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It may occur without cause, or it may be triggered by: Alcohol withdrawal Emotional stress Exposure to cold Medicines that cause narrowing of the blood vessels (vasoconstriction) Stimulant drugs, such as amphetamines and cocaine Cocaine use and cigarette smoking can cause severe spasms of the arteries

Inhalers: Nicotine vapor (not smoke) absorbed through the mouth and throat lining

Understanding the impact of nicotine on mood and the challenges associated with nicotine withdrawal helps shed light on the link between quitting smoking and depression

They address the ritual of pouch use without any nicotine dependency