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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recovered From Coma, Declared TBILISI Patient. Should She Be Allowed To Smoke Cigarettes?

my best friend just woke up from a one month coma and she has be declared a TBILISI patient. she is at home now recovering and she keeps asking for cigarettes. she was addicted for two ears before the car accident that caused her coma. her parents are taking care of her and they won t allow her to have cigarettes because of her condition. but she keeps asking me to sneak her some, as she is still craving them and knows I smoke . what would happen if I were to give her a cigarette?
Fri, 14 Jun 2013
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Addiction Medicine Specialist 's  Response
Hi,

If you were to sneak her one cigarette, it would lead to her asking for another and then another and on and on, as the cravings would increase. And considering her current physical and mental status, she is in a precarious condition, gradually healing and definitely better off without an additional problem. Ask her and her parents to discuss her craving with her doctor and act accordingly. Nicotine replacement therapy may be an option if her doctor agrees.

Best wishes.
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Recovered From Coma, Declared TBILISI Patient. Should She Be Allowed To Smoke Cigarettes?

Hi, If you were to sneak her one cigarette, it would lead to her asking for another and then another and on and on, as the cravings would increase. And considering her current physical and mental status, she is in a precarious condition, gradually healing and definitely better off without an additional problem. Ask her and her parents to discuss her craving with her doctor and act accordingly. Nicotine replacement therapy may be an option if her doctor agrees. Best wishes.