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Tests and diagnosis

By Mayo Clinic staff

There are no physical tests to determine the exact degree to which you're dependent on nicotine. Your doctor may assess the degree of your nicotine dependence by asking you questions or having you complete a questionnaire. The more cigarettes you smoke each day and the sooner you smoke after awakening, the more dependent you are. Knowing your degree of dependence can also help determine the correct dose of a nicotine replacement medication.

References
  1. Nicotine. NIDA for Teens. http://www.teens.drugabuse.gov/drnida/drnida_nic1.asp. Accessed Oct. 20, 2008.
  2. Cigarette smoking. American Cancer Society. http://www.cancer.org/docroot/PED/content/PED_10_12X_Cigarette_Smoking.asp?sitearea=PED. Accessed Oct. 20, 2008.
  3. Benowitz NL. Clinical pharmacology of nicotine: Implications for understanding, preventing, and treating tobacco addiction. Clinical Pharmacology & Therapeutics. 2008;83(4):531-541.
  4. Smoking 101 fact sheet. American Lung Association. http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=39853. Accessed Oct. 20, 2008.
  5. Hatsukami DK, et al. Tobacco addiction. The Lancet. 2008;371:2027-2038.
  6. Burke MV, et al. Treatment of tobacco dependence. Mayo Clinic Proceedings. 2008;83(4):479-484.
  7. Nides M. Update on pharmacologic options for smoking cessation treatment. The American Journal of Medicine. 2008;121(4A):S20-S31.
  8. Executive summary. In: Treating tobacco use and dependence: 2008 update. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat2.section.28189. Accessed Oct. 14, 2008.
  9. Guide to quitting smoking. American Cancer Society. http://www.cancer.org/docroot/PED/content/PED_10_13X_Guide_for_Quitting_Smoking.asp?sitearea=PED. Accessed Oct. 20, 2008.
  10. Le Foll B, et al. Treatment of tobacco dependence: Integrating recent progress into practice. Canadian Medical Association Journal. 2007;177(11):1373-1380.
  11. Benowitz NL. Neurobiology of nicotine addiction: Implications of smoking cessation treatment. The American Journal of Medicine. 2008;121(4A):S3-S10.
  12. Woodward K. Quit before kids reach third grade. Fred Hutchinson Cancer Research Center. http://www.fhcrc.org/about/pubs/center_news/2003/may15/sart1.html?&printfriendly=yes. Accessed Oct. 22, 2008.
  13. Berrettini W. Nicotine addiction. The American Journal of Psychiatry. 2008;165(9):1089-1092.
  14. Clinical interventions for tobacco use and dependence. In: Treating tobacco use and dependence: 2008 update. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat2.section.28251. Accessed Oct. 20, 2008.
  15. Smoking and cardiovascular disease risk. Washington, DC: American Heart Association.
  16. Kuehn BM. Personalized care may help smokers quit. Journal of the American Medical Association. 2007. 298(21): 2472. 
  17. Niaura R. Nonpharmocologic therapy for smoking cessation: Characteristics and efficacy of current approaches. The American Journal of Medicine. 2008;121(4A):S11-S19.
  18. Online guide to quitting: Managing cravings. Smokefree.gov. htttp://www.smokefree.gov/quit-smoking/managing_cravings.html. Accessed Oct. 20, 2008.
  19. Youth & tobacco. Centers for Disease Control and Prevention. http://www.cdc.gov/tobacco/youth/information_sheets/yuthfax1.htm. Accessed Oct. 27, 2008.
  20. Hurt RD (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 5, 2008.

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