As tobacco is consumed, nicotine enters the brain through the bloodstream or mucosal membranes (NIDA, 2012). In the brain, dopamine levels increase, producing the pleasurable sensations associated with nicotine (NIDA, 2012). These pleasurable sensations quickly dissipate, urging the smoker to continue dosing to maintain the drug’s gratifying effects and prevent withdrawal symptoms (NIDA, 2012).
Withdrawal symptoms may begin within a few hours after the last cigarette and peak within the first few days of cessation (NCI, 2010). Symptoms include irritability, cravings, depression, anxiety, cognitive and …show more content…
(2) Mass-reach health communication interventions that deliver culturally appropriate and high-impact messages to prevent smoking initiation, promote cessation, and shape social norms. (3) Cessation interventions that increase access to cessation services through health system change and expansion of insurance coverage. (4) Surveillance and evaluation of the outcomes of a program to increase efficiency, impact, and demonstrate accountability. (5) Having an adequate number of skilled staff to facilitate program oversight, technical assistance, and