Tobacco

Re: Chantix - What we know on this around here.?

Novartis seeks approval for new smoker's cough drug
http://www.reuters.com/article/2011/09/27/novartis-idUSL5E7KQ3EW20110927

Not this is a thing of beauty. :mad:
First you sell crap that causes disease then you sell the cure that masks the symptoms. [}:)]
 
Re: Chantix - What we know on this around here.?

Hmm, lets see. Big Tobacco sells the $produc$. The medical industry gets more $work$. AND Pharma industries profit from drug sales to treat it... I am failing to see where BC/BS is getting their cut!??! Must be a kick somewhere.... Smoking today = Poor Mans PARADISE-IN-A-PACK....... Appease the masses? Well there's the governments end of it.. Really, I am betting there are studies that nicotine free countries are insane or something.....:D

In the defense of NICOTINE as a drug. I am really not convinced that I would not be a certifiatble schiz if it were not for it. Fortunately the gum is available now. Its not as much fun (dangerous), but it does seem to give the same.
 
Re: Chantix - What we know on this around here.?

Acute Phenylalanine Tyrosine Depletion Reduces Motivation to Smoke Cigarettes

The neurobiology of tobacco use at varying stages of addiction is not well understood. Studies in laboratory animals, however, implicate a role for nicotine-induced dopamine (DA) release. Following acute administration, nicotine binds to nicotinic cholinoceptors on DA cell bodies in the ventral tegmental area of the midbrain and elicits DA release in the ventral striatum. Repeated nicotine exposure can lead to progressive increases in its rewarding and behaviorally activating effects. For example, initial intermittent exposures to nicotine (three to six times) result in progressively greater effects on locomotor activity, enhance the acquisition of self-administration, increase conditioned place preferences, and precipitate greater DA overflow in the nucleus accumbens. Preventing this DA response disrupts nicotine self-administration and nicotine-related conditioned place preferences. The contribution of DA following more extensive nicotine exposure, though, remains largely unexplored.

Attempts to translate these findings to humans have been equivocal. Functional neuroimaging studies have demonstrated DA release in response to cigarette smoking, but attempts to alter smoking behavior by decreasing DA transmission have provided contradictory results. In these studies, smoking patterns were seen to increase, and remain unchanged. This variability might reflect differences in nicotine self-administration paradigms, the use of nonspecific DA receptor antagonists, or a change in the role of DA, as smokers transition from occasional to dependent cigarette use.

In the present study, researchers investigated the effect of decreasing DA transmission on the motivation to smoke and self-reports of cigarette pleasure and craving at three different stages of tobacco addiction:

(1) low-frequency early smokers (LFES), who have smoked less than 1 year and smoke no more than five cigarettes per day and not every day,

(2) low-frequency stable smokers (LFSS), who have smoked for at least 3 years, smoking no more than five cigarettes a day, not necessarily every day, and

(3) high frequency stable smokers (HFSS) who have smoked for more than 5 years and smoke 10 or more cigarettes per day, every day.

Motivation to obtain cigarettes was measured using a progressive ratio (PR) breakpoint paradigm adapted for humans. DA transmission was decreased using the acute phenylalanine/tyrosine depletion method (APTD).

The present study provides the first investigation of the role of DA in low-frequency smokers. As seen previously in non-dependent users of other substances, reducing DA transmission decreased self-administration behavior. More importantly, the same reduction was seen in high-frequency, nicotine-dependent smokers. Together, these findings suggest that DA affects motivation to obtain drug reward across degrees of addiction, at least in the case of tobacco.


Venugopalan VV, Casey KF, O'Hara C, et al. Acute Phenylalanine/Tyrosine Depletion Reduces Motivation to Smoke Cigarettes Across Stages of Addiction. Neuropsychopharmacology 2011;36(12):2469-76. Neuropsychopharmacology - Abstract of article: Acute Phenylalanine/Tyrosine Depletion Reduces Motivation to Smoke Cigarettes Across Stages of Addiction

