Urinary cotinine in narguila or chicha tobacco smokers

J Med Liban. 1997;45(1):19-20.


Urinary levels of nicotine metabolites were measured in nonsmokers and smokers of tobacco either as cigarettes or as the Middle-Eastern water pipes (narguila). Levels of urinary cotinine were similar for the smokers of cigarettes (median 30 cigarettes per day) and narguila (median 2 pipes per day, or around 40 grams of tobacco). Use of water pipes may remove a small amount of nicotine, but smokers appear to titrate dose to effect. It is unlikely that narguila smoking confers any less risk.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Cotinine / analogs & derivatives
  • Cotinine / urine*
  • Female
  • Humans
  • Lebanon
  • Male
  • Middle Aged
  • Radioimmunoassay
  • Sex Factors
  • Smoking / urine*


  • hydroxycotinine
  • Cotinine