Should Know About Smokeless (Spit) Tobacco

Joined: 18 Dec 2008, 23:58

30 Jun 2002, 02:01 #1

Facts You Should Know About
Smokeless (Spit) Tobacco

1. Smokeless (spit) tobacco is tobacco that is placed inside the mouth in one of three forms:

Snuff/Snus - ground-up moist tobacco usually placed between the bottom lip and gum. This is also referred to as "dipping".

Chew - shredded tobacco leaves placed between the cheek and gum. This is also referred to as "a wad".

Plug - shredded tobacco leaves which are pressed into a hard block and placed between the cheek and gum.

Ingredients of Smokeless (Spit) Tobacco

Nicotine: Nicotine is a poisonous and highly addictive drug found in all tobacco products - smokeless (spit) tobacco, cigarettes, cigars and pipe tobacco.

Carcinogens:  28 cancer-producing chemicals have been identified in smokeless (spit) tobacco. Nitrosamines are the main carcinogens. [Source: NCI 

Sweeteners: Because tobacco has an unpleasant taste, brands are heavily sweetened with sugars, which promote tooth decay. Flavourings such as mint, licorice or cherry may be added to improve the taste.

Abrasives: Tobacco leaves contain gritty materials that wear down the surfaces of teeth. These materials also scratch the soft tissues in the mouth, allowing the nicotine and other chemicals to get directly into the blood system quicker.

Salt: Flavouring salts found in smokeless (spit) tobacco contribute to abnormal blood pressure and kidney disease.

Other Chemicals: Hundreds of other chemicals can be found in tobacco which contribute to many health problems.

2.  Although far less deadly, smokeless (spit) tobacco is not a safe alternative to smoking. [Source: NCI]   People who dip or chew increase their risk of:

Mouth cancer - in cheeks, gums, lips and tongue. Smokeless (spit) tobacco users have a 50 per cent higher chance of getting gum and cheek cancer than non-users.

Throat and stomach cancer - cancer of the voice box and cancer of the esophagus.

Heart disease - heart attacks, strokes and high blood pressure.
   Nicotine makes the heart pound an average of 12  to 16 beats per minute faster while constricting all cornary arteries attempting to supply oxygen to the heart.  

Dental diseases - stained teeth, tooth decay, receding gums, gum diseases, bad breath and black hairy tongue.

Stomach problems - ulcers, stomach upset and increased bowel activity.

Loss of taste and smell - which causes loss of appetite, and in turn results in poor nutrition and poor health.

Physical changes - fatigue, muscle weakness, dizziness and decreased physical performance.

Reproductivity - Smokeless tobacco use by men causes reduced sperm count and abnormal sperm cells. Smokeless tobacco use during pregnancy increases the risks for preeclampsia (i.e., a condition that may include high blood pressure, fluid retention, and swelling), premature birth, and low birth weight.  [Source: WHO]

Also, they spread germs by spitting, risking infection of others.

3. Smokeless (spit) tobacco is highly addictive.  Addiction means getting hooked to a powerful drug called nicotine.  Nicotine enslaves the same brain dopamine pathways as heroin or cocaine.

Each tin of snuff contains a lethal dose of nicotine (more than 40mg).

Holding an average-sized dip or chew in your mouth for 30 minutes gives you as much nicotine as smoking four cigarettes.

Smokeless (spit) tobacco is absorbed rapidly into the bloodstream through the lining of the mouth.

4. An estimated 70 per cent of all major league baseball players don't chew or dip. Surveys show that two out of three players who use smokeless (spit) tobacco would like to quit! Over half of the players who chew or dip report gum problems and dental diseases.

Recently, both professional baseball (minor leagues) and junior hockey (Western Hockey League) have banned the use of smokeless (spit) tobacco by players, coaches and officials.

Why do some athletes use smokeless (spit) tobacco?

Many try dipping out of curiosity or encouragement from a friend or teammate. In the past, tobacco companies provided free smokeless tobacco (as free advertising) to players and their teams.

It doesn't take long to become hooked. Many find that once they start it's hard to stop.

5. Tobacco harms all users, some more severely than others. Just because someone doesn't have any noticeable side effects from using smokeless (spit) tobacco, it doesn't mean they won't in the future. Often by the time the signs are noticeable, it's too late.

Mouth cancer is very hard to cure and can spread rapidly throughout the body.

