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Benedict Cumberbatch's Nicotine Poisoning — How Did the Actor Get it Three Times?
Medpage Today ^ | November 17, 2021 | Michele R. Berman, MD

Posted on 11/20/2021 4:29:51 PM PST by nickcarraway

Actor Benedict Cumberbatch has been quite busy lately. He has four movies awaiting release: "Doctor Strange in the Multiverse of Madness," "Spider-Man: No Way Home," "The Electrical Life of Louis Wain," and "The Power of the Dog." It was Cumberbatch's dedication to immersing himself in this last film's character that got him into a bit of health trouble.

"The Power of the Dog," based on the 1967 novel by Thomas Savage, is a story about an early 20th century Montana rancher, Phil Burbank, who torments the wife of his younger brother, George. Phil is described as "a great reader, a taxidermist, skilled at braiding rawhide and horsehair, a solver of chess problems, a smith and metalworker, a collector of arrowheads (even fashioning arrowheads himself with greater skill than any Indian), a banjo player, a fine writer, a builder of hay-stacking beaver-slide derricks, a vivid conversationalist."

Cumberbatch immediately went to work to learn these skills, making horseshoes, carving wood into both large and small objects, braiding, whistling, stacking hay, and taking banjo lessons. In an interview with Esquire UK, Cumberbatch revealed that he failed to master the banjo: "I really wanted to become world class at the banjo and I'm very much not. I'm very far off."

Cumberbatch also took on some of Phil's bad habits. First, Burbank seldom washed, so Cumberbatch didn't either: "I wanted that layer of stink on me. I wanted people in the room to know what I smelt like." Phil was also a heavy smoker. Cumberbatch hand-rolled the cigarettes and smoked them all, telling the magazine: "That was really hard. Filterless rollies, just take after take after take. I gave myself nicotine poisoning three times. When you have to smoke a lot, it genuinely is horrible."

Nicotine is a chiral alkaloid that is naturally produced by the nightshade family of plants, most notable of which is tobacco. The tobacco plant is indigenous to the Americas and has been used as a medicine and stimulant for at least 2,000 years. Nicotine constitutes approximately 0.6% to 3.0% of the dry weight of tobacco.

According to the National Institute on Drug Abuse, the cigarette is a very efficient and highly engineered drug-delivery system for nicotine. By inhaling tobacco smoke, the average smoker takes in 1 to 2 mg of nicotine per cigarette. When tobacco is smoked, nicotine rapidly reaches peak levels in the bloodstream and enters the brain.

A typical smoker will take 10 puffs on a cigarette over the roughly 5 minutes that the cigarette is lit. Thus, a person who smokes about one pack (20 cigarettes) daily gets 200 "hits" of nicotine to the brain each day. Among those who do not inhale the smoke -- such as cigar and pipe smokers and smokeless tobacco users -- nicotine is absorbed through mucous membranes in the mouth and reaches peak blood and brain levels more slowly.

Immediately after exposure to nicotine, there is a "kick" caused in part by the drug's stimulation of the adrenal glands and resulting discharge of epinephrine. The rush of adrenaline stimulates the body and causes an increase in blood pressure, respiration, and heart rate.

Nicotine is addictive. A transient surge of endorphins in the reward circuits of the brain causes a slight, brief euphoria when nicotine is administered. This surge is much briefer than the "high" associated with other drugs. However, like other abused drugs, nicotine increases levels of the neurotransmitter dopamine in these reward circuits, which reinforces the behavior of taking the drug.

Repeated exposure alters these circuits' sensitivity to dopamine and leads to changes in other brain circuits involved in learning, stress, and self-control. For many tobacco users, the long-term brain changes induced by continued nicotine exposure result in addiction, which involves withdrawal symptoms when not smoking, as well as difficulty adhering to the resolution to quit.

Nicotine Poisoning

Nicotine poisoning can occur with any form of nicotine-cigarette smoking, e-cigarettes, chewing tobacco and snuff, and even nicotine patches. Nicotine overdose is unlikely with tobacco cigarettes, since the body only absorbs about one-tenth of the nicotine in a cigarette. Overdose due to nicotine patches is also unlikely unless instructions are not followed. E-cigarettes pose a bigger risk. They use a battery to heat liquid nicotine in a cartridge for subsequent inhalation. Ingestion of this liquid can be toxic.

Children, young people, and pets are smaller and more susceptible to nicotine poisoning at lower doses. There is enough nicotine in a cigarette butt to harm a small child who might eat one. An older child experimenting with chewing tobacco can also take a toxic dose. Liquid nicotine from e-cigarettes often comes in colorful packages with candy flavors, which might entice a toddler to try it.

The symptoms of nicotine poisoning occur in two phases. Early symptoms of poisoning occur in the first 15 minutes to 1 hour, and include:

Nausea and/or vomiting Abdominal pain Excess in salivation Rapid, heavy breathing Increased heart rate Elevated blood pressure Skin pallor Headache Dizziness or confusion These symptoms can last up to 1 hour for mild intoxication to 24 hours for severe intoxication. In the second phase, which can occur 30 minutes to 4 hours later, symptoms include:

Diarrhea Shallow breathing Slowing of the heart rate Lower blood pressure Lethargy Weakness Seizures Treatments include supportive hydration, cardiorespiratory monitoring, and seizure control.

What Is the Lethal Dose of Nicotine?

The CDC and others have said that the lethal dose of nicotine is 60 mg or less. However, according to a 2014 article published in Archives of Toxicology, there are countless cases who have survived consumption of far larger doses.

The article disputed that 1 to 4 mg of oral nicotine can cause some of the severe symptoms noted, such as seizures and loss of consciousness.

