Manejo do tabagismo na Atenção Básica

Abstract

This study aims to describe the dependence on nicotine, it actions in the central nervous system (CNS) and identify the main symptoms of withdrawal so that the staff of the Family Health Strategy can assist smokers in cessation of tobacco use. This is a non-systematic literature review in which they were analyzed articles dealing with the challenges of nicotine dependence using the keywords nicotine and substance withdrawal syndrome. The results indicate that nicotine, the main substance responsible for tobacco dependence, acts in the CNS by modifying the release of neurotransmitters, especially dopamine, responsible for feeling of pleasure and the desire to repeat the substance use. When there is a deprivation of the drug, the body develops a framework that involves several withdrawal symptoms such as headache, nausea, constipation, diarrhea, increased heart rate and blood pressure, depression, irritability restlessness, anxiety, difficulty concentrating, increased hunger and caloric intake, pleasantness of sweet tastes, insomnia, sleep and craving. These symptoms may lead to relapse and it is believed that requires an ongoing commitment of all involved in caring for the construction of new ways to deal with nicotine dependence.