Former Chicago Cubs first-baseman Steve Fox chewed tobacco for six years. He developed white patches in his mouth and a sore on his tongue that wouldn't heal. His doctors told him he had cancer. Half of his tongue had to be removed.

Sean Marsee, an Oklahoma track star, started using snuff when he was 12 years old. He died of mouth cancer at the age of 19.

Facts on this page were originally adapted from info provided by the [/font][/size][/b]Government of Saskatchewan 2000 but have since been updated with more recent study findings. 
Last edited by OBob Gold on 08 Apr 2011, 13:45, edited 2 times in total.

Joined: 18 Dec 2008, 23:58

30 Jun 2002, 02:02 #2

Linda, I took the liberty of giving this it's own post. There are a LOT of nicotine (by chew) addicts out there, (I know quite a few in this neck of the woods) and I think it's important to address some of their specific education needs.

Joined: 18 Dec 2008, 23:58

30 Jun 2002, 02:07 #3


Joined: 19 Dec 2008, 00:00

30 Jun 2002, 04:36 #4

Hi Bob,

I'm going to add another info sheet on smokeless tobacco as long as you've begun this thread. Also, noticed your referrence to a bartender who swallowed the smokeless tobacco. That greatly increases the users' chance of both esopheagyl and stomach cancer and an even deadlier combination is alcohol and smokeless tobacco. They are BOTH tremendous irritants to the soft tissues that line the digestive tract, beginning with the mouth and when used in combination, almost a surefire setup for trouble. Many of these cancers do NOT show up until later in life whether the addicted person is still using at that time or not. So getting off and staying off this way of supplying nicotine is important to do as soon as possible.

It is interesting.....the drug chain I work for, and it is one of the three largest in the US, carries cigarettes, cigars and other smoking accessories, but does NOT carry smokeless tobacco, at least not here in Ohio. I do know that the tobacco space behind the front registers is completely funded by the tobacco companies and they check that space out once a week to make sure that their product is displayed accurately. Perhaps the smokeless company chose not to pay the price but we as addicts will pay the highest price of all if we chose to not heed Joel's warning and take another puff, or dip, or whatever.


What Is Spit Tobacco?[/b][/color][/size][/font]

There are two forms of spit tobacco: chewing tobacco and snuff. Chewing tobacco is usually sold as leaf tobacco (packaged in a pouch) or plug tobacco (in brick form) and both are put between the cheek and gum. Users keep chewing tobacco in their mouths for several hours to get a continuous high from the nicotine in the tobacco.

Snuff is a powdered tobacco (usually sold in cans) that is put between the lower lip and the gum. Just a pinch is all that's needed to release the nicotine, which is then swiftly absorbed into the bloodstream, resulting in a quick high. Sounds ok, right? Not exactly, keep reading.

What's in Spit Tobacco?

Chemicals. Keep in mind that the spit tobacco you or your friends are putting into your mouths contains many chemicals that can have a harmful effect on your health. Here are a few of the ingredients found in spit tobacco:

Polonium 210 (nuclear waste)
N-Nitrosamines (cancer-causing)
Formaldehyde (embalming fluid)
Nicotine (addictive drug)
Cadium (used in car batteries)
Lead (nerve poison)

The chemicals contained in chew or snuff are what make you high. They also make it very hard to quit. Why? Every time you use smokeless tobacco your body adjusts to the amount of tobacco needed to get that high. Then you need a little more tobacco to get the same feeling. You see, your body gets used to the chemicals you give it. Pretty soon you'll need more smokeless tobacco, more often or you'll need stronger spit tobacco to reach the same level. This process is called addiction.

Some people say spit tobacco is ok because there's no smoke, like a cigarette has. Don't believe them. It's not a safe alternative to smoking. You just move health problems from your lungs to your mouth.

Physical and Mental Effects

If you use spit tobacco, here's what you might have to look forward to:

Cancer. Cancer of the mouth (including the lip, tongue, and cheek) and throat. Cancers most frequently occur at the site where tobacco is held in the mouth.

Leukoplakia. Whoa, what's this? When you hold tobacco in one place in your mouth, your mouth becomes irritated by the tobacco juice. This causes a white, leathery like patch to form, and this is called leukoplakia. These patches can be different in size, shape, and appearance. They are also considered pre-cancerous. If you find one in your mouth, see your doctor immediately!