The neurobiology of tobacco use is poorly understood, possibly in part because the relevant mechanisms might differ depending on past nicotine exposure and degree of addiction. In the present study we investigated whether these factors might affect the role of dopamine (DA). Using the acute phenylalanine/tyrosine depletion method (APTD), DA synthesis was transiently decreased in three groups of abstinent smokers (n=47): (1) early low-frequency smokers, who had smoked a maximum of five cigarettes per day for less than one year, (2) stable low-frequency smokers smoking at the same level as early low-frequency smokers for at least 3 years, and (3) stable high-frequency smokers, who smoked a minimum of 10 or more cigarettes per day for at least 5 years. Motivation to obtain tobacco was measured using a progressive ratio breakpoint schedule for nicotine-containing and de-nicotinized cigarettes. Compared with a nutritionally balanced control mixture, APTD decreased the self-administration of nicotine-containing cigarettes, and this occurred in all three groups of smokers. The results suggest that DA influenced the willingness to sustain effort for nicotine reward, and this was seen in participants at all three levels of cigarette addiction. In the transition from sporadic to addicted use, the role of DA in the motivation to seek drug may change less than previously proposed.
 
Re: Chantix - What we know on this around here.?

You know I just noted that PDF of the article on metally Ill vs. Nicotine (3 pages back[:o)]). So a nice load of horse shit IMO. And proof again of Big pharma's attempts to stamp out naturally grown drugs that can help treat conditions like mental illness They said in their that its BS that nicotine is good self medication for mentally ill. Right. You bet your ass it is... But no, buy our Seroquel and die of diabetes in 25 years instead.. LOL. Or buy or bupropion and have nervous ticks and parkinsons when your 60 instead. They are just pissed cause they cant create a drug half as addictive.... And I am sure some of the assholes writing these articles are just that. And crazy as shit from lack of nicotine.... LOL

I really wonder what would happen if they took it away tomorrow. How many would go batshit in a year or two. But really I am thinking a chicken or egg argument might exist here, in that what is the REAL likelihood that the particular mental illness is caused by the lack of a GENETIC DEMAND for nicotine inherent due to a couple generations learned genetic development, or even a biological change taking place in infants exposed to smoke in early formative years. This will really be the first generation that was not ALL hot boxed in the back seat of a car by their parents.

The real dilenma again I think is whether or not Big pharma wants to acknowledge publicly the value of nicotine by making it presciption again. SO you are telling me some kid is going to pick up an electronic cigarette to be COOL. Right...
 
Re: Chantix - What we know on this around here.?

I cant understand why they sit and pretend to scratch their heads. Did anyone ever stop to think that by altering the neurolocigal reception, or sensor for a molecule man also be triggering a secondary response at the end target receptors telling the body their is damage and those receptors no longer need to function normally?!?

All bupropion ever did for me was make it harded to uptake Dop. I could get a cerain level from tobacco, but not as much reward just leaving me pissed off and taking even more to no avail. Its like trampling on the whole reward system in life accross the board to swat a fly too!!! So the closest they have come yet is Chantix, but unfortunately its like throwing a hand grenade in there. The only answer has arrived, and thats sythetic nicotine - patch or gum, choose your objective. They are not lessening your addtiction and most likely increasing it in the big scheme. But better than cancer.

For all the "happy hand holders" out there (as a friend would say). We can keep on chuggin and we have a solution one day. No one wants a fucking solution is the problem. The want to get high on nicotine. So really they are just asking for a cleaner more efficient way to get that feeling. Imaging WHAT ABUSE THAT WOULD TURN INTO... Its a joke....


Acute Phenylalanine Tyrosine Depletion Reduces Motivation to Smoke Cigarettes

The neurobiology of tobacco use at varying stages of addiction is not well understood. Studies in laboratory animals, however, implicate a role for nicotine-induced dopamine (DA) release. Following acute administration, nicotine binds to nicotinic cholinoceptors on DA cell bodies in the ventral tegmental area of the midbrain and elicits DA release in the ventral striatum. Repeated nicotine exposure can lead to progressive increases in its rewarding and behaviorally activating effects. For example, initial intermittent exposures to nicotine (three to six times) result in progressively greater effects on locomotor activity, enhance the acquisition of self-administration, increase conditioned place preferences, and precipitate greater DA overflow in the nucleus accumbens. Preventing this DA response disrupts nicotine self-administration and nicotine-related conditioned place preferences. The contribution of DA following more extensive nicotine exposure, though, remains largely unexplored.

