Pretty sure my smoking tobacco is impacting on my meds

Medications
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This last couple of weeks I have been a nervous wreck. I breakdown in fear pretty much daily.

An example is I just cooked a pan of rice. Beforehand I was full of trepidation that something terrible would happen. Anyway I forced myself to cook the rice. I figured doing it would face my fears and overcome them.

So I cooked the rice. Nothing terrible has happened but am more anxious than before. I can’t win.

Anyway been smoking for 6 weeks. I have read tobacco can lower the effects of some meds. I think it is effecting my seroquel - reducing its effects.

I have a pdoc appointment on the 22nd. Think I should wait till then or should I contact my nurse and see if something can be worked out?

I was on the phone to crisis this morning so I have no problems talking to the staff.

Thanks for reading folks j

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Which med are you on? Some meds are affected by tobacco.

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Seroquel
Depixol
Fluoxetine
Procyclidine
Pregabalin

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"clozapine and quetiapine , drugs frequently used in the treatment of schizophrenia, are CYP1A2 substrates. So, tobacco smoking may reduce blood levels of clozapine and quetiapine .*

Tobacco and anti-psychotics side effects - ScienceDirect.

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Yep I saw similar. It would explain a lot. Thanks for doing the research man

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could it be coffee? I had too much this morning,
and I feel the same way you do, and coffee so good
with smokes, so I smoke a lot too, plus I’m rapidly
talking out loud to myself.
I thought I heard on here
the cigs help your meds work better.
that was a myth maybe?

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Hey @Daze ! Great to see you back - I missed you.

Good call on the old coffee. That stuff does set me off. But limiting myself to one cup a day and about 4 cups of tea

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yep yep, very good. I go from coffee to tea too, decaf tea.

hmm, I don’t know how to help ya, can you take meds and go to bed early?

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Am feeling a bit better now. I do better when I take my meds at the same time of day. That is 3 hours from now.

Have turned off the tv and am lying on the bed chilling. Might light an incense stick

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You got to smoke you got to smoke, i understand.

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Quitting is so hard. I cough up a lung and still don’t quit. Thanks for the info on meds affected by smoking. Maybe that’s why I can’t find a good med

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how much do you smoke?

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Oh like a pack a day

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maybe you could try to smoke a bit less? or is that hard? I cut back to 12 smokes a day.

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Yeah I was actually think of doing something like that. 12 smokes seems like a good number

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Go for nicotine porches from British American tobacco company. They contain nicotine but a lot less than cigs.