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Dr. Grey AI

Condition

Tobacco Use Disorder

Tobacco use disorder, often called nicotine addiction, is a condition in which nicotine creates strong physical and psychological dependence, which is why quitting is so hard. Little research on supplements for it has been reviewed here so far, so there are no trial findings to report for NAC or vitamin C, the two most often discussed. Both have only limited evidence behind them, and ideas about cravings or oxidative stress remain largely theoretical for now.

Supplements studied
2
Graded outcomes
0
Trials
2
People studied
37

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

2 supplements

Cannabis: outcomes studied for Tobacco Use Disorder
GradeOutcomeEffectSizeStudiesPeopleStudies list
Tobacco ConsumptionImproves (the measure goes up)2 studies8 people
N-Acetylcysteine: outcomes studied for Tobacco Use Disorder
GradeOutcomeEffectSizeStudiesPeopleStudies list
Tobacco Addiction SymptomsImproves (the measure goes down)1 study29 people

Studies that measured tobacco addiction symptoms

The Tobacco Use Disorder (Smoking Cessation) Support protocol

2 primary supplements · 4 supporting supplements

See the full protocol

Studies cited

100 studies from PubMed

  1. Effects of oral, smoked, and vaporized cannabis on endocrine pathways related to appetite and metabolism: a randomized, double-blind, placebo-controlled, human laboratory studyTransl Psychiatry · PMID 32075958
  2. 1 -tetrahydrocannabinol, synhexyl and marijuana extract administered orally in man: catecholamine excretion, plasma cortisol levels and platelet serotonin contentPsychopharmacologia · PMID 5523370
  3. Acute effects of natural and synthetic cannabis compounds on prolactin levels in human malesPharmacol Biochem Behav · PMID 6320226
  4. The effects of smoked marijuana on metabolism and respiratory controlAm Rev Respir Dis · PMID 367234
  5. Effect of acute Δ9-tetrahydrocannabinol administration on subjective and metabolic hormone responses to food stimuli and food intake in healthy humans: a randomized, placebo-controlled studyAm J Clin Nutr · PMID 30949710
  6. Explorative Placebo-Controlled Double-Blind Intervention Study with Low Doses of Inhaled Δ9-Tetrahydrocannabinol and Cannabidiol Reveals No Effect on Sweet Taste Intensity Perception and Liking in HumansCannabis Cannabinoid Res · PMID 28861511
  7. Short-term effects of cannabinoids on immune phenotype and function in HIV-1-infected patientsJ Clin Pharmacol · PMID 12412840
  8. A pilot study of the effects of cannabis on appetite hormones in HIV-infected adult menBrain Res · PMID 22133305
  9. Smoked medicinal cannabis for neuropathic pain in HIV: a randomized, crossover clinical trialNeuropsychopharmacology · PMID 18688212
  10. Acute and residual mood and cognitive performance of young adults following smoked cannabisPharmacol Biochem Behav · PMID 32360692
  11. Effects of acute marijuana smoking on pulse rate and mood states in womenPsychopharmacology · PMID 6438677
  12. Assessment of Efficacy and Tolerability of Medicinal Cannabinoids in Patients With Multiple Sclerosis: A Systematic Review and Meta-analysisJAMA Netw Open · PMID 30646241
  13. Sativex ® as add-on therapy vs. further optimized first-line ANTispastics (SAVANT) in resistant multiple sclerosis spasticity: a double-blind, placebo-controlled randomised clinical trialInt J Neurosci · PMID 29792372
  14. Sativex(®) and clinical-neurophysiological measures of spasticity in progressive multiple sclerosisJ Neurol · PMID 26289497
  15. Cannabinoids in multiple sclerosis (CAMS) study: safety and efficacy data for 12 months follow upJ Neurol Neurosurg Psychiatry · PMID 16291891
  16. Multiple sclerosis and extract of cannabis: results of the MUSEC trialJ Neurol Neurosurg Psychiatry · PMID 22791906
  17. A double-blind, randomized, placebo-controlled, parallel-group study of Sativex, in subjects with symptoms of spasticity due to multiple sclerosisNeurol Res · PMID 20307378
  18. Do cannabis-based medicinal extracts have general or specific effects on symptoms in multiple sclerosis? A double-blind, randomized, placebo-controlled study on 160 patientsMult Scler · PMID 15327042
