Medication adjustments

Physical healing of the body and mind
Joined: 19 Dec 2008, 00:54

16 Oct 2003, 07:26 #11

Hi Joel (or whomever else may have this info )---i have been reading up on withdrawal symptoms, and the possibility that the newly nic-free individual may need medication adjustments. thyroid was mentioned, and i'm assuming that would be hormone replacement therapy. i have been on thyroid hormone for years, and seem to suffer some pretty late onset symptoms. don't worry, i'm not asking for med advice-----i would just like to be pointed to the source of this info, so that when i see my endocrinologist next week, i'll be well informed-----especially in case he isn't.

Joined: 18 Dec 2008, 23:57

16 Oct 2003, 08:13 #12

Has Your Thyroid Been Checked?

Joined: 19 Dec 2008, 00:54

16 Oct 2003, 08:55 #13

Thanks Joel--- will let you know the outcome.

Joined: 07 Jan 2009, 20:07

01 Sep 2004, 03:28 #14

For Robs all puffed out.

Hope this helps, it helped me.

Cheryl - Free and Healing for Two Months, Thirty Days, 15 Hours and 57 Minutes, while extending my life expectancy 6 Days and 8 Hours, by avoiding the use of 1833 nicotine delivery devices that would have cost me $414.05.

Kristen Goldx3
Joined: 18 Dec 2008, 23:57

10 Jan 2006, 22:09 #15

This thread is important for anyone who is on a maintenance drug for long-term medical conditions. Please see your doctor if you have any issues or questions about your condition and if perhaps you might require a dosage adjustment based upon any symptoms you might have.


Joined: 19 Dec 2008, 00:01

11 Apr 2006, 23:26 #16

Just as a sidenote...............As much improved as I have felt after quitting on 13th Feb, I decided to go to the Doctor's to get checked out..........He took my blood pressure and found it was high so I'm going back for a FULL medical after Easter including lung xray as I told him about my quit.

I'm a bit nervous about this, but I'm not going to bury my head in the sand and heaven knows what my blood pressure was like when I was smoking!!!

Mike W....No nicotine since 13th Feb

Joined: 18 Dec 2008, 23:57

08 Dec 2006, 03:36 #17

Treating many conditions is a partnership between you and your physician. The doctor needs your input to effectiveness of any treatment, whether it be by physical measurements or by verbally communicating how you feel while under treatment. The treatment for one condition though is your primary responsibility. The condition--nicotine addiction. It is by no means a minor medical issue, it is in fact probably the greatest controlable health threat anyone will ever face. Afterall, what other lifestyle issues carry a 50% premature mortality rate? Not to mention all the other crippling side effects that go along with long-term smoking. The treatment for this condition is your primary responsibility. To effectively treat smoking for the rest of your life simply remember to never take another puff!


John (Gold)
Joined: 18 Dec 2008, 23:57

22 