Tobacco smoking and psychotropic drugs

Barata, Pedro Cabral; Melo, João Carlos; Maia, Teresa

doi:10.1016/j.euroneuro.2018.11.704

Cited by 1 publication

(3 citation statements)

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“…Exposure to polycyclic hydrocarbons present in cigarette smoke induces enzymes and diminishes the concentrations of many important psychiatric medications, including several antipsychotics, tricyclic antidepressants, benzodiazepines, and several antidepressants. Reductions in serum levels as high as 70% have been reported for some drugs 27 . This highlights the advantage of smoking interventions among patients undergoing psychiatric pharmacotherapy.…”

Section: Importance Of Treatmentmentioning

confidence: 82%

“…Reductions in serum levels as high as 70% have been reported for some drugs. 27 This highlights the advantage of smoking interventions among patients undergoing psychiatric pharmacotherapy.…”

Section: Importance Of Treatmentmentioning

confidence: 99%

“…Therefore, it is incumbent on psychiatrists to address the outsized effect that smoking has on patients with mental illness. (Journal of Psychiatric Practice 2024;30; [23][24][25][26][27][28][29][30][31] KEY WORDS: smoking, mental illness, tobacco, psychiatry, public health…”

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confidence: 99%

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Dying to Quit: Understanding the Burden of Tobacco in Psychiatric Patients—A Clinical Review

SPRENGER,

ANDERSON

2024

Journal of Psychiatric Practice

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Smoking is the leading cause of preventable death worldwide and remains a critical public health challenge. The burden of disease caused by smoking is disproportionately borne by persons living with mental illness. Public health efforts to address smoking have not historically translated to a significant reduction in smoking prevalence among patients with mental illness. Smoking is a substantial cause of morbidity and mortality among psychiatric patients who smoke at 1.7 to 3.3 times the rate of the general population. Among those with serious mental illness, tobacco-related illness accounts for half of all deaths. Nicotine dependence also interferes with treatment and worsens many psychiatric symptoms. Interventions are underutilized due to persistent misunderstandings regarding tobacco cessation for patients who are mentally ill. Addressing these misunderstandings is crucial in targeting the disparate rates of smoking in this population. Therefore, it is incumbent on psychiatrists to address the outsized effect that smoking has on patients with mental illness.

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Section: Importance Of Treatmentmentioning

confidence: 82%

Section: Importance Of Treatmentmentioning

confidence: 99%