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Symptoms include: Tremors Constricted pupils Drooling Auditory and visual hallucinations Excitement Vomiting and diarrhea Twitching, possibly progressing to seizures Racing heart rate but slow heart rate with small doses High blood pressure but at higher doses, there is a circulatory collapse It is easy to confuse nicotine poisoning with other poisonings such as strychnine, chocolate, organophosphate insecticides, and certain molds

As for consumption of waterpipe tobacco , 62% of users are men

doi: 10.2188/jea.18.19