  19. Long-term use of a cannabis-based medicine in the treatment of spasticity and other symptoms in multiple sclerosisMult Scler · PMID 17086911
  20. Psychopathological and cognitive effects of therapeutic cannabinoids in multiple sclerosis: a double-blind, placebo controlled, crossover studyClin Neuropharmacol · PMID 18978501
  21. A placebo-controlled, parallel-group, randomized withdrawal study of subjects with symptoms of spasticity due to multiple sclerosis who are receiving long-term Sativex® (nabiximols)Mult Scler · PMID 21878454
  22. Sativex long-term use: an open-label trial in patients with spasticity due to multiple sclerosisJ Neurol · PMID 22878432
  23. Cannabinoids for treatment of spasticity and other symptoms related to multiple sclerosis (CAMS study): multicentre randomised placebo-controlled trialLancet · PMID 14615106
  24. A double-blind, randomized, placebo-controlled, parallel-group study of THC/CBD oromucosal spray in combination with the existing treatment regimen, in the relief of central neuropathic pain in patients with multiple sclerosisJ Neurol · PMID 23180178
  25. A randomized, double-blind, placebo-controlled, parallel-group, enriched-design study of nabiximols* (Sativex(®) ), as add-on therapy, in subjects with refractory spasticity caused by multiple sclerosisEur J Neurol · PMID 21362108
  26. Tetrahydrocannabinol and cannabidiol oromucosal spray in resistant multiple sclerosis spasticity: consistency of response across subgroups from the SAVANT randomized clinical trialInt J Neurosci · PMID 32065006
  27. Randomized, controlled trial of cannabis-based medicine in central pain in multiple sclerosisNeurology · PMID 16186518
  28. Efficacy, safety and tolerability of an orally administered cannabis extract in the treatment of spasticity in patients with multiple sclerosis: a randomized, double-blind, placebo-controlled, crossover studyMult Scler · PMID 15327040
  29. Short-term effects of smoking marijuana on balance in patients with multiple sclerosis and normal volunteersClin Pharmacol Ther · PMID 8143398
  30. The effect of cannabis on urge incontinence in patients with multiple sclerosis: a multicentre, randomised placebo-controlled trial (CAMS-LUTS)Int Urogynecol J Pelvic Floor Dysfunct · PMID 16552618
  31. Randomized controlled trial of Sativex to treat detrusor overactivity in multiple sclerosisMult Scler · PMID 20829244
  32. Smoked marijuana effects on tobacco cigarette smoking behaviorJ Pharmacol Exp Ther · PMID 2319477
  33. Abstinence symptoms following smoked marijuana in humansPsychopharmacology · PMID 10090647
  34. Abstinence symptoms following oral THC administration to humansPsychopharmacology · PMID 10090646
  35. Cannabidiol (CBD) content in vaporized cannabis does not prevent tetrahydrocannabinol (THC)-induced impairment of driving and cognitionPsychopharmacology · PMID 31044290
  36. Acute and residual effects of smoked cannabis: Impact on driving speed and lateral control, heart rate, and self-reported drug effectsDrug Alcohol Depend · PMID 31678833
  37. Effect of cannabis use on cognitive functions and driving abilityJ Clin Psychiatry · PMID 10401919
  38. Cannabis smoking impairs driving performance on the simulator and real driving: a randomized, double-blind, placebo-controlled, crossover trialFundam Clin Pharmacol · PMID 29752828
  39. Acute effects of smoking marijuana on hormones, subjective effects and performance in male human subjectsPharmacol Biochem Behav · PMID 3016764
  40. The effects of orally administered delta 9-tetrahydrocannabinol in man on mood and performance measures: a dose-response studyPharmacol Biochem Behav · PMID 2161109
  41. Opioid antagonism enhances marijuana's effects in heavy marijuana smokersPsychopharmacology · PMID 20490465
  42. Cannabis use and driving-related performance in young recreational users: a within-subject randomized clinical trialCMAJ Open · PMID 30323055
  43. Sex differences in the effects of marijuana on simulated driving performanceJ Psychoactive Drugs · PMID 20464803
  44. Effect of Cannabidiol and Δ9-Tetrahydrocannabinol on Driving Performance: A Randomized Clinical TrialJAMA · PMID 33258890
  45. Subjective aggression during alcohol and cannabis intoxication before and after aggression exposurePsychopharmacology · PMID 27422568
