Cigars and Cigarillos

Cigars and Cigarillos
Cigars and Cigarillos: Q&A
- Question
  
  Is smoking cigars without inhaling safe?
  
  Answer
  
  No. Not only can cigar smoking, which includes cigarillos, cause cancers of the mouth and throat, it can also cause serious health problems - even if you don't inhale.
- Question
  
  Are cigarillos safer than cigarettes?
  
  Answer
  
  No, cigarillos are not a safe alternative to cigarettes. In fact, smoking cigarillos exposes users to similar types of cancer-causing substances and at least as much carbon monoxide as cigarette smokers. There's no such thing as safe tobacco.
- Question
  
  If I don't inhale, can I still get addicted to nicotine?
  
  Answer
  
  Yes, Many teens underestimate how easy it is to get addicted to nicotine/tobacco. Cigarillo users don't need to inhale to be exposed to nicotine - It can also be absorbed through your fingers and lips. Exposure to nicotine during adolescence affects brain development and makes it easier to get addicted.
The only safe tobacco is no tobacco

All Tobacco Products Are Harmful

Cigars and Cigarillos
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- International Agency for Research on Cancer (IARC). Tobacco smoke and involuntary smoking. In: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. Vol. 83. Lyon, France: International Agency for Research on Cancer; 2004.
- Bertuccio P, La VC, Silverman DT, et al. Cigar and pipe smoking, smokeless tobacco use and pancreatic cancer: an analysis from the International Pancreatic Cancer Case- Control Consortium (PanC4). Annals of Oncology. 2011; 22 (6):1420–1426.
Cigars and Cigarillos: Q&A
- Food and Drug Administration (FDA). Rules and Regulations. Federal Register. 2016; 81(90):29061.
- Chen J, Kettermann A, Rostron BL, Day HR. Biomarkers of exposure among U.S. cigar smokers: an analysis of 1999-2012 National Health and Nutrition Examination Survey (NHANES) data. Cancer Epidemiology, Biomarkers & Prevention. 2014; 23(12):2906-2915.
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- Rickert WS, Trivedi AH, Momin RA, Wagstaff WG, Lauterbach JH. Mutagenic, cytotoxic, and genotoxic properties of tobacco smoke produced by cigarillos available on the Canadian market. Regulatory Toxicology and Pharmacology. 2011; 61(2):199-209.
- Rickert WS, Wright WG, Trivedi AH, Momin RA, Lauterbach JH. A comparative study of the mutagenicity of various types of tobacco products. Regulatory Toxicology and Pharmacology. 2007; 48(3):320-330.
- Blank MD, Nasim A, Hart A, Eissenberg T. Acute effects of cigarillo smoking. Nicotine & Tobacco Research. 2011; 13(9):874-879.
- Fabian LA, Canlas LL, Potts J, Pickworth WB. Ad lib smoking of Black & Mild cigarillos and cigarettes. Nicotine & Tobacco Research. 2012; 14(3):368-371.
- Pickworth WB, Rosenberry ZR, Koszowski B. Toxicant exposure from smoking a little cigar: further support for product regulation. Tobacco Control. 2016; [Epub ahead of print] PubMed PMID: 27122063.
- Koszowski B, Rosenberry ZR, Kanu A, Viray LC, Potts JL, Pickworth WB. Nicotine and carbon monoxide exposure from inhalation of cigarillo smoke. Pharmacology Biochemistry and Behavior. 2015; 139(Pt A):7-14.
- Blank MD, Cobb CO, Eissenberg T, Nasim A. Acute Effects of “Hyping” a Black&Mild Cigarillo. Nicotine & Tobacco Research. 2015; 18(4):460-469.
- Henningfield JE, Hariharan M, Kozlowski LT. Nicotine content and health risks of cigars. Journal of the American Medical Association. 1996; 276(23):1857-1858.
- Kershbaum, A. A comparative study of cigarette, cigar and pipe smoking effects on blood lipids, catechlolamine excretion and nicotine content of the urine. Acta Cardiologica. 1968; 23(4):317-329.
- "Armitage A, Dollery C, Houseman T, Kohner E, Lewis PJ, Turner D. Absorption of nicotine from small cigars. Clinical Pharmacology & Therapeutics. 1978; 23(2):143-151.
  CTP funded contract study results- not yet published. CTP Lead: Megan Schroeder."
- U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: Preventing Tobacco Use among Youth and Young Adults. We Can Make the Next Generation Tobacco-Free (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.
- Trauth JA, Seidler FJ, Ali SF, Slotkin TA. Adolescent nicotine exposure produces immediate and long-term changes in CNS noradrenergic and dopaminergic function. Brain Research. 2001; 892(2):269-280.
- Placzek AN, Molfese DL, Khatiwada S, et al. Translational control of nicotine-evoked synaptic potentiation in mice and neuronal responses in human smokers by elF2 alpha. Elife. 2016; 5:11.