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The short-term side effects can include: Dizziness and lightheadedness Extreme anxiety Paranoia Confusion Coughing Throat irritation Shortness of breath Red eyes Dry mouth Carbon monoxide exposure Headaches Nausea The increased concentration of smoke from hot boxing can result in reduced oxygen levels in the car or room

Carbon monoxide from paper smoke enters the bloodstream and reduces oxygen delivery throughout the body, placing immediate stress on the heart and blood vessels

This is also the point at which the components of tobacco smoke, including nicotine, carcinogens, tar and other toxins, are able to get into the blood and the body.