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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Chewing Tobacco Cause Extreme Anxiety Attacks?

I have extreme anxiety attacks and I use chewing tobacco I wonder could tobacco be causing my attacks? I'm house bound because of my daily attacks, so i'm ready to give it up. i would just like to know if this conditon could have been caused by using tobacco. I know caffeine can trigger attacks but not sure about nicotine. Thanks
Thu, 6 Nov 2014
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Psychiatrist 's  Response
Hello Welcome to HCM

Tobacco consists of nicotine. Nicotine is an activating substance and it cause activation of brain areas. You are having intense anxiety attacks and you have habit of chewing tobacco. Most likely nicotine is the substance that is aggravating your anxiety symptoms and is causing significant impairment in your functioning.

Try to decrease the nicotine use gradually over time your anxiety will improve. As nicotine is very addictive substance you can consult a Psychiatrist for deaddiction. Many medicines like bupropion, buspirone etc are used in nicotine addiction to decrease anxiety and to decrease craving of tobacco. Try relaxation exercises and yoga to keep yourself relaxed.

Hope this helps you, thanks.
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Can Chewing Tobacco Cause Extreme Anxiety Attacks?

Hello Welcome to HCM Tobacco consists of nicotine. Nicotine is an activating substance and it cause activation of brain areas. You are having intense anxiety attacks and you have habit of chewing tobacco. Most likely nicotine is the substance that is aggravating your anxiety symptoms and is causing significant impairment in your functioning. Try to decrease the nicotine use gradually over time your anxiety will improve. As nicotine is very addictive substance you can consult a Psychiatrist for deaddiction. Many medicines like bupropion, buspirone etc are used in nicotine addiction to decrease anxiety and to decrease craving of tobacco. Try relaxation exercises and yoga to keep yourself relaxed. Hope this helps you, thanks.