Tuesday, July 14, 2009

It is that time of the year…!

It is that time of the year when I quit smoking, drinking and everything that i love quite dearly, even such a thing as eating non-vegetarian food. It is that time of the year when I give up on all my materialistic attachments and get a grip over life. Trying to clear the fog and make sure I am walking the right path. It is that time of the year… like Lent for Christians and Ramadan for Muslims… It is that time of the year when I test my spirit… let go off all bonds of temptations…

It is that time of then year, when, basically sudden lack of nicotine in my blood makes me post a blog post… such as this…

“Nicotine doesn't stick around your body for too long. It has a half-life of about 60 minutes, meaning that six hours after a cigarette, only about 0.031 mg of the 1 mg of nicotine you inhaled remains in your body.

How does your body get rid of nicotine? Here's the process:

  • About 80 percent of nicotine is broken down to cotinine by enzymes in your liver.

  • Nicotine is also metabolized in your lungs to cotinine and nicotine oxide.

  • Cotinine and other metabolites are excreted in your urine. Cotinine has a 24-hour half-life, so you can test whether or not someone has been smoking in the past day or two by screening his or her urine for cotinine.

  • The remaining nicotine is filtered from the blood by your kidneys and excreted in the urine.

Different people metabolize nicotine at different rates. Some people even have a genetic defect in the enzymes in their liver that break down nicotine, whereby the mutant enzyme is much less effective at metabolizing nicotine than the normal variant. If a person has this gene, their blood and brain nicotine levels stay higher for longer after smoking a cigarette. Normally, people keep smoking cigarettes throughout the day to maintain a steady level of nicotine in their bodies. Smokers with this gene usually end up smoking many fewer cigarettes, because they don't constantly need more nicotine.”

“As nicotine enters the body, it is distributed quickly through the bloodstream and can cross the blood-brain barrier. On average it takes about seven seconds for the substance to reach the brain when inhaled. The half life of nicotine in the body is around two hours.”

“Nicotine acts on the nicotinic acetylcholine receptors, specifically the ganglion type nicotinic receptor and one CNS nicotinic receptor. The former is present in the adrenal medulla and elsewhere, while the latter is present in the central nervous system (CNS). In small concentrations, nicotine increases the activity of these receptors. Nicotine also has effects on a variety of other neurotransmitters through less direct mechanisms.”

“Nicotine increases the level of other neurotransmitters and chemicals that modulate how your brain works. For example, your brain makes more endorphins in response to nicotine. Endorphins are small proteins that are often called the body's natural pain killer. It turns out that the chemical structure of endorphins is very similar to that of heavy-duty synthetic painkillers like morphine. Endorphins can lead to feelings of euphoria also. If you're familiar with the runner's high that kicks in during a rigorous race, you've experienced the "endorphin rush." This outpouring of chemicals gives you a mental edge to finish the race while temporarily masking the nagging pains you might otherwise feel.”

“When a cigarette is smoked, nicotine-rich blood passes from the lungs to the brain within seven seconds and immediately stimulates the release of many chemical messengers including acetylcholine, norepinephrine, epinephrine, vasopressin, arginine, dopamine, autocrine agents, and beta-endorphin. This release of neurotransmitters and hormones is responsible for most of nicotine's effects. Nicotine appears to enhance concentration and memory due to the increase of acetylcholine. It also appears to enhance alertness due to the increases of acetylcholine and norepinephrine. Arousal is increased by the increase of norepinephrine. Pain is reduced by the increases of acetylcholine and beta-endorphin. Anxiety is reduced by the increase of beta-endorphin. Nicotine also extends the duration of positive effects of dopamine and increases sensitivity in brain reward systems. Most cigarettes (in the smoke inhaled) contain 0.1 to 2.8 milligrams of nicotine.”

“Technically, nicotine is not significantly addictive, as nicotine administered alone does not produce significant reinforcing properties. However, only after coadministration with an MAOI, such as those found in tobacco, nicotine produces significant behavioral sensitization, a measure of addiction potential. This is similar in effect to amphetamine.”

“What happens when smokers abruptly stop using nicotine? While you're using nicotine-containing products, your body adapts the way it works to compensate for the effects of the nicotine. For example, neurons in your brain might increase or decrease the number of receptors or the amount of different neurotransmitters affected by the presence of nicotine. When you no longer have nicotine in your body, these physiological adaptations for nicotine remain. The net result is that your body can't function the same way in the absence of the drug as it did before, at least in the short term. People trying to quit nicotine experience this as:

  • Irritability
  • Anxiety
  • Depression
  • Craving for nicotine

Over a period of about a month, these symptoms and the physiological changes subside. But for many smokers, even a day without nicotine is excruciating. Every year, millions of people try to break the nicotine habit; only 10 percent of them succeed. Most people throw in the towel after less than a week of trying, because the way that nicotine rewires the reward system in the brain makes nicotine's pull irresistible.”