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Question Posted Saturday October 29 2005, 10:15 am

Someone told me to ask YOU this although, I don't know why because you specialise in Mental Health..

But anyway.
I've been smoking for a while now and never had any dificulties but I've noticed I get dizzy sometimes when I smoke, any idea why this could be?


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Dr_Chad answered Sunday October 30 2005, 9:02 am:
You are right, I don't know much about smoking. However, you will feel dizzy and lightheaded when your brain isn't getting enough oxygen. Perhaps you are smoking too fast, or dragging too long, and your lungs aren't getting a chance to dissolve enough oxygen into your bloodstream. Try taking shorter drags, and allow more time in between drags.

One possible reason why your lungs are having trouble getting enough oxygen while you smoke is that your lungs are already operating at a diminished capacity due to an undiagnosed lung condition. Perhaps you should bring your concern up to your school nurse, or family doctor, or go to WebMD and submit your question.

The dizziness might also just be a drug effect. Nicotine is a vasoconstrictor (causes your veins/venules/capillaries to contract, decreasing blood flow, increasing blood pressure). I don't know the precise pharmacokinetic effect of nicotine, though, so I'm not sure how it makes you dizzy. Possibly it slows down the oxygenated blood leaving your lungs.

I would be remiss if I didn't make the compulsory observation that you could eliminate the dizziness completely if you didn't smoke at all. But I know you won't quit yet...

Dr. Chad

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