Heart disease. The constant flow of nicotine into your body causes many side effects including: increased heart rate, increased blood pressure, and sometimes irregular heart beats (this leads to a greater risk of heart attacks and strokes). Nicotine in the body also causes constricted blood vessels which can slow down reaction time and cause dizziness, not a good move if you play sports.

Gum and tooth disease. Spit tobacco permanently discolors teeth. Chewing tobacco causes halitosis (BAD BREATH). Its direct and repeated contact with the gums causes them to recede, which can cause your teeth to fall out. Spit tobacco contains a lot of sugar which, when mixed with the plaque on your teeth, forms acid that eats away at tooth enamel, causes cavities, and chronic painful sores.

Social effects. The really bad breath, discolored teeth, gunk stuck in your teeth, and constant spitting can have a very negative effect on your social and love life.

An even more serious effect of spit tobacco is oral cancer, and the surgery for this could lead to removal of parts of your face, tongue, cheek or lip.

Early Warning Signs

Check your mouth often, looking closely at the places where you hold the tobacco. See your doctor right away if you have any of the following:
  • a sore that bleeds easily and doesn't heal
  • a lump or thickening anywhere in your mouth or neck
  • soreness or swelling that doesn't go away
  • a red or white patch that doesn't go away
  • trouble chewing, swallowing, or moving your tongue or jaw
  • even if you don't find a problem today, see your doctor or dentist >every three months to have your mouth checked. Your chances for a cure are higher if oral cancer is found early.

©2002 American Academy of Otolaryngology-Head and Neck Surgery One Prince St., Alexandria, VA 22314-3357, 1-703-836-4444
Last edited by GrumpyOMrsS (Gold) on 08 Apr 2011, 13:00, edited 1 time in total.

Joined: 18 Dec 2008, 23:58

17 Aug 2002, 07:50 #5

Someone mentioned chew today. Thought it was a good time to surface this one. Different delivery device, same addictive drug, equivalent health consequences...

Joined: 18 Dec 2008, 23:59

17 Aug 2002, 09:38 #6

Thank you for this info -- I printed it and plan to give it to my nephew tomorrow. I really had no idea about the dangers of chewing tobacco. What I do know is that he has this nasty habit of leaving spitting cups in my view and it's disgusting. I guess people said the same thing about my ashtrays!!

2W 21H

Joined: 18 Dec 2008, 23:59

19 Aug 2002, 08:40 #7

I printed all the threads from this post and gave them to my nephew yesterday. I am happy to report that he just called me and said he threw out all of his chewing tobacco and armed himself with sunflower seeds. He's going to try to quit!



Joined: 19 Dec 2008, 00:29

26 Jan 2003, 10:28 #8

Bob, I'm really not trying to be funny, I take this very seriously! My neighbor lost half of his face from cancer caused by "chew". He never smoked a day in his life. He WAS a very handsome guy. If lung cancer doesn't scare someone away from nicotine then seeing someone destroyed by smokeless tobacco certainly will. And hopefully lurkers will find this thread and learn from the info you and Linda have posted along with Sean's tragic story. Thanks for reaching out in a direction surprising to some.... but not to those living on my street, home to the "man with half a face". *Candy* 
Last edited by wcsdancer (Gold) on 08 Apr 2011, 13:02, edited 1 time in total.

Joined: 07 Jan 2009, 19:05

04 Jul 2003, 01:11 #9

Glad to see this one surface. My 23 yr old son thought he was the coolest "cowboy" around with his wad of garbage in his mouth. If he wasn't dipping, he was smoking. If you think overflowing ashtrays are disgusting, try finding spit cups and bottles all over the place.

I'm proud to say he has finally given it all up. Why? You'll love this one......he met a girl..... need I say more? It's not enough for parents, family, friends to say, "you stink". But find the girl of your dreams and there's some powerful motivation!! The girl is no longer around but his quit is strong. Here's an interesting tidbit for us nictoine addicts. The boy said giving up his dip was much, much harder than giving up the smokes. He replaced the oral need with gum, which helped keep his mouth cleaner. Now he brushes and flosses like a pro and treats his body as the temple it is. I'm so pleased he came to his senses. Now he tells me how his mouth stayed tender and sore, his teeth felt loose, food didn't taste "normal".

Please, please keep talking to any youngsters who think dipping is safe. My son has told me the many talks we had on smoking, nicotine and other drug addictions did make a difference--even when I wasn't setting a good example.

