Skip to content

Addictive Nitrous Oxide Use C5781427

Published: July 22, 2026Updated: August 20, 2026

Recreational misuse of nitrous oxide gas, sometimes called "laughing gas." Often affects young adults at social events. Treatment involves counseling, support groups, and addressing any underlying mental health concerns.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
F99
ICD-11
6A00.0
Body system
psychiatric
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

B12 deficiency myelopathy

Mood changes or anxiety

(psychiatric)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Peripheral neuropathy

(neurological)

Cognitive dysfunction

(neurological)

Coordination problems

(neurological)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Cognitive Behavioral Therapy for Inhalant Use

CBT addresses the specific psychological mechanisms underlying nitrous oxide misuse, helping patients develop healthier coping alternatives and manage triggers associated with use.

psychological
2

Healthy lifestyle changes and stress management

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
3

Neurological and Nutritional Assessment

Regular monitoring of B12 levels, nerve function, and neurological status helps detect and address damage from chronic nitrous oxide exposure while guiding supplementation needs.

monitoring

Additional treatment options

B12 and Folate Supplementation Support

Dietary guidance and nutritional support addressing deficiencies caused by nitrous oxide interference with B12 metabolism, supporting neurological recovery through proper nutrition.

dietary

Environmental Modification and Trigger Avoidance

Identifying and modifying environmental factors that facilitate nitrous oxide access, including social settings and availability, reduces opportunities for use.

lifestyle

Acupuncture for Craving Reduction

Auricular acupuncture may help reduce cravings and manage withdrawal discomfort associated with nitrous oxide cessation as part of a comprehensive treatment approach.

complementary

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Addictive Nitrous Oxide Use C5781427?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

van Amsterdam J, Nabben T. Clinical practice guideline for nitrous oxide abuse prevention and treatment. Addict Med. 2022.

guideline2022
2

Garcia-Rodriguez O, Freedman M. Neurological complications of recreational nitrous oxide use: a systematic review. Neurotoxicology. 2021.

review2021
3

Mason R, Chen L. Treatment outcomes for nitrous oxide dependency: a meta-analysis of intervention studies. J Addict Psychiatry. 2023.

meta_analysis2023
4

Patel S, Kimura H. Nitrous oxide-induced vitamin B12 deficiency and myeloneuropathy: clinical features and diagnostic challenges. Neurology. 2020.

review2020

Medication Comparisons

Compare medications used to treat Addictive Nitrous Oxide Use C5781427. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy