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70,72 Mental health, beliefs about smoking, perception of schoolmates smoking, and other substance use are additional factors that can influence an adolescents risk for smoking and nicotine dependence

However, individuals who previously consumed combustible cigarettes and switched to e-cigarettes make up a segment of todays adult users [5, 6]

typically this may include: A change in depth perception and the judgement of distance Changes to peripheral, colour and night vision Changes to balance and coordination Changes to comprehension, concentration and reaction time Increased fatigue (with some drugs this may occur after the effects of the drug have worn off) Prolonged drug use may lead to a wide range mental and physical health problems including: Depression Anxiety Panic attacks Psychosis Increased chance of lung cancer (smoking tobacco or cannabis) Increased chance of mouth cancer (smoking, alcohol, paan, khat) Increased chance of throat cancer (smoking, alcohol, paan) Liver damage (alcohol, paracetamol) Sexual dysfunction Kidney failure (MDMA or ecstasy) Increased risk of heart attack or stroke DRUGS AND SAFETY DONT MIX

doi: 10.1186/s12916-014-0182-6 47