Indian Journal of Psychological Medicine
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CASE REPORT
Year : 2012  |  Volume : 34  |  Issue : 4  |  Page : 394-395

Chewing Beedis: A Case of Cross-Tobacco use in a Patient with Schizophrenia


1 Department of Social Work, School of Social and Behavioral Sciences, Central University of Karnataka, Gulbarga, Bangalore, Karnataka
2 Department of Psychiatry, Ramaiah Medical College and Research Institute, Bangalore, Karnataka
3 Department of Psychiatric Social Work, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka
4 Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka

Correspondence Address:
Govindappa Lakshmana
Department of Social Work, School of Social and Behavioral Sciences, Central University of Karnataka, Gulbarga - 585 106, Karnataka

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7176.108232

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While tobacco use occurs in many forms all over the world, there is little information on cross-tobacco use. Authors report an unusual case of tobacco use in the form of chewing beedies which are normally smoked (cross-tobacco use). A 22-year-old single female, diagnosed with schizophrenia for the last 6 years, started chewing beedies from the age of 15 years and was using it in a dependent pattern since 7 years. After 3 years of treatment for her schizophrenia, patient's family pressured her to seek tobacco cessation treatment. Initial treatment with nicotine gum replacement and behavioral counseling did not prove useful. Subsequently she was treated with bupropion 300 mg/day and able to successfully abstain. Cross-tobacco use is relatively rare, and merits further study, especially in the mentally ill population.


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