Attempts to translate these findings to humans have been equivocal. Functional neuroimaging studies have demonstrated DA release in response to cigarette smoking, but attempts to alter smoking behavior by decreasing DA transmission have provided contradictory results. In these studies, smoking patterns were seen to increase, and remain unchanged. This variability might reflect differences in nicotine self-administration paradigms, the use of nonspecific DA receptor antagonists, or a change in the role of DA, as smokers transition from occasional to dependent cigarette use.

In the present study, researchers investigated the effect of decreasing DA transmission on the motivation to smoke and self-reports of cigarette pleasure and craving at three different stages of tobacco addiction:

(1) low-frequency early smokers (LFES), who have smoked less than 1 year and smoke no more than five cigarettes per day and not every day,

(2) low-frequency stable smokers (LFSS), who have smoked for at least 3 years, smoking no more than five cigarettes a day, not necessarily every day, and

(3) high frequency stable smokers (HFSS) who have smoked for more than 5 years and smoke 10 or more cigarettes per day, every day.

Motivation to obtain cigarettes was measured using a progressive ratio (PR) breakpoint paradigm adapted for humans. DA transmission was decreased using the acute phenylalanine/tyrosine depletion method (APTD).

The present study provides the first investigation of the role of DA in low-frequency smokers. As seen previously in non-dependent users of other substances, reducing DA transmission decreased self-administration behavior. More importantly, the same reduction was seen in high-frequency, nicotine-dependent smokers. Together, these findings suggest that DA affects motivation to obtain drug reward across degrees of addiction, at least in the case of tobacco.


Venugopalan VV, Casey KF, O'Hara C, et al. Acute Phenylalanine/Tyrosine Depletion Reduces Motivation to Smoke Cigarettes Across Stages of Addiction. Neuropsychopharmacology 2011;36(12):2469-76. Neuropsychopharmacology - Abstract of article: Acute Phenylalanine/Tyrosine Depletion Reduces Motivation to Smoke Cigarettes Across Stages of Addiction

The neurobiology of tobacco use is poorly understood, possibly in part because the relevant mechanisms might differ depending on past nicotine exposure and degree of addiction. In the present study we investigated whether these factors might affect the role of dopamine (DA). Using the acute phenylalanine/tyrosine depletion method (APTD), DA synthesis was transiently decreased in three groups of abstinent smokers (n=47): (1) early low-frequency smokers, who had smoked a maximum of five cigarettes per day for less than one year, (2) stable low-frequency smokers smoking at the same level as early low-frequency smokers for at least 3 years, and (3) stable high-frequency smokers, who smoked a minimum of 10 or more cigarettes per day for at least 5 years. Motivation to obtain tobacco was measured using a progressive ratio breakpoint schedule for nicotine-containing and de-nicotinized cigarettes. Compared with a nutritionally balanced control mixture, APTD decreased the self-administration of nicotine-containing cigarettes, and this occurred in all three groups of smokers. The results suggest that DA influenced the willingness to sustain effort for nicotine reward, and this was seen in participants at all three levels of cigarette addiction. In the transition from sporadic to addicted use, the role of DA in the motivation to seek drug may change less than previously proposed.
 
Re: Chantix - What we know on this around here.?

Now I just noted this post. I seem to be a day behind.. LOL

I just wanted to point out the "three step progession" they note is accurate. But it really makes you wonder. And especially with contractictory indications in study. As far as whether or not folks are learning to use nicotine as a solid coping tool, or if it is actually an incidious grab by the devil....!?!?!?

That sure is a long time to "Hook" someone for such a touted addictive chemical. I fear those that experience heroin are not so fortunate in the timespan to maturity.

The truth be told. NO ONE picks up a cigarette and says "Damn that was good, let me get another"!!!! I think of a forum member here who had a recent experience with patches. The result was what I thought. Nothing and moved on. He has no established value - OR tolerance!?!?