  46. Cannabinoids for adult cancer-related pain: systematic review and meta-analysisBMJ Support Palliat Care · PMID 31959586
  47. An open-label extension study to investigate the long-term safety and tolerability of THC/CBD oromucosal spray and oromucosal THC spray in patients with terminal cancer-related pain refractory to strong opioid analgesicsJ Pain Symptom Manage · PMID 23141881
  48. Comparison of the analgesic effects of dronabinol and smoked marijuana in daily marijuana smokersNeuropsychopharmacology · PMID 23609132
  49. Multicenter, double-blind, randomized, placebo-controlled, parallel-group study of the efficacy, safety, and tolerability of THC:CBD extract and THC extract in patients with intractable cancer-related painJ Pain Symptom Manage · PMID 19896326
  50. Lack of analgesia by oral standardized cannabis extract on acute inflammatory pain and hyperalgesia in volunteersAnesthesiology · PMID 18580179
  51. Dose-dependent effects of smoked cannabis on capsaicin-induced pain and hyperalgesia in healthy volunteersAnesthesiology · PMID 18073554
  52. Amygdala activity contributes to the dissociative effect of cannabis on pain perceptionPain · PMID 23273106
  53. Nabiximols for opioid-treated cancer patients with poorly-controlled chronic pain: a randomized, placebo-controlled, graded-dose trialJ Pain · PMID 22483680
  54. Sativex oromucosal spray as adjunctive therapy in advanced cancer patients with chronic pain unalleviated by optimized opioid therapy: two double-blind, randomized, placebo-controlled phase 3 studiesBr J Pain · PMID 28785408
  55. Results of a Double-Blind, Randomized, Placebo-Controlled Study of Nabiximols Oromucosal Spray as an Adjunctive Therapy in Advanced Cancer Patients with Chronic Uncontrolled PainJ Pain Symptom Manage · PMID 28923526
  56. The Effects of Dosage-Controlled Cannabis Capsules on Cancer-Related Cachexia and Anorexia Syndrome in Advanced Cancer Patients: Pilot StudyIntegr Cancer Ther · PMID 31595793
  57. Effect of marihuana on intraocular and blood pressure in glaucomaOphthalmology · PMID 7053160
  58. Cannabis for dyskinesia in Parkinson disease: a randomized double-blind crossover studyNeurology · PMID 15477546
  59. Regional cerebral blood flow after marijuana smokingJ Cereb Blood Flow Metab · PMID 1324250
  60. The effects of smoking marihuana on physical performanceMed Sci Sports · PMID 1235156
  61. Marijuana's dose-dependent effects in daily marijuana smokersExp Clin Psychopharmacol · PMID 23937597
  62. Middle cerebral artery velocity during upright posture after marijuana smokingActa Psychiatr Scand · PMID 1529742
  63. Association between marijuana exposure and pulmonary function over 20 yearsJAMA · PMID 22235088
  64. Acute effects of marihuana smoking on maximal exercise performanceMed Sci Sports Exerc · PMID 3097453
  65. Cannabis induces a clinical response in patients with Crohn's disease: a prospective placebo-controlled studyClin Gastroenterol Hepatol · PMID 23648372
  66. Effect of Inhaled Cannabis for Pain in Adults With Sickle Cell Disease: A Randomized Clinical TrialJAMA Netw Open · PMID 32678452
  67. Effect of sublingual application of cannabinoids on intraocular pressure: a pilot studyJ Glaucoma · PMID 16988594
  68. Efficacy of Inhaled Cannabis on Painful Diabetic NeuropathyJ Pain · PMID 25843054
  69. Randomized placebo-controlled double-blind clinical trial of cannabis-based medicinal product (Sativex) in painful diabetic neuropathy: depression is a major confounding factorDiabetes Care · PMID 19808912
  70. Postural syncope after marijuana: a transcranial Doppler study of the hemodynamicsPharmacol Biochem Behav · PMID 12873621
  71. A double-blind, randomized, placebo-controlled, parallel group study of THC/CBD spray in peripheral neuropathic pain treatmentEur J Pain · PMID 24420962
  72. Sativex successfully treats neuropathic pain characterised by allodynia: a randomised, double-blind, placebo-controlled clinical trialPain · PMID 17997224
  73. Smoked cannabis for chronic neuropathic pain: a randomized controlled trialCMAJ · PMID 20805210
  74. Ingestion of a THC-Rich Cannabis Oil in People with Fibromyalgia: A Randomized, Double-Blind, Placebo-Controlled Clinical TrialPain Med · PMID 33118602