A 2005 paper supported the assertion that we should stop using the 60-mg dose as the definition of lethal, recalling a patient who routinely ingested 7 to 20 cigarettes a day and had only mild symptoms of nicotine intoxication.

"Nicotine is a toxic compound that should be handled with care, but the frequent warnings of potential fatalities caused by ingestion of small amounts of tobacco products or diluted nicotine-containing solutions are unjustified and need to be revised in light of overwhelming data indicating that more than 0.5 g of oral nicotine is required to kill an adult," the 2014 paper concluded.

Michele R. Berman, MD, is a pediatrician-turned-medical journalist. She trained at Johns Hopkins, Washington University in St. Louis, and St. Louis Children's Hospital. Her mission is both journalistic and educational: to report on common diseases affecting uncommon people and summarize the evidence-based medicine behind the headlines.


TOPICS: Health/Medicine; TV/Movies
KEYWORDS: benedictcumberbatch; nicotine; smoking
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1 posted on 11/20/2021 4:29:51 PM PST by nickcarraway
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To: nickcarraway
He was great in Black Mass...and even better in Sherlock.
2 posted on 11/20/2021 4:33:51 PM PST by Gay State Conservative (Covid Is All About Mail In Balloting)
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To: nickcarraway

I admire actors like Cumberbatch and Daniel Day-Lewis who immerse themselves into their characters and produce outstanding performances, but I’d never carry it far enough to start smoking. Poisoning yourself for your art is unreasonable IMO!


3 posted on 11/20/2021 4:34:16 PM PST by American Quilter (Congratulations to Kyle Rittenhouse and his legal team!)
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To: nickcarraway

Best Sherlock ever? Its a mystery.


4 posted on 11/20/2021 4:35:03 PM PST by mylife (Joe Biden is like bald tires in the rain, Alec Baldwin with a gun....)
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To: nickcarraway

What of the 7% solution?


5 posted on 11/20/2021 4:36:52 PM PST by mylife (Joe Biden is like bald tires in the rain, Alec Baldwin with a gun....)
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To: nickcarraway
Nicotine Poisoning — How Did the Actor Get it Three Times?

Smoking.......

6 posted on 11/20/2021 4:38:16 PM PST by Toddsterpatriot (TANSTAAFL)
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To: mylife

He’s really good but Jeremy Brett is probably a click better.


7 posted on 11/20/2021 4:46:54 PM PST by wally_bert (I cannot be sure for certain, but in my personal opinion I am certain that I am not sure.)
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To: American Quilter

I don’t admire actors who have to “become the person” to become the character. Bogart didn’t do that. Jimmy Stewart didn’t do that. Spencer Tracy didn’t do that. Orson Wells didn’t do that.

It is called “acting”. You should be able to act without having to duplicate the entire life experience of the character. Great actors don’t need to do that.


8 posted on 11/20/2021 4:48:37 PM PST by Freedom_Is_Not_Free (America -- July 4, 1776 to November 3, 2020 -- R.I.P.)
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To: Gay State Conservative

Never heard of him.


9 posted on 11/20/2021 4:49:37 PM PST by HighSierra5 (The only way you know a commie is lying is when they open their pieholes.)
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To: nickcarraway

Camels?


10 posted on 11/20/2021 4:50:14 PM PST by Chode (there is no fall back position, there's no rally point, there is no LZ... we're on our own. #FJB)
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To: HighSierra5

A terrific Brit actor.

.


11 posted on 11/20/2021 4:51:50 PM PST by Mears
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To: nickcarraway

Years ago I worked for a packing house & a bunch of cows escaped. Got most of them back but we had one cow who wouldn’t go back no matter what we did so the Humane Society came and darted her. Guy told us they shot her with pure nicotine. We had to keep her in a pen for a week to let her system work the nicotine out before they butchered her.


12 posted on 11/20/2021 4:52:15 PM PST by Mean Daddy (Every time Hillary lies, a demon gets its wings. - Windflier)
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To: HighSierra5

Even those who have heard of him generally don’t realize he had a role in the Lord of the Rings as the Necromancer.


13 posted on 11/20/2021 4:56:03 PM PST by rx (Truth will out!)
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To: wally_bert
No hat tip for Basil Rathbone? I liked his Dr Watson. Nigel Bruce...


14 posted on 11/20/2021 4:58:58 PM PST by mylife (Joe Biden is like bald tires in the rain, Alec Baldwin with a gun....)
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To: rx

What’s Lord of the Rings?


15 posted on 11/20/2021 4:59:40 PM PST by HighSierra5 (The only way you know a commie is lying is when they open their pieholes.)
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To: nickcarraway

People were generally tougher 40-50 years ago. “Nicotine poisoning” was considered a head buzz back then.


16 posted on 11/20/2021 5:05:07 PM PST by aynrandfreak (Being a Democrat means never having to say you're sorry)
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Please Support FR
Click The Pic To Donate


17 posted on 11/20/2021 5:07:04 PM PST by DJ MacWoW (The Fed Gov is not one ring to rule them all)
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To: HighSierra5

18 posted on 11/20/2021 5:17:41 PM PST by mylife (Joe Biden is like bald tires in the rain, Alec Baldwin with a gun....)
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To: mylife

Jeremy Brett.


19 posted on 11/20/2021 5:20:20 PM PST by Mmogamer (I refudiate the lamestream media, leftists and their prevaricutions.)
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To: rx
Even those who have heard of him generally don’t realize he had a role in the Lord of the Rings as the Necromancer.

And, I believe, the voice of Smaug in Peter Jackson's version of "The Hobbit".

20 posted on 11/20/2021 5:26:48 PM PST by BlueLancer (Orchides Forum Trahite - Cordes Et Mentes Veniant)
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