But I try to think back when I started and think what was the hook?? It was the carbon monoxide buzz. PERIOD. I liked gettting whacked out of my head by the dizzyness brought on by the CO. So when was the first hook, or calling? I really dont think it ever would have if not for older more experienced smokers. Going to take the break?!! If was learned..... Addictive past a couple weeks? I wonder. Theraputic with toleration considered. I wonder there too....:)


Acute Phenylalanine Tyrosine Depletion Reduces Motivation to Smoke Cigarettes

The neurobiology of tobacco use at varying stages of addiction is not well understood. Studies in laboratory animals, however, implicate a role for nicotine-induced dopamine (DA) release. Following acute administration, nicotine binds to nicotinic cholinoceptors on DA cell bodies in the ventral tegmental area of the midbrain and elicits DA release in the ventral striatum. Repeated nicotine exposure can lead to progressive increases in its rewarding and behaviorally activating effects. For example, initial intermittent exposures to nicotine (three to six times) result in progressively greater effects on locomotor activity, enhance the acquisition of self-administration, increase conditioned place preferences, and precipitate greater DA overflow in the nucleus accumbens. Preventing this DA response disrupts nicotine self-administration and nicotine-related conditioned place preferences. The contribution of DA following more extensive nicotine exposure, though, remains largely unexplored.

Attempts to translate these findings to humans have been equivocal. Functional neuroimaging studies have demonstrated DA release in response to cigarette smoking, but attempts to alter smoking behavior by decreasing DA transmission have provided contradictory results. In these studies, smoking patterns were seen to increase, and remain unchanged. This variability might reflect differences in nicotine self-administration paradigms, the use of nonspecific DA receptor antagonists, or a change in the role of DA, as smokers transition from occasional to dependent cigarette use.

In the present study, researchers investigated the effect of decreasing DA transmission on the motivation to smoke and self-reports of cigarette pleasure and craving at three different stages of tobacco addiction:

(1) low-frequency early smokers (LFES), who have smoked less than 1 year and smoke no more than five cigarettes per day and not every day,

(2) low-frequency stable smokers (LFSS), who have smoked for at least 3 years, smoking no more than five cigarettes a day, not necessarily every day, and

(3) high frequency stable smokers (HFSS) who have smoked for more than 5 years and smoke 10 or more cigarettes per day, every day.

Motivation to obtain cigarettes was measured using a progressive ratio (PR) breakpoint paradigm adapted for humans. DA transmission was decreased using the acute phenylalanine/tyrosine depletion method (APTD).

The present study provides the first investigation of the role of DA in low-frequency smokers. As seen previously in non-dependent users of other substances, reducing DA transmission decreased self-administration behavior. More importantly, the same reduction was seen in high-frequency, nicotine-dependent smokers. Together, these findings suggest that DA affects motivation to obtain drug reward across degrees of addiction, at least in the case of tobacco.


Venugopalan VV, Casey KF, O'Hara C, et al. Acute Phenylalanine/Tyrosine Depletion Reduces Motivation to Smoke Cigarettes Across Stages of Addiction. Neuropsychopharmacology 2011;36(12):2469-76. Neuropsychopharmacology - Abstract of article: Acute Phenylalanine/Tyrosine Depletion Reduces Motivation to Smoke Cigarettes Across Stages of Addiction

The neurobiology of tobacco use is poorly understood, possibly in part because the relevant mechanisms might differ depending on past nicotine exposure and degree of addiction. In the present study we investigated whether these factors might affect the role of dopamine (DA). Using the acute phenylalanine/tyrosine depletion method (APTD), DA synthesis was transiently decreased in three groups of abstinent smokers (n=47): (1) early low-frequency smokers, who had smoked a maximum of five cigarettes per day for less than one year, (2) stable low-frequency smokers smoking at the same level as early low-frequency smokers for at least 3 years, and (3) stable high-frequency smokers, who smoked a minimum of 10 or more cigarettes per day for at least 5 years. Motivation to obtain tobacco was measured using a progressive ratio breakpoint schedule for nicotine-containing and de-nicotinized cigarettes. Compared with a nutritionally balanced control mixture, APTD decreased the self-administration of nicotine-containing cigarettes, and this occurred in all three groups of smokers. The results suggest that DA influenced the willingness to sustain effort for nicotine reward, and this was seen in participants at all three levels of cigarette addiction. In the transition from sporadic to addicted use, the role of DA in the motivation to seek drug may change less than previously proposed.
 
Re: Chantix - What we know on this around here.?

I dont know. I ran a few numbers for shits N giggles and it looks like a pretty good deal if you can stay under a pack a day and quit after 40 years... Hell, you probably get more asbestos contamination standing on a street corner. LOL.. Maybe I'll go back to ciggies. You gotta know a true player is always a SWITCH HITTER... LOL

Check out your lung age: Lungclock
 
Re: Chantix - What we know on this around here.?