Thank goodness for Joel and a forum like Freedom.

Joined: 18 Dec 2008, 23:58

24 Jul 2003, 18:33 #10

Last edited by OBob Gold on 09 Apr 2011, 01:20, edited 2 times in total.

Joined: 18 Dec 2008, 23:58

21 Dec 2003, 00:56 #11

From: John (Gold)                                  (Original Message) Sent: 12/18/2003 5:01


Release Date: Dec. 15, 2003
By Becky Ham, Science Writer
Health Behavior News Service

The most popular brands of smokeless tobacco also contain the highest amounts of nicotine that can be readily absorbed by the body, according to a new study.

Moist snuff brands that have the highest market share, like Skoal, Copenhagen and Kodiak, contained high amounts of unprotonated or "free-base" nicotine, researchers at the Centers for Disease Control and Prevention report in the  December issue of Nicotine & Tobacco Research.
The most popular brand of loose-leaf smokeless tobacco, Levi Garrett, also had the highest levels of free-base nicotine, but the relationship between market share and nicotine content in loose-leaf tobacco was not as consistent as with moist snuff.
Smokeless tobacco products with a high percentage of free-base nicotine can be rapidly absorbed in the mouth, and speed is a "major determinant of addiction," says Patricia Richter, Ph.D. Some researchers suggest the amount of free-base nicotine in snuff and loose-leaf tobacco can be controlled by manipulating the product's pH levels.
Tobacco companies are required to report the amount of nicotine in their smokeless tobacco products to the CDC, but by law this information is kept confidential as a corporate trade secret. Separate from these reports, Richter and Francis Spierto, Ph.D., analyzed 18 brands of smokeless tobacco to determine their free-base nicotine content.
"The purpose of the study was to provide consumers, researchers and public health officials with information on these levels in popular smokeless tobacco brands," Richter explains.

Richter and Spierto sent 18 different brands of moist snuff and loose-leaf smokeless tobacco from five different companies for testing to a private and independent lab in Canada. Together the brands represent nearly 91 percent of the market share for moist snuff and 76 percent for loose-leaf chewing tobacco.

"Consumers need to know that smokeless tobacco products, including loose-leaf and moist snuff, are not safe alternatives to smoking," Richter says. "The amount of nicotine absorbed per dose from using smokeless tobacco is greater than the amount of nicotine absorbed from smoking one cigarette."

# # #

Health Behavior News Service: (202) 387-2829 or www.hbns.org.
Interviews: Contact Patricia Richter at [url=mailto:pir1@cdc.gov]pir1@cdc.gov[/url].
Nicotine & Tobacco Research: Contact Gary E. Swan, Ph.D., at (650) 859-5322.
Center for the Advancement of Health
Contact: Ira R. Allen
Director of Public Affairs
Last edited by OBob Gold on 08 Apr 2011, 13:11, edited 2 times in total.

Joined: 18 Dec 2008, 23:57

21 Dec 2003, 01:24 #12

Last edited by John (Gold) on 08 Apr 2011, 13:15, edited 1 time in total.

Joined: 18 Dec 2008, 23:57

26 May 2004, 04:11 #13

Personal tragedy turned into
warning against teen tobacco use
January 23, 2004
by Maggie O'Neill, Staff Writer
Beware: Gruen Von Behrens, an oral cancer patient, speaks to students at Carson Valley Middle School on Wednesday morning about his fight. The cause? Chew.
Students at Carson Valley Middle School listened -- and listened well -- as oral cancer survivor Gruen Von Behrens relayed a message on Wednesday.

"I didn't think it'd happen to me," he said.

Von Behrens, once a popular 17-year-old baseball player at an Illinois high school, stood as a 26-year-old advocate before middle school students, telling how tobacco took his good looks away.

"I know I'm a little hard to understand, so you're going to have to bear with me and listen," he said to the packed auditorium.

"This isn't a mask I can take off and throw in the closet. I'm like this 365 days a year."

"This" began for Von Behrens when he was 17 and noticed a white spot on his tongue that began to grow and cause it to split.

He told his mother the drooling she noticed was from a painful wisdom tooth.

"I didn't want my mom to see what was going on in my mouth," he said.

At the same time, he holed up in the bathroom, asking God why this was happening to him.

"This" began with chewing tobacco when he was 13, a decision he regrets 33 surgeries later.

