Black Pepper (Piper nigrum) for Tobacco Withdrawal: A Case Report

Tobacco use continues to be one of humanity’s most significant public health concerns, causing more than 8-million deaths annually. Existing treatments for tobacco use disorder are limited in efficacy and there is a strong need for identifying effective novel treatments. Small clinical trials indica...

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Main Authors: Jeremy Weleff, Samyukta Dore, Akhil Anand, Brian S. Barnett
Format: Article
Language:English
Published: Hindawi Limited 2022-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2022/5908769
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author Jeremy Weleff
Samyukta Dore
Akhil Anand
Brian S. Barnett
author_facet Jeremy Weleff
Samyukta Dore
Akhil Anand
Brian S. Barnett
author_sort Jeremy Weleff
collection DOAJ
description Tobacco use continues to be one of humanity’s most significant public health concerns, causing more than 8-million deaths annually. Existing treatments for tobacco use disorder are limited in efficacy and there is a strong need for identifying effective novel treatments. Small clinical trials indicate that black pepper (Piper nigrum) essential oil may be helpful for treating nicotine withdrawal and craving. However, we are unaware of any cases reporting the use of black pepper for these purposes in nonresearch settings. Here we present the case of a patient who inhaled combusted black pepper to self-medicate nicotine withdrawal when lacking access to tobacco cigarettes while incarcerated. Based on our patient’s report, inhalation of combusted black pepper may have alleviated his tobacco withdrawal and cravings by reducing his automatic motor urge to smoke, quelling withdrawal-associated anxiety, and mimicking the sensorimotor experience of smoking tobacco cigarettes. Notably, our patient reported that inhalation of combusted black pepper for treatment of nicotine craving and withdrawal was common in his correctional facility. Though combusted black pepper is highly unlikely to be an appealing treatment outside of a correctional setting, this case suggests that further investigation of vaporized black pepper essential oil for tobacco cessation may be warranted.
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spelling doaj.art-e25a39c5fc3f447fa9af21419bbae74e2022-12-22T04:23:34ZengHindawi LimitedCase Reports in Psychiatry2090-68382022-01-01202210.1155/2022/5908769Black Pepper (Piper nigrum) for Tobacco Withdrawal: A Case ReportJeremy Weleff0Samyukta Dore1Akhil Anand2Brian S. Barnett3Department of Psychiatry and PsychologyCleveland Clinic Lerner College of Medicine at Case Western Reserve UniversityDepartment of Psychiatry and PsychologyDepartment of Psychiatry and PsychologyTobacco use continues to be one of humanity’s most significant public health concerns, causing more than 8-million deaths annually. Existing treatments for tobacco use disorder are limited in efficacy and there is a strong need for identifying effective novel treatments. Small clinical trials indicate that black pepper (Piper nigrum) essential oil may be helpful for treating nicotine withdrawal and craving. However, we are unaware of any cases reporting the use of black pepper for these purposes in nonresearch settings. Here we present the case of a patient who inhaled combusted black pepper to self-medicate nicotine withdrawal when lacking access to tobacco cigarettes while incarcerated. Based on our patient’s report, inhalation of combusted black pepper may have alleviated his tobacco withdrawal and cravings by reducing his automatic motor urge to smoke, quelling withdrawal-associated anxiety, and mimicking the sensorimotor experience of smoking tobacco cigarettes. Notably, our patient reported that inhalation of combusted black pepper for treatment of nicotine craving and withdrawal was common in his correctional facility. Though combusted black pepper is highly unlikely to be an appealing treatment outside of a correctional setting, this case suggests that further investigation of vaporized black pepper essential oil for tobacco cessation may be warranted.http://dx.doi.org/10.1155/2022/5908769
spellingShingle Jeremy Weleff
Samyukta Dore
Akhil Anand
Brian S. Barnett
Black Pepper (Piper nigrum) for Tobacco Withdrawal: A Case Report
Case Reports in Psychiatry
title Black Pepper (Piper nigrum) for Tobacco Withdrawal: A Case Report
title_full Black Pepper (Piper nigrum) for Tobacco Withdrawal: A Case Report
title_fullStr Black Pepper (Piper nigrum) for Tobacco Withdrawal: A Case Report
title_full_unstemmed Black Pepper (Piper nigrum) for Tobacco Withdrawal: A Case Report
title_short Black Pepper (Piper nigrum) for Tobacco Withdrawal: A Case Report
title_sort black pepper piper nigrum for tobacco withdrawal a case report
url http://dx.doi.org/10.1155/2022/5908769
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AT briansbarnett blackpepperpipernigrumfortobaccowithdrawalacasereport