A member asked:

Suspect someone using as many as 20 pieces of nicorette (nicotine gum) gum in an hour may be using coke?

A doctor has provided 1 answer

Maybe: Hyper focus on activities can be from stimulants like Cocaine but other conditions e.g., mania can induce these behaviors. Schizophrenics can be highly nicotine dependent. Nicotinic brain receptors differ from those stimulants bind to. The person's nicotine dependence (heavy smoker, chewing tobacco) impacts the ability to tolerate such misuse. Encourage medical evaluation and treatment asap!

Answered 3/31/2015

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