"I liked the way it tasted," he said at the assembly. "It made me feel good."

Concerned about his wisdom tooth, Von Behrens' mother took him to a dentist. Von Behrens told the dentist he wasn't there due to a tooth. He had cancer. The dentist agreed.

"I've never seen my mom cry like that," Von Behrens said. "It ripped her heart out."

Doctors gave Von Behrens a 25 percent survival chance for his first surgery. The operation took 13 hours as friends and family gathered anxiously in a waiting room.

"At 17, you're not supposed to think about life and death issues," he said.

He did survive, but doctors severed his tongue as part of the operation. The 5-foot-10 baseball player recuperated a month and a half later to discover another face in the mirror.

"I said, 'Man this ****. I'm not that good-looking guy anymore.'"

Next came painful radiation and when he reached 19, a time he said should be "the best years of life," doctors transplanted three inches of bone from his back to his face to give him a jaw. The transplant lasted two days. Then his body rejected it.

In February 2002, doctors cut bone from his left leg to again attempt to shape a jaw for Von Behrens. The surgery was a success, but left Von Behrens with a flattened calf and on crutches.

None of "this" has stopped the courageous man, scheduled to undergo his 34th surgery March 10. None of it has stopped Von Behrens from making a passionate plea that people should not be judged on appearance.

"Be your own person and be yourself," he said at the assembly. "Friends don't care what you look like. Talk to the person sitting next to you. They could (turn out to be) your best friend."

He spoke of the small things and of family and of friends who make life meaningful.

"Be thankful for what you have guys and enjoy life. Be nice to your parents and nice to your friends. Tell them you love them."

He encouraged students to speak out and tell others who are smoking or using chew to stop, to tell them it smells, to say they won't give them a kiss with a stinky mouth.

"Take what I have told you to heart guys," he said. "If you see someone using (tobacco), say 'You're going to look like (Von Behrens).'"

Toward the end of his talk, he said he is thankful every day for one thing. He walked across the gymnasium floor.

"I can still walk," he said.
Maggie O'Neill can be reached at [url=mailto:mo'neill@recordcourier.com]mo'neill@recordcourier.com[/url]
Copyright Record-Courier2004
Last edited by John (Gold) on 08 Apr 2011, 13:18, edited 1 time in total.

Joined: 18 Dec 2008, 23:57

01 Jun 2004, 01:40 #14

Say So Long to Spit Tobacco
MONDAY, May 31 (HealthDayNews) -- Smokers have no doubt been barraged with warnings about the dangers of their bad habit, but those who use smokeless tobacco might also want to heed the health cautions.

"Smokeless tobacco is not without health risks," said Dr. John Spangler, a family medicine specialist at Wake Forest University who studies tobacco use. "Although it doesn't seem to cause cardiovascular disease or cancers to the same rate that cigarette smoking does, it definitely does cause them."

It seems a perfect time to stop, since May 31 has been designated World "No Tobacco" Day, when smokers will put away their cigarettes in a gesture to good health.

The American Cancer Society says people who use chewing tobacco and snuff face 50 times the risk of developing cancers in their cheeks and gums as those who don't chew. Every day, an estimated 24 Americans die of oral cancer -- nearly 8,800 a year -- according to the Oral Cancer Foundation.

The habit is also linked to cancer of the pancreas, kidneys, prostate and possibly the breast, Spangler said.

Chewing tobacco and snuff -- another form of the leaf that's put in the mouth -- should be a particular concern for America's youth. Nearly 10 percent of the nation's high school students (almost 16 percent of boys and 1.5 percent of girls) say they've used smokeless tobacco in the past month, according to the U.S. Centers for Disease Control and Prevention.

One misconception about spit tobacco is that it's chemically more benign than tobacco that's smoked. Untrue, Spangler said. Both products contain the same litany of cancer-causing chemicals, especially tobacco-specific nitrosamines (TSNAs). However, smokeless tobacco users ingest far greater concentrations of these TSNAs than do smokers, 10 times more, on average, according to the Oral Cancer Foundation.

Less serious but by no means pleasant, smokeless tobacco use is associated with cosmetic problems such as chronic bad breath, stained teeth and gum and tissue disease.

One "dip" of spit tobacco is said to contain 10 times the nicotine jolt of a cigarette, and that sends the heart racing, constricts blood vessels, kicks up blood pressure and strains the heart, Spangler said. It also makes spit tobacco more addictive than cigarettes, and therefore potentially more difficult to give up, he added.

