Acute Intoxication with Nicotine Alkaloids and Cannabinoids in Children from Ingestion of Cigarettes

Abstract
The risks to children from tobacco and tobacco with cannabinoids have been described following ingestion of cigarettes, cigarette butts, reefers and joints (Arena, 1974; Schvartsman, 1971; Dreisbach, 1980; Garcia-Estrada & Fischman, 1977). Tobacco cigarettes contain about 15-20 mg of nicotine but this is poorly absorbed following ingestion. 4-8 mg of nicotine may cause nausea, while the estimated oral lethal dose for adults ranges between 40-60 mg. Joints and reefers are estimated to have tetrahydrocannabinol (THC) content of 3.6-15 mg.

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