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Products such as Page's Inhalers cigarettes containing stramonium leaves and other ingredients such as tea leaves, chestnut leaves, gum benzoin, and kola nuts were therefore a common treatment for asthma symptoms in the early 20th century: Despite the development of effective bronchodilating medications such as albuterol in the early 1970s, asthma cigarettes were still being recommended and used well into the 1990s: During the early decades of the twentieth century, the prominent position of smoking stramonium was challenged not only by new theories of asthma, which prioritized the role of inflammation and regarded smoke as an irritant, but also by the proliferation of novel and effective pharmaceutical remedies, by expanding state regulation of poisonous substances such as opium and cannabis, and by growing concerns about the health risks associated with smoking tobacco

Moreover, smoking increases the levels of platelet-activating factor (PAF) and its receptor (PAF-R) in bladder cells, facilitating the adhesion of cancer cells to blood vessel walls and promoting metastasis

PMC 6644065

however, the interview participants were predominantly made up of males