Difficult, but not impossible. Herbert Severson is a researcher who studies spit tobacco cessation programs. He and his colleagues at the Oregon Research Institute are launching an online program to help people quit chewing.

Like other chewing tobacco cessation efforts, ChewFree.com resembles smoking cessation plans in several respects, but it's not identical.

"There are subtle differences," Severson explained. "The kind of withdrawal symptoms people experience with chewing tobacco are a little different." While smokers may become depressed when they quit, chewers are more likely to become agitated and angry and to see their ability to concentrate suffer.

Oral substitutes, such as nicotine gum, are quite important for chewers, and use patterns are different, Severson said. That last point is key, he added, because chewing tobacco often takes on a more central part of a person's life. Ironically, users -- almost always men -- may work at smoke-free companies that have indirectly encouraged employees to go smokeless, Severson said.

Chewing tobacco also provides background activity for typically male pursuits -- hunting, fishing and baseball -- when smoking isn't necessarily possible. "You can use it in a lot of situations where you can't smoke," Severson said.

ChewFree.com, which has received funding from the National Cancer Institute, offers tips for successful cessation. It also provides information on a "blending program" that reduces nicotine exposure by mixing tobacco with nicotine-free plants such as mint snuff or herbal alternatives.

Perhaps the most effective component, Severson said, is encouraging men to take a look at the damage chewing tobacco is doing to their mouth. "It's really quite motivational" to see the lesions that form where the tobacco sits against the gums, he said. Seven in 10 regular users develop these sores; 3 percent to 4 percent of those sores become tumors. Having mouth damage "is directly related to the length of time a man has chewed and the weekly amount," Severson said.
© 2004 Forbes.com Inc.™ All Rights Reserved

Joined: 18 Dec 2008, 23:57

08 Oct 2004, 11:41 #15

I photographed this WCU student on Monday afternoon and after doing so he told me that he had heard that his snuff brand had fiberglass in it so that it would cut his mouth tissues and get nicotine into the bloodstream quicker. I still have not been able to verify the accuracy of his contention but was suprised that he'd continue using it believing it to be true, but then I thought about my own thirty years of knowing what smoking was doing to me and understood.
I timed him from when he put a pinch in his mouth until he reported feeling the rush (bolus) arrive inside his brain and it about a minute. I always thought it took longer (about five minutes) but I guess I was wrong. Still only one rule, no nicotine today ... Never Take Another Pinch, Chew, Dip or Plug! John (Gold x5)

Joined: 19 Dec 2008, 01:46

08 Oct 2004, 13:01 #16


I have quit both smoking and snuff, and remember the dip as being more difficult to stop using. As the article you posted stated, nicotine in this form provides quite a jolt.

I have mentioned in previous posts that I had to get gum grafts. Apparently in some parts of the U.S. this is a semi-common occurance. My dentist has done this procedure many times before. IT REALLY HURT!!! He cut some of the skin off the roof of my mouth and sewed it to the gum area below my bottom front teeth. Before I went through this procedure, I noticed that everyone walking out of his office, through the waiting room, looked unhappy. Yeah, the procedure really hurt.

Living in another (more politically correct?) state now, whenever a hygenist asks about my gums, I tell them what happened and they look at me like I'm crazy. Gee. ya think? Well little do they know it was even worse; parts of my bottom gums had turned white, a pre-cancerous sign.

Do I need to say how my wife felt about Copenhagen? No, I think not. It was so bad, I would go to sleep with a pinch in; when I woke up it was gone. My wife's grandfather used to do the same thing. The stories I could tell you would make you sick.

BTW, I think its great you posted photos of people who had to have their chin/jaw removed. Seeing someone like that in person motivated me to stop dipping. Hopefully more people who dip will see images like this. Removal of a dipper's chin is, unfortunately, more common than most people think.

I wish that I never put nicotine into my body. But I can't change that. I can, however, choose to never do it again. One day at a time.


Joined: 18 Dec 2008, 23:58

22 Oct 2004, 03:17 #17

Thanks Linda I have come to this thread often for inspiration when my resolve begins to disolve in the least. This is great motivation!! It has never failed to invigorate my determination to Never Take Another Chew.

Kevin, Remaining NicFree & Luv'n It for 126 days. I quit chewing tobacco on 6/17/04, have not spent $631.05 on copenhagen.

