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TABLE 375-2 - Interactions of Smoking and Prescription Drugs

Drug Interaction
Benzodiazepines Less sedation
Beta blockers Reduced lowering of heart rate and blood pressure
Caffeine Faster metabolic clearance
Chlorpromazine Decreased serum concentrations *
Clomipramine Decreased serum concentrations *
Clozapine Decreased serum concentrations *
Dextropropoxyphene Less analgesia
Oral estrogens Increased hepatic clearance
Flecainide Increased first-pass clearance
Fluphenazine Decreased serum concentrations *
Fluvoxamine Decreased serum concentrations *
Haloperidol Decreased serum concentrations *
Heparin Faster clearance
Imipramine Decreased serum concentrations *
Insulin Delayed absorption due to skin vasoconstriction
Lidocaine Increased first-pass clearance
Mexiletine Increased first-pass clearance
Olanzapine Faster clearance
Pentazocine Less analgesia, possibly increased clearance
Propranolol Increased first-pass clearance
Tacrine Faster metabolic clearance
Theophylline Faster metabolic clearance
Thiothixene Faster metabolic clearance
Trazodone Decreased serum concentrations *

* Clinical implication uncertain