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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are these skoal withdrawal symptoms?

I am taking 40mg celexa and started on the nicotine patch to stop a 40 year habit of skoal. As usual it took 2 weeks to start with the sweats, cold chills and stomach butterfly s. I have always swallowed the juice from the skoal. Could it still be withdrawal from the skoal
Mon, 10 Aug 2015
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Addiction Medicine Specialist 's  Response
Seems likely. Generally the physical withdrawal starts in 2 days. There are a lot of effects of nicotine withdrawal including general sluggishness, GI changes and a lot of cravings.

There can also be psychological effects such as anxiety which can begin at any time after quitting and can stay for months with diminishing severity.
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Are these skoal withdrawal symptoms?

Seems likely. Generally the physical withdrawal starts in 2 days. There are a lot of effects of nicotine withdrawal including general sluggishness, GI changes and a lot of cravings. There can also be psychological effects such as anxiety which can begin at any time after quitting and can stay for months with diminishing severity.