NIDA for Teens: The Science Behind Drug Abuse
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America's Leading Preventable Killer

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Withdrawal may be bad, but long-term smoking can be much worse. It raises your blood pressure, dulls your senses of smell and taste, reduces your stamina, and wrinkles your skin. More dangerously, long-term smoking can lead to fatal heart attacks, strokes, emphysema, and cancer.

You may be surprised to learn that tobacco use causes far more illnesses and death than all other addicting drugs combined. One out every six deaths in the United States is a result of smoking.

But even when faced with risk of death, many people keep using tobacco because they are so addicted to nicotine. Believe it or not, half of the smokers who have heart attacks keep smoking, even though their doctor warns them to stop. That's a strong addiction!

Smokeless tobacco also has harmful effects. Chewing tobacco can cause damage to gum tissue and even loss of teeth. It also reduces a person's ability to taste and smell. Most importantly, smokeless tobacco contains cancer causing-chemicals that can cause cancers of the mouth, pharynx, larynx, and esophagus. This can even happen in very young users of chewing tobacco. In fact, most people who develop these cancers were users of chewing tobacco.