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30 Other research has also noted that the nicotine in cigarettes can augment the pleasurable effects of alcohol, increasing the desire to drink more and then smoke more to counteract the depressant effects of the alcohol

Possible long-term ramifications Long-term effects include the development of unhealthy coping mechanisms to stress rather than healthy ones (this could track into adulthood, causing other unhealthy habit cycles), developing addictions like smoking combustible cigarettes and other substances, and lung damage, along with other unknown consequences (4)