Additional Considerations All patients receiving therapy with warfarin, insulin, oral hypoglycemic agents, or theophylline, independently of the tobacco cessation pharmacotherapy choice, should be educated about possible changes in the metabolism of these medications once tobacco is no longer used
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Excessive alcohol used contributes problems such as failure to fulfill obligations at work/school/home, recurrent use in hazardous situations such as driving or operating machinery, legal problems, continued use of alcohol despite having problems caused by drinking, and despite negative outcomes from drinking, the alcoholic continues to drink to try to attain the feeling of euphoria they first experienced when they started drinking
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