Joined: 18 Dec 2008, 23:57

25 Mar 2005, 23:12 #18

Study Abstract:
Hemodynamic and autonomic effects of
smokeless tobacco in healthy young men.
Journal of the American College of Cardiology, March 2005 15;45(6): pages 910-914.

Wolk R, Shamsuzzaman AS, Svatikova A, Huyber CM, Huck C, Narkiewicz K, Somers VK.

Mayo Clinic, Rochester, Minnesota 55905, USA.

OBJECTIVES: The aim of this study was to investigate the acute hemodynamic and autonomic effects of smokeless tobacco.

BACKGROUND: Smokeless tobacco use is increasing. Its cardiovascular effects are not well understood.

METHODS: Sixteen healthy, male, habitual snuff tobacco users (aged 22 1 year) were studied, using a randomized, double-blind, placebo-controlled, crossover design with two separate experimental sessions: placebo and tobacco. Muscle sympathetic nerve activity (MSNA), electrocardiogram, blood pressure, calf blood flow, nicotine, and catecholamines were measured.

RESULTS: Snuff tobacco increased plasma nicotine from 2.8 0.5 ng/ml to 10.4 1.1 ng/ml. Mean blood pressure increased by 10 1 mm Hg, and heart rate increased by 16.2 beats/min. Peripheral vascular resistance, MSNA, and norepinephrine concentration did not change with tobacco, but epinephrine increased by approximately 50%.

CONCLUSIONS: Oral snuff tobacco increases heart rate, blood pressure, and epinephrine. Despite the increase in blood pressure, there is no decrease in either MSNA or peripheral vascular resistance. Smokeless tobacco is a powerful autonomic and hemodynamic stimulus. Catecholamine release from the adrenal medulla likely contributes to this response.

PMID: 15766828 [PubMed - in process]
Last edited by John (Gold) on 08 Apr 2011, 13:21, edited 1 time in total.

Joined: 18 Dec 2008, 23:58

11 Feb 2006, 15:35 #19

Reading this use to make me fearfull, now it brings me joy, because I don't chew any more!!! Great Post!!

Joined: 16 Jan 2003, 08:00

05 Aug 2006, 06:17 #20

From above:
Ingredients of Smokeless (Spit) Tobacco
Nicotine: Nicotine is a poisonous and highly addictive drug found in all tobacco products - smokeless (spit) tobacco, cigarettes, cigars and pipe tobacco.

Carcinogens: Many cancer-producing chemicals have been identified in smokeless (spit) tobacco. Nitrosamines are the main carcinogens.

Sweeteners: Because tobacco has an unpleasant taste, brands are heavily sweetened with sugars, which promote tooth decay. Flavourings such as mint, licorice or cherry may be added to improve the taste.

Abrasives: Tobacco leaves contain gritty materials that wear down the surfaces of teeth. These materials also scratch the soft tissues in the mouth, allowing the nicotine and other chemicals to get directly into the blood system.

Salt: Flavouring salts found in smokeless (spit) tobacco contribute to abnormal blood pressure and kidney disease.

Other Chemicals: Hundreds of other chemicals can be found in tobacco which contribute to many health problems.

Never take another puff, dip, or chew!

Joined: 19 Dec 2008, 00:03

16 Aug 2006, 19:49 #21

Thank you for the education. Yuk!

Amanda x

Joined: 18 Dec 2008, 23:57

24 Apr 2007, 04:07 #22

There is also a thing out there called "hard snuff" which basically looks like lozenges in a blister pack. They are sold here in TX in convenience stores. I've never purchased any (I don't do nicotine, thank you) so I don't know their physical properties exactly.

To me though, in their ads they look suspiciously similar to the NRT lozenges designed to help you "quit smoking."

It would be interesting to know if hard snuff and NRT losenges are different at all.

Don't be fooled!


Lee (aka Beavis)

Joined: 11 Nov 2008, 19:22

08 Apr 2011, 12:31 #23

Imagine the insanity of a chemical addiction that makes the heart beat 12 beats per minute faster while constricting all blood vessels supplying much needed oxygen to it.  That's like trying to run while holding your breath.  Give it a try sometime.   Want out?   There was always only one rule ... no nicotine today.

Breathe deep, hug hard, live long,

John (Gold x11)       

Acute effects of tobacco chewing on the systemic, pulmonary and coronary circulation

Am J Cardiovasc Drugs. 2011;11(2):109-14. doi: 10.2165/11586750-000000000-00000.

