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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Vapor Cigarettes Addiction Be Controlled?

i quit smoking cigarettes cold turkey 6 months ago after 43 yrs , i had 2 heart attacks and have 4 double stents in right and left aortas from 4 plus years ago. i started smoking a vapor cigarette about 4 months ago because 9 days after i quit smoking i went to hospital with extreme high bblood pressure and chest pains . i didn't know it was with drawels they did another heart cath that day , all was ok . all was fine til 3 weeks ago, agnonizing left arm pain when i smoke the vapor ciggy . went from 18 mg of nicotine down to zero mg . still i have this pain . it goes away after maybe a hour . but i still have this craving for the vapor cigarette. . i am scared . .
Thu, 27 Aug 2015
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Addiction Medicine Specialist,  's  Response
Pain associated with exertion is quite possibly angina. This can occur with NORMAL coronaries due to the vessels spasming and this is very commonly associated with smoking. While a simple stress test can show this, the symptoms have to occur during the test for it to be valid.
A dye stress test in which you get the arm pain from doing the activity that causes the pain is highly likely to show if it is spasm.
Can also be lung problem of a MINOR nature that can give the pain.
Can also be an esophagus problem of a MINOR nature that can give the pain.
Nitrates would help the heart and the esophagus. Not as much as not doing the activity that causes the pain.....but still something.
Then.... the best way to quit requires an evaluation first:
first this HAS TO BE CHECKED OUT with a stress test to know if it is safe.
1)Vaping can have the nicotine amount titrated down very gradually. There is a strong tendancy to just do a lot more vaping when the nicotine is turned down, but this can be avoided in theory.
2) do standard addiction things with cigarettes. get all the stuff out of the house (avoid); consider getting a replacment (substitute), tell everyone when you are quitting and get them involved in it (transcend),
3) doctors might be helpful.

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How Can Vapor Cigarettes Addiction Be Controlled?

Pain associated with exertion is quite possibly angina. This can occur with NORMAL coronaries due to the vessels spasming and this is very commonly associated with smoking. While a simple stress test can show this, the symptoms have to occur during the test for it to be valid. A dye stress test in which you get the arm pain from doing the activity that causes the pain is highly likely to show if it is spasm. Can also be lung problem of a MINOR nature that can give the pain. Can also be an esophagus problem of a MINOR nature that can give the pain. Nitrates would help the heart and the esophagus. Not as much as not doing the activity that causes the pain.....but still something. Then.... the best way to quit requires an evaluation first: first this HAS TO BE CHECKED OUT with a stress test to know if it is safe. 1)Vaping can have the nicotine amount titrated down very gradually. There is a strong tendancy to just do a lot more vaping when the nicotine is turned down, but this can be avoided in theory. 2) do standard addiction things with cigarettes. get all the stuff out of the house (avoid); consider getting a replacment (substitute), tell everyone when you are quitting and get them involved in it (transcend), 3) doctors might be helpful.