Nicotine is an addictive compound that leads to dependence in most users. It affects the cardiovascular system, increasing the heartbeat, constricting the blood vessels, and can increase blood pressure. It also increases the likelihood that the person will become a smoker. After about two years, changes often occur in the regions of the mouth where tobacco is placed. Two to four percent of these patches may turn into cancer. Long-term use leads to increased risk of oral cancer. Smokeless tobacco users have a four fold greater risk of oral cancer than non-users.
After 50 years of use, this risk can be approximately 50 times greater. Smokeless tobacco is also linked to cancer of the esophagus and pancreas and may contribute to the cause of lung cancer. It is estimated that about 37, new cases of oral cancer will be reported in the United States in These cancers occur more frequently in men than women, and are more common in people over the age of In , an estimated 8, deaths can be blamed on oral cancer.
Principal methods are surgery and radiation therapy. Chemotherapy is sometimes used before surgery or radiation therapy to shrink large tumors. Tell friends you are quitting and ask them to not offer you smokeless tobacco or other nicotine products.
Ask a friend to quit with you. Chew on something else. A few good examples are sugarless gum, pumpkin or sunflower seeds, or apple slices. Stay busy with healthier activities. You could work on a hobby, listen to music, or volunteer your time. Exercise can help relieve any tension caused by quitting. Try biking, walking, running, or other sports.
Everyone is different, so develop a personalized plan that works best for you. Set realistic goals so you will be more likely to achieve them.
Reward yourself. Save the money that you would have spent on smokeless tobacco and use it for something special. Treat yourself to your favorite restaurant, a special purchase, or an event.
Spend time with family and friends who are supportive. Your chances of being cured are higher if oral cancer is found early. Check your mouth often, looking closely at the places where you hold the tobacco. See your doctor right away if you have any of the following:. If you use smokeless tobacco, your doctor and dentist should carefully examine your mouth at each checkup. American Academy of Pediatrics Julius B. Richmond Center of Excellence.
Centers for Disease Control and Prevention. The AAP is not responsible for the content of the resources mentioned in this publication. Phone numbers and Web site addresses are as current as possible, but may change at any time.
What is smokeless tobacco? Chewing tobacco Chewing tobacco comes in 3 forms: loose leaves, plugs, and twists or rolls of tobacco. Snuff and snus Snuff and snus are ground tobacco. Other forms of smokeless tobacco The newest forms of smokeless tobacco are finely ground dissolvable tobacco that is flavored and shaped into sticks, pellets, or strips. Smokeless tobacco is addictive Nicotine in smokeless tobacco is what gives users a buzz.
If you make, modify, mix, manufacture, fabricate, assemble, process, label, repack, relabel, or import smokeless tobacco, you must comply with these requirements for manufacturers.
This office also provides online educational resources to help regulated industry understand FDA regulations and policies. Learn more about required warning statements and warning plans for smokeless tobacco. Note: On December 20, , the President signed legislation to amend the Federal Food, Drug, and Cosmetic Act, and raise the federal minimum age of sale of tobacco products from 18 to 21 years.
It is now illegal for a retailer to sell any tobacco product — including cigarettes, cigars and e-cigarettes — to anyone under FDA will provide additional details on this issue as they become available, and the information on this page will be updated accordingly in a timely manner.
If you have questions about importing a specific tobacco product, please contact the FDA district into which your product will be imported.
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