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Determination of Nicotine Absorption from Multiple Tobacco Products and Nicotine Gum

Digard, Helena ; Proctor, Christopher ; Kulasekaran, Anuradha ; Malmqvist, Ulf LU and Richter, Audrey (2013) In Nicotine & Tobacco Research 15(1). p.255-261
Abstract
Snus is a smokeless tobacco product traditionally used in Scandinavia and available in pouched or loose forms. The objective of this study was to determine nicotine absorption for current pouched and loose snus products in comparison with a cigarette and an over-the-counter nicotine gum. We conducted an open-label, randomized, 6-way, crossover study involving 20 healthy snus and cigarette users. One of 6 products (2 pouched snus, 2 weights of loose snus, a cigarette, and a nicotine gum) was administered at each of 6 visits. Blood samples were taken at intervals over 120 min and sensory perception assessed by questionnaire. For the 4 smokeless tobacco products and the nicotine gum, blood plasma levels of nicotine were ranked according to... (More)
Snus is a smokeless tobacco product traditionally used in Scandinavia and available in pouched or loose forms. The objective of this study was to determine nicotine absorption for current pouched and loose snus products in comparison with a cigarette and an over-the-counter nicotine gum. We conducted an open-label, randomized, 6-way, crossover study involving 20 healthy snus and cigarette users. One of 6 products (2 pouched snus, 2 weights of loose snus, a cigarette, and a nicotine gum) was administered at each of 6 visits. Blood samples were taken at intervals over 120 min and sensory perception assessed by questionnaire. For the 4 smokeless tobacco products and the nicotine gum, blood plasma levels of nicotine were ranked according to total nicotine content as follows: loose snus (27.1 mg nicotine) > pouched snus (14.7 mg nicotine) > loose snus (10.8 mg nicotine) = pouched snus (10.7 mg nicotine) > nicotine gum (4.2 mg nicotine). The area under the plasma concentration-time curve (AUC) and maximum plasma concentration (C-max) of nicotine ranged from 26.9 to 13.1 ng.h/ml and 17.9 to 9.1 ng.h/ml, respectively across all the products. Nicotine was absorbed more rapidly from the cigarette but systemic exposure was within the range of the smokeless tobacco products (AUC = 14.8 ng.h/ml; C-max = 12.8 ng.h/ml). This study has generated new information on comparative nicotine absorption from a cigarette, loose snus, and pouched snus typical of products sold in Scandinavia. The similar nicotine absorption for 1 g portions of loose and pouched snus with approximately 11 mg of nicotine indicate that absorption kinetics were dependent on quantity of tobacco by weight and total nicotine content rather than product form. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nicotine & Tobacco Research
volume
15
issue
1
pages
255 - 261
publisher
Oxford University Press
external identifiers
  • wos:000312880900032
  • scopus:84871552259
  • pmid:22585541
ISSN
1469-994X
DOI
10.1093/ntr/nts123
language
English
LU publication?
yes
id
11498157-fc08-4507-962d-e8a18b095ed9 (old id 3481329)
date added to LUP
2016-04-01 10:14:02
date last changed
2022-04-19 23:57:47
@article{11498157-fc08-4507-962d-e8a18b095ed9,
  abstract     = {{Snus is a smokeless tobacco product traditionally used in Scandinavia and available in pouched or loose forms. The objective of this study was to determine nicotine absorption for current pouched and loose snus products in comparison with a cigarette and an over-the-counter nicotine gum. We conducted an open-label, randomized, 6-way, crossover study involving 20 healthy snus and cigarette users. One of 6 products (2 pouched snus, 2 weights of loose snus, a cigarette, and a nicotine gum) was administered at each of 6 visits. Blood samples were taken at intervals over 120 min and sensory perception assessed by questionnaire. For the 4 smokeless tobacco products and the nicotine gum, blood plasma levels of nicotine were ranked according to total nicotine content as follows: loose snus (27.1 mg nicotine) > pouched snus (14.7 mg nicotine) > loose snus (10.8 mg nicotine) = pouched snus (10.7 mg nicotine) > nicotine gum (4.2 mg nicotine). The area under the plasma concentration-time curve (AUC) and maximum plasma concentration (C-max) of nicotine ranged from 26.9 to 13.1 ng.h/ml and 17.9 to 9.1 ng.h/ml, respectively across all the products. Nicotine was absorbed more rapidly from the cigarette but systemic exposure was within the range of the smokeless tobacco products (AUC = 14.8 ng.h/ml; C-max = 12.8 ng.h/ml). This study has generated new information on comparative nicotine absorption from a cigarette, loose snus, and pouched snus typical of products sold in Scandinavia. The similar nicotine absorption for 1 g portions of loose and pouched snus with approximately 11 mg of nicotine indicate that absorption kinetics were dependent on quantity of tobacco by weight and total nicotine content rather than product form.}},
  author       = {{Digard, Helena and Proctor, Christopher and Kulasekaran, Anuradha and Malmqvist, Ulf and Richter, Audrey}},
  issn         = {{1469-994X}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{255--261}},
  publisher    = {{Oxford University Press}},
  series       = {{Nicotine & Tobacco Research}},
  title        = {{Determination of Nicotine Absorption from Multiple Tobacco Products and Nicotine Gum}},
  url          = {{http://dx.doi.org/10.1093/ntr/nts123}},
  doi          = {{10.1093/ntr/nts123}},
  volume       = {{15}},
  year         = {{2013}},
}