  75. Systematic review and meta-analysis of cannabis treatment for chronic painPain Med · PMID 19732371
  76. A role for cannabinoids in the treatment of myotonia? Report of compassionate use in a small cohort of patientsJ Neurol · PMID 31655890
  77. An experimental randomized study on the analgesic effects of pharmaceutical-grade cannabis in chronic pain patients with fibromyalgiaPain · PMID 30585986
  78. Oral THC:CBD cannabis extract for refractory chemotherapy-induced nausea and vomiting: a randomised, placebo-controlled, phase II crossover trialAnn Oncol · PMID 32801017
  79. Cannabinoids for the treatment of mental disorders and symptoms of mental disorders: a systematic review and meta-analysisLancet Psychiatry · PMID 31672337
  80. Acute effects of marihuana on luteinizing hormone in menopausal womenPharmacol Biochem Behav · PMID 3001780
  81. Effect of Delta-9-tetrahydrocannabinol and cannabidiol on nocturnal sleep and early-morning behavior in young adultsJ Clin Psychopharmacol · PMID 15118485
  82. Comparison of orally administered cannabis extract and delta-9-tetrahydrocannabinol in treating patients with cancer-related anorexia-cachexia syndrome: a multicenter, phase III, randomized, double-blind, placebo-controlled clinical trial from the Cannabis-In-Cachexia-Study-GroupJ Clin Oncol · PMID 16849753
  83. Evaluating the Suitability and Potential Efficiency of Cannabis sativa Oil for Patients with Primary Burning Mouth Syndrome: A Prospective, Open-Label, Single-Arm Pilot StudyPain Med · PMID 33123730
  84. Marijuana smoking and reduced pressure in human eyes: drug action or epiphenomenon?Invest Ophthalmol · PMID 1089090
  85. Impact of smoked cannabis on tobacco cigarette smoking intensity and subjective effects: A placebo-controlled, double-blind, within-subjects human laboratory studyExp Clin Psychopharmacol · PMID 32463281
  86. Safety and tolerability of N-acetylcysteine in cocaine-dependent individualsAm J Addict · PMID 16449100
  87. The administration of N-acetylcysteine reduces oxidative stress and regulates glutathione metabolism in the blood cells of workers exposed to leadClin Toxicol · PMID 23731375
  88. N-Acetylcysteine Attenuates Fatigue Following Repeated-Bouts of Intermittent Exercise: Practical Implications for Tournament SituationsInt J Sport Nutr Exerc Metab · PMID 21896942
  89. N-acetylcysteine, a glutamate modulator, in the treatment of trichotillomania: a double-blind, placebo-controlled studyArch Gen Psychiatry · PMID 19581567
  90. New developments in the treatment of COPD: comparing the effects of inhaled corticosteroids and N-acetylcysteineJ Physiol Pharmacol · PMID 16204787
  91. Induced sputum of patients with chronic obstructive pulmonary disease (COPD) contains adhesion-promoting, therapy-sensitive factorsInflamm Res · PMID 10778915
  92. N-acetylcysteine add-on treatment in refractory obsessive-compulsive disorder: a randomized, double-blind, placebo-controlled trialJ Clin Psychopharmacol · PMID 23131885
  93. Systematic review and meta-analysis of the efficacy of N-acetylcysteine in the treatment of acute exacerbation of chronic obstructive pulmonary disease.Ann Palliat Med · PMID 34237968
  94. Effects of N-acetylcysteine on outcomes in chronic obstructive pulmonary disease (Bronchitis Randomized on NAC Cost-Utility Study, BRONCUS): a randomised placebo-controlled trialLancet · PMID 15866309
  95. Long-term oral n-acetylcysteine reduces exhaled hydrogen peroxide in stable COPDPulm Pharmacol Ther · PMID 15607126
  96. The efficacy of -acetylcysteine in chronic obstructive pulmonary disease patients: a meta-analysis.Ther Adv Respir Dis · PMID 36927162
  97. Effect of Orally Administered N-Acetylcysteine on Chronic Bronchitis: A Meta-analysis.Adv Ther · PMID 31598901
  98. A randomized controlled pilot trial of oral N-acetylcysteine in children with autismBiol Psychiatry · PMID 22342106
  99. A randomized double blind placebo controlled clinical trial of N-Acetylcysteine added to risperidone for treating autistic disordersBMC Psychiatry · PMID 23886027
  100. N-Acetylcysteine (NAC) inhibits renal nitrite and nitrate reabsorption in healthy subjects and in patients undergoing cardiac surgery: risk of nitric oxide (NO) bioavailability loss by NAC?Int J Cardiol · PMID 25499330