Impact of Smoking on Cognitive Decline in Early Old Age

The number of dementia cases worldwide, estimated at 36 million in 2010, is on the rise and projected to double every 20 years. Smoking is increasingly recognized as a risk factor for dementia in elderly individuals. There is also evidence to suggest that its impact on adverse cognitive outcomes, including dementia, may have been underestimated owing to selection effects as a result of greater mortality among smokers in midlife. The extent to which smoking increases the risk of cognitive decline remains unclear, as few studies have investigated this association, particularly in nonelderly populations. The fact that smokers have greater risks of respiratory and cardiovascular diseases, both linked to cognitive impairment, suggests that they may also experience faster cognitive decline.

Public health messages have led many individuals to give up smoking but the extent to which this change in behavior influences subsequent cognitive decline remains unclear. Researchers previously reported smokers compared with nonsmokers to have poorer memory and greater decline in reasoning over 5 years using 2 waves of data. The aim of the present article was to examine the association between smoking history and decline in multiple domains of cognition using 3 waves of cognitive data, for a total follow-up of 10 years. Smoking status was assessed over a 25-year period, starting 10 years prior to the first cognitive assessment, allowing them to investigate the impact on cognitive decline of persistent smoking, intermittent smoking, and smoking cessation. A key objective was to take into account the potential bias in the estimates of cognitive decline due to selection effects as a result of mortality or dropout over the follow-up. To do this, researchers used a method that allows joint modeling of cognitive decline, time to dropout, and time to death. A final objective was to examine whether age modifies the association between smoking and cognitive decline.

Their analysis of data using 6 assessments of smoking status over 25 years and 3 cognitive assessments over 10 years presents 4 key findings.

One, in men, smoking was associated with faster cognitive decline; analyses using pack-years of smoking suggested a dose-response relation.

Two, men who continued smoking over the follow-up experienced greater decline in all cognitive tests.

Three, men who quit smoking in the 10 years preceding the first cognitive measure were still at risk of greater cognitive decline, particularly in executive function. However, long-term ex-smokers did not show faster cognitive decline.

Finally, their results show that the association between smoking and cognition, particularly at older ages, is likely to be underestimated owing to higher risk of death and dropout among smokers.


Sabia S, Elbaz A, Dugravot A, et al. Impact of Smoking on Cognitive Decline in Early Old Age: The Whitehall II Cohort Study. Arch Gen Psychiatry:archgenpsychiatry.2011.6. Arch Gen Psychiatry -- Abstract: Impact of Smoking on Cognitive Decline in Early Old Age: The Whitehall II Cohort Study, February 6, 2012, Sabia et al. 0 (2012): archgenpsychiatry.2011.2016v1

Context Smoking is a possible risk factor for dementia, although its impact may have been underestimated in elderly populations because of the shorter life span of smokers.

Objective To examine the association between smoking history and cognitive decline in the transition from midlife to old age.

Design Cohort study.

Setting The Whitehall II study. The first cognitive assessment was in 1997 to 1999, repeated over 2002 to 2004 and 2007 to 2009.

Participants Data are from 5099 men and 2137 women in the Whitehall II study, mean age 56 years (range, 44-69 years) at the first cognitive assessment.

Main Outcome Measures The cognitive test battery was composed of tests of memory, vocabulary, executive function (composed of 1 reasoning and 2 fluency tests), and a global cognitive score summarizing performance across all 5 tests. Smoking status was assessed over the entire study period. Linear mixed models were used to assess the association between smoking history and 10-year cognitive decline, expressed as z scores.

Results In men, 10-year cognitive decline in all tests except vocabulary among never smokers ranged from a quarter to a third of the baseline standard deviation. Faster cognitive decline was observed among current smokers compared with never smokers in men (mean difference in 10-year decline in global cognition = -0.09 [95% CI, -0.15 to -0.03] and executive function = -0.11 [95% CI, -0.17 to -0.05]). Recent ex-smokers had greater decline in executive function (-0.08 [95% CI, -0.14 to -0.02]), while the decline in long-term ex-smokers was similar to that among never smokers. In analyses that additionally took dropout and death into account, these differences were 1.2 to 1.5 times larger. In women, cognitive decline did not vary as a function of smoking status.

