From the Research
Nicotine gum is not recommended for individuals with eating disorders due to its potential to worsen eating disorder behaviors and be misused as a weight control method. The stimulant properties of nicotine can suppress appetite, which may exacerbate eating disorder symptoms or be exploited as a means to control weight. Nicotine gum products, such as Nicorette, typically contain 2mg or 4mg of nicotine per piece and are designed to be chewed intermittently over 30 minutes, but individuals with eating disorders might misuse this medication regimen 1.
Eating disorders often involve complex psychological relationships with substances that affect body weight or appetite, making nicotine particularly problematic. The addictive nature of nicotine presents another risk, as people with eating disorders may be more vulnerable to developing substance dependencies 2. If someone with an eating disorder is trying to quit smoking, they should work closely with both their eating disorder treatment team and a smoking cessation specialist to develop a safer approach that might include non-nicotine alternatives like bupropion (Zyban) or behavioral strategies 3.
Some key considerations for individuals with eating disorders who use tobacco products include:
- Elevated rates of smoking and greater nicotine dependence compared to the general population 2
- Use of tobacco products for weight control, which can worsen eating disorder symptoms 1
- Increased risk of substance dependence due to the addictive nature of nicotine 4
- Need for careful monitoring of any medication that affects appetite or metabolism to ensure it does not interfere with recovery efforts 3
Overall, the potential risks associated with nicotine gum use in individuals with eating disorders outweigh any potential benefits, and alternative approaches to smoking cessation should be prioritized 1.