The link between smoking and ADHD

Adults with attention deficit hyperactivity disorder (ADHD) are more likely to smoke cigarettes and become dependent on nicotine. They may also find it more difficult to give up smoking nicotine.
ADHD is a neurodevelopmental disorder that can affect children and adults. According to the Centers for Disease Control and Prevention (CDC), people with ADHD show a pattern of inattentive and hyperactive symptoms. These include being easily distracted, often feeling extremely restless and wearing others out with their activity as well as finding it difficult to pay attention to what someone is saying.
Why is nicotine use higher in those with ADHD?
One explanation could be that some people with ADHD find that nicotine helps them manage their symptoms.
Nicotine’s stimulating effects may help improve attention and concentration in people with ADHD. This theory is called the self-medication theory, according to research.
However, a review indicates that receiving early treatment with prescribed ADHD medication does not prevent nicotine use.
ADHD and smoking
People with ADHD tend to have more difficulty quitting smoking than people without ADHD. More research is needed to find out why, but a 2018 review shows that people with ADHD are more prone to making impulsive decisions and often favour a smaller immediate reward over a larger reward in the future.
People with ADHD may be more likely to seek the quick fix of nicotine that smoking provides because it is a behavior that gives an immediate reward.
Can nicotine affect ADHD?
According to the CDC, doctors often prescribe stimulants to help people with ADHD manage their symptoms. Nicotine stimulates the brain in similar ways and can help a person focus on a task and boost concentration levels.
A 2016 study suggests that nicotine has beneficial effects on the concentration, attention, and emotional regulation of people with ADHD.
However, the effects are short-lived. Over time, many people need to smoke more nicotine more often to achieve the same effects.
Can nicotine affect ADHD medication?
Nicotine is a stimulant that acts on the brain in a similar way to some of the medications used to treat ADHD.
Although most of the research into ADHD has focused on children, there is no evidence to suggest that nicotine interferes with any ADHD medications.
Can quitting nicotine affect ADHD?
The health implications of smoking nicotine are the same for people with or without ADHD.
However, a 2016 study suggests that people with ADHD may feel the withdrawal symptoms more strongly than those without ADHD.
Many of the symptoms of nicotine withdrawal are common traits among people with ADHD.
These symptoms can include:
• irritability
• frustration
• insomnia
• anxiety
• restlessness
• difficulty concentratingAccording to a 2017 review, some people with ADHD believe the severity of these symptoms increases during nicotine withdrawal.
A person with ADHD should continue to take any prescribed medications while quitting the use of nicotine. This may help reduce the severity of withdrawal symptoms. – Source: MedicalNewsToday