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Higher Infection Risk: Smoking compromises the immune system, making it harder for the body to fight off infections in the extraction site

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1 Nortriptyline is also effective, other antidepressants not so much A Cochrane systematic review of 10 antidepressants used for smoking cessation included 64 placebo-controlled trials, measuring at least 6-month abstinence rates as primary outcomes, and monitoring biochemical markers (such as breath carbon monoxide and urinary cotinine) to verify abstinence

When combined, they can amplify side effects such as dizziness, drowsiness, anxiety, and impaired judgment