Ramakrishnan S, Thangjam R, Roy A, Singh S, Ramakrishnan L, Seth S, Narang R, Bhargava B.


Background: Tobacco use is highly prevalent in India, with almost half of adult men consuming tobacco in either smoke or smokeless forms (particularly chewing). Although cigarette smoking is known to produce acute hemodynamic effects, there is a lack of data concerning such effects of chewing tobacco.

Objective: The aim of this study was to determine the acute hemodynamic and coronary vasomotor effects of chewing tobacco. Methods: Twelve habitual tobacco chewers (mean ± SD age 51.3 ± 6.9 years) undergoing elective coronary angiography were included in the study. Following coronary angiography, a 7F thermodilution Swan Ganz continuous cardiac output pulmonary artery catheter was used to continuously measure the right heart pressures and cardiac output. Having obtained baseline hemodynamic data, 1g of tobacco was given to be chewed. Subsequently, hemodynamic data were obtained periodically over a period of 60 minutes. A repeat left coronary injection was performed, 10 minutes after giving the tobacco, in the right anterior oblique view to estimate the diameter of the left anterior descending (LAD) artery by quantitative coronary angiography.

Results: Chewing tobacco led to a significant acute increase in heart rate (from 68.3 ± 12.4 beats/min to 80.6 ± 14.6 beats/min, peaking at 10 minutes) and cardiac output (from 3.8 ± 0.45 L/min to 4.7 ± 0.64 L/min, peaking at 15 minutes). There were no significant changes in the right atrial, pulmonary artery, or wedge pressures and hence no change in the pulmonary vascular resistance. More importantly, chewing tobacco was associated with coronary vasoconstriction (proximal LAD diameter change from 3.17 ± 0.43 mm to 2.79 ± 0.37 mm; p-value 0.02; mid LAD diameter change from 2.75 ± 0.36 mm to 2.40 ± 0.22 mm; p-value 0.03).

Conclusion: Chewing smokeless tobacco leads to coronary vasoconstriction and also produces significant hemodynamic alterations. These changes may have a bearing on excess vascular disease.

http://adisonline.com/cardiovascular/pa ... e=abstract

Joined: 11 Nov 2008, 19:22

11 Apr 2011, 01:51 #24

Glen,  it's my impression that the evidence as to which is easier to stop using, cigarettes or oral tobacco,  is mixed.   It had been my belief that since oral users generally had higher overall blood serum nicotine levels, while smokers reached higher peak levels and far far quicker, that it was probably a toss up.  This was reinforced by knowing that nicotine's blood serum half-life is identical for both, roughly two hours, and we'd seen no studies suggesting that re-sensitization or receptor count down-regulation was different for either group.   

Recent focus has been on one major difference between smoke and all forms of oral nicotine delivery.  We know that aside from nicotine stimulating dopamine pathway acetylcholine receptors, that some other still vague chemical in smoke somehow inhibits MAO A and MAO B (known as killjoy enzymes)  whose function it is to clean-up dopamine (either break it down or return it) once released.  This means that dopamine released by nicotine is allowed to linger longer for smokers than oral users.   Does this help explain why oral users generally have higher blood serum nicotine levels than smokers, that oral users are battling higher levels of MAO A and MAO B?  We don't know.

Your mention of none being remaining in the morning brought back memories of some medical records I was reviewing for a disability claim that included a sleep study.  With the entire world watching, this guy awoke in the middle of the night, put a plug in his mouth and went back to bed.  I must say, as a three pack a day smoker,  although I always smoked heavily on both sides of sleep I can't ever recall getting up because I needed more nicotine.  I found it fascinating that this guy did and wondered how common that was.

As for photos, I've been sent some horrible, horrible mouth cancer images from a cancer doctor in India but I've been reluctant to share them.  I recall a couple of participants in smoking seminars saying afterwards that the few lung cancer images I shared were too much for them to handle and they were tame by comparison.  Those images are out there and available but we certainly don't want to be chasing folks off.  We're just trying to strike some balance.

Thanks for the firsthand input, Glen.  As you know, regardless of how nicotine enters the bloodstream there's just one guiding principle that if followed provides a 100% guarantee to all of us ... no nicotine today!

Breathe deep, hug hard, live long,

John (Gold x11)