Kate, that document is a jewel in favor of e-smoking! Consider that it was done in 1993, before e-cigs were invented, and shows how effective nicotine delivery as an aerosol can be in satisfying smokers' cravings. Its bottom line is, as you noted, that the greater the
pH of the smoke, the higher the blood nicotine levels achieved.
I went through it line by line and pulled some stuff we e-smokers need to know:
We (researchers) conclude that a more alkaline aerosol enhances absorption from the respiratory tract. The vapor we inhale in on the alkaline side.
Delivery of nicotine as an aerosol may have potential in nicotine replacement therapy for smoking cessation. You bet, and e-smokers are proof.
Since cigar smoke is alkaline whereas cigarette smoke is acidic, the pH of cigar smoke may contribute to its greater irritant effect on the airway. Same with our vapor; you want hit, go alkaline with the
pH.
Course, the test involved some heavy nicotine. The base liquid, for instance, was 130mg per ml. Our "high" liquid is 16mg per ml. Our vapor yields 0.053mg per puff. The strong test liquid made 0.457mg per puff. I want some of that!
As the researchers note,
The dose used was four to five times that of a standard cigarette.
Russell and Feyerabend proposed that it may be the puff-by-puff nicotine bolus effect of cigarette smoking that leads to such fierce dependence, not just to nicotine itself but to that particular form of nicotine, so that other forms of nicotine do not satisfy. Nicotine aerosol would provide a pattern of nicotine substitution that would be more like the use of cigarettes. In theory, it might be more successful in preventing withdrawal symptoms, allowing more patients to achieve initial abstinence from smoking. However these same features, such as the rapid onset of action and the potential for high blood levels, are factors that might increase the potential for physical or behavioral dependence on the aerosol nicotine itself. Yep, I'm now addicted to e-cig vapor.
Successful nicotine substitution might ultimately utilize multiple modalities that could be tailored to each patient. Benowitz proposed that more studies be done to evaluate the potential of rapid-delivery systems, such as nicotine aerosol, particularly in combination with slow-delivery systems like gum or transdermal patches. In summary,
we have shown that inhalation of an aerosolized nicotine solution produced rapid peak plasma levels that increased significantly as the aerosol pH was increased.
We are using what they concluded could be a successful way to say goodbye to cigarettes. Nice study.
Bookmarks