Conclusions Compared with never smokers, middle-aged male smokers experienced faster cognitive decline in global cognition and executive function. In ex-smokers with at least a 10-year cessation, there were no adverse effects on cognitive decline.
 
Re: Chantix - What we know on this around here.?

I somehow suspect dementia is underrated......:drooling::D I further speculate that living to be demented is a whole lot better than a chantix related heart attack caused by parties that wont fess up to the dangers of their drug, and perhaps the debilitating stroke associated...... And the other parties who allow the sales of this drug do to the polical implication$... Who the fuck are they shitting. If a drug would stop smoking, 10% of the medical and pharma industry would be out of business.... To treat someone who is dieing of old age is a ONE TIME DEAL. To treat someone with a chronic addication which causes MANY YEARS of medical issues and and as a contributor to many other medical problems that would not have festered up otherwise = $uccessful business all round the house...
 
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Re: Chantix - What we know on this around here.?

Graphic Warnings for Cigarette Labels
MMS: Error

D.C. District Court Strikes Down FDA Regulation Requiring Graphic Warnings on Cigarette Packages
FDA Law Blog: D.C. District Court Strikes Down FDA Regulation Requiring Graphic Warnings on Cigarette Packages

Last November, we noted that FDA’s regulation requiring the display on cigarette packages of graphic warnings intended to dissuade would-be smokers appeared in jeopardy at the hands of U.S. District Judge Richard Leon in R.J. Reynolds et al v. FDA et al. In an opinion hewing closely to his earlier analysis, Judge Leon has now granted plaintiffs’ motion for summary judgment and held that FDA’s regulation violates the First Amendment. (In our discussion below, we refer to the graphic warnings as “graphic images,” in deference to the court’s conclusion that the characterization of the graphics as warnings “is inaccurate and unfair as they are more about shocking and repelling than warning.”)
 
Re: Chantix - What we know on this around here.?

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Re: Chantix - What we know on this around here.?

Dude, the horrorshow pictures don't make it easiear to quit, they just induce more anxiety about not being able too. NOT COOL!!!!. :D Seriously though, I agree with you BBC3, I think that you get addicted to the brand/delivery. Like, when I'm craving a cigarette, smoking a marlboro only satiates part of the addiction, to truly satisfy my addiction, I need camel. I think it is partially their proprietary blend of additives that we are addicted to. I was using cope to try to quit smoking and give my lungs a break. It is amazing how much that shit tears up your lip and in how little time it takes to do so.

When I see the guy with the tracheotomy hole smoking it reminds me of when I went to the orthopedist for my hands, and he got on to me about smoking. Like, I got this far in life without realizing smoking is bad for you? Really? Cause all this time I thought it was good for me? He warned me about Buerger's disease. Basically, you get vascular constriction and thrombosis from smoking. When I researched it to find out what it was I came upon this story.This kid got it and had bunch of his fingers cut off, and still smoked. He kept on smoking as he lost a hand, a foot his leg etc.. He finally quit, and now looks like the black knight from Monty Python's Holy Grail. Now he speaks at high schools warning kids not to use tobacco. Nicotine is a profound addiction, I guess. But if this kid basically smoked away his extremities and didn't quit, a picture of a black lung isn't going to make it possible for me to quit, it just is going to scare me more.

When chantix first came out, my psych doc referred me to another doctor to treat me cause he was too involved in research to treat patients or something. The guy he referred me to went to med school late in life, so he was fresh out of residency, but in his early fifties. He was real prescription pad happy, and the very mention of the fact that I wanted to quit smoking sparked an enthusiasm for writing a script that only a psychiatrist has. He tried very hard to push chantix on me. I was thinking, I have major depressive disorder, isn't it kinda contraindicated in me? I guess if I jump of a building, I wont smoke anymore, but I won't breathe anymore either. So, I refused his offer to try it, and I'm glad. It seems like every week I hear more and more bad news about that drug.

My basic policy is that I don't take a drug that hasn't been on the market for at least 15 years, preferably 20. I'm not keen on being part of a post-marketing research experiment. It's very telling that doctors want to write for the newest, most expensive drug. I don't think the FDA guidelines for approval should be two double blind studies that show benefit over placebo. I think they should show improvement over previous drugs in order to get approval.

