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Smoking Interactions Cigarettes and marijuana can lower: Antipsychotics Olanzapine (Zyprexa), clozapine, Haloperidol Antidepressants Duloxetine (Cymbalta), fluvoxamine (Luvox), mirtazapine (Remeron) Other Caffeine, propranolol, ramelteon (Rozerem) Source: Anderson GD, Chan LN, Clin Pharmacokinet 2016;55(11):13531368 TCPR: Do drug interactions start as soon as the medicine is added, or is there a delay

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I realize that I will die if I keep smoking and that even if I smoke just a few, its killing me slowly every day