How can this medicine affect other medicines?
The components of tobacco smoke can cause certain medicines to be removed from the body faster than normal. When you stop smoking, they are removed slower and so their blood levels may increase. You should tell your doctor that you are giving up smoking if you are taking any medicines, as when you stop smoking your doses may need to be changed. This is particularly important for the following:
- theophylline
- tacrine
- clozapine
- olanzapine
- pentazocine
- some benzodiazepines, such as oxazepam
- some beta-blockers, such as propranolol
- flecainide
- tricyclic antidepressants, such as imipramine
- fluvoxamine
- phenylbutazone
- dextropropoxyphene.
People with diabetes who smoke normally need more insulin, as smoking reduces the amount of insulin that is absorbed into the blood from an injection under the skin. Therefore if people with diabetes give up smoking, they may subsequently need a reduction in their insulin dose. Discuss this with your doctor.
Using nicotine replacement therapy in combination with bupropion (Zyban) is not currently recommended.
Other medicines containing the same active ingredients
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