I saw research that showed a correlation between the amount smoked and the level of suicidal ideation. I was thinking about where the causation lay, was it smoking caused depression or depression causing smoking. Maybe depressed people craved smoking due to stimulation of their dopamine receptors. Who knows? There was another study, probably funded by big tobacco, that showed smoking reduced risk for Alzheimer's. Maybe, but it probably increases your risk for vascular dementia by threefold. Smoking is beneficial in Parkinson's and schizophrenia, though. So, I may be dead, but I won't shake or hear voices whilst I'm dying.
 
Re: Chantix - What we know on this around here.?

I wonder what does it mean if someone smoked occassionally and on those occassions various cigarettes in a row but never became addicted to it? I used to smoke on occassions when I was younger and back then like 4-5 cigarettes in a row whenever I was outside hanging around but I never developed an addiction like others. Are some people simply immune?
 
Re: Chantix - What we know on this around here.?

Court: Tobacco health labels constitutional
http://www.reuters.com/article/2012/03/19/us-tobacco-labels-idUSBRE82I0VX20120319

(Reuters) - A federal law requiring large graphic health warnings on cigarette packaging and advertising does not violate the free speech rights of tobacco companies, a federal appeals court ruled on Monday.
 
Re: Chantix - What we know on this around here.?

So wait... The graphic labels get to go on the packs now, but the FDA gets to select the PIC... LOL. The best part is now we will REALLY get to see just how much the FDA really cares about smokings dangers, and how plugged into their pockets big tobacco is. I would hate to be in that hotseat... LOL

I'll one up it. They should just have pics of rednecks in trailers beating their women with a cig dangling, or the woman firing one up for relief after with a black eye... LOL

Court: Tobacco health labels constitutional
http://www.reuters.com/article/2012/03/19/us-tobacco-labels-idUSBRE82I0VX20120319
 
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Re: Chantix - What we know on this around here.?

Benefits And Harms Of CT Screening For Lung Cancer

Lung cancer is the leading cause of cancer death in the United States (and worldwide), causing as many deaths as the next 4 most deadly cancers combined (breast, prostate, colon, and pancreas). Despite a slight decline in US lung cancer mortality rates since 1990, lung cancer will account for more than 160,000 deaths in the United States in 2012. Most patients diagnosed with lung cancer today already have advanced disease (40% are stage IV, 30% are stage III), and the current 5-year survival rate is only 16%.

Earlier randomized controlled trials (RCTs) involving chest radiographs and sputum cytology for lung cancer screening found that these strategies detected slightly more lung cancers, smaller tumors, and more stage I tumors, but the detection of a larger number of early-stage cancers was not accompanied by a reduction in the number of advanced lung cancers or a reduction in lung cancer deaths. Renewed enthusiasm for lung screening arose with the advent of low-dose computed tomography (LDCT) imaging, which is able to identify smaller nodules than can chest radiographs.

This systematic review focuses on the evidence regarding the benefits and harms of LDCT screening for lung cancer. Other potential screening methods (eg, chest radiographs, sputum cytology or biomarkers, exhaled breath) are not addressed. This review is a collaborative initiative of the American Cancer Society (ACS), the American College of Chest Physicians (ACCP), the American Society of Clinical Oncology (ASCO), and the National Comprehensive Cancer Network (NCCN) and forms the basis for the clinical practice guideline of the ACCP and ASCO. This work will be reassessed when pertinent new data become available, consistent with the Institute of Medicine recommendations for guideline development.


Bach PB, Mirkin JN, Oliver TK, et al. Benefits And Harms Of CT Screening For Lung Cancer - A Systematic Review Benefits And Harms Of Ct Screening For Lung Cancer. JAMA. Published online May 20, 2012. JAMA Network | JAMA: The Journal of the American Medical Association | Benefits and Harms of CT Screening for Lung CancerA Systematic ReviewBenefits and Harms of CT Screening for Lung Cancer

Context: Lung cancer is the leading cause of cancer death. Most patients are diagnosed with advanced disease, resulting in a very low 5-year survival. Screening may reduce the risk of death from lung cancer.

Objective: To conduct a systematic review of the evidence regarding the benefits and harms of lung cancer screening using low-dose computed tomography (LDCT). A multisociety collaborative initiative (involving the American Cancer Society, American College of Chest Physicians, American Society of Clinical Oncology, and National Comprehensive Cancer Network) was undertaken to create the foundation for development of an evidence-based clinical guideline.

Data Sources: MEDLINE (Ovid: January 1996 to April 2012), EMBASE (Ovid: January 1996 to April 2012), and the Cochrane Library (April 2012).

Study Selection: Of 591 citations identified and reviewed, 8 randomized trials and 13 cohort studies of LDCT screening met criteria for inclusion. Primary outcomes were lung cancer mortality and all-cause mortality, and secondary outcomes included nodule detection, invasive procedures, follow-up tests, and smoking cessation.

Data Extraction: Critical appraisal using predefined criteria was conducted on individual studies and the overall body of evidence. Differences in data extracted by reviewers were adjudicated by consensus.

Results: Three randomized studies provided evidence on the effect of LDCT screening on lung cancer mortality, of which the National Lung Screening Trial was the most informative, demonstrating that among 53 454 participants enrolled, screening resulted in significantly fewer lung cancer deaths (356 vs 443 deaths; lung cancer?specific mortality, 274 vs 309 events per 100 000 person-years for LDCT and control groups, respectively; relative risk, 0.80; 95% CI, 0.73-0.93; absolute risk reduction, 0.33%; P = .004). The other 2 smaller studies showed no such benefit. In terms of potential harms of LDCT screening, across all trials and cohorts, approximately 20% of individuals in each round of screening had positive results requiring some degree of follow-up, while approximately 1% had lung cancer. There was marked heterogeneity in this finding and in the frequency of follow-up investigations, biopsies, and percentage of surgical procedures performed in patients with benign lesions. Major complications in those with benign conditions were rare.

Conclusion: Low-dose computed tomography screening may benefit individuals at an increased risk for lung cancer, but uncertainty exists about the potential harms of screening and the generalizability of results.
 
Re: Chantix - What we know on this around here.?

Researchers Find a Strong Association Between Alcohol Dependence and Chromosome 5q13.2

Lin P, Hartz SM, Wang J-C, et al. Copy Number Variations in 6q14.1 and 5q13.2 are Associated with Alcohol Dependence. Alcoholism: Clinical and Experimental Research. Copy Number Variations in 6q14.1 and 5q13.2 are Associated with Alcohol Dependence - Lin - 2012 - Alcoholism: Clinical and Experimental Research - Wiley Online Library

Background - Excessive alcohol use is the third leading cause of preventable death and is highly correlated with alcohol dependence, a heritable phenotype. Many genetic factors for alcohol dependence have been found, but many remain unknown. In search of additional genetic factors, we examined the association between Diagnostic and StatisticalManual of Mental Disorders, Fourth Edition (DSM-IV) alcohol dependence and all common copy number variations (CNVs) with good reliability in the Study of Addiction: Genetics and Environment (SAGE).

Methods - All participants in SAGE were interviewed using the Semi-Structured Assessment for the Genetics of Alcoholism, as a part of 3 contributing studies. A total of 2,610 non-Hispanic European American samples were genotyped on the Illumina Human 1M array. We performed CNV calling by CNVPartition, PennCNV, and QuantiSNP, and only CNVs identified by all 3 software programs were examined. Association was conducted with the CNV (as a deletion/duplication) as well as with probes in the CNV region. Quantitative polymerase chain reaction (qPCR) was used to validate the CNVs in the laboratory.

Results - CNVs in 6q14.1 (p = 1.04 × 10?6) and 5q13.2 (p = 3.37 × 10?4) were significantly associated with alcohol dependence after adjusting multiple tests. On chromosome 5q13.2, there were multiple candidate genes previously associated with various neurological disorders. The region on chromosome 6q14.1 is a gene desert that has been associated with mental retardation and language delay. The CNV in 5q13.2 was validated, whereas only a component of the CNV on 6q14.1 was validated by qPCR. Thus, the CNV on 6q14.1 should be viewed with caution.

Conclusions - This is the first study to show an association between DSM-IV alcohol dependence and CNVs. CNVs in regions previously associated with neurological disorders may be associated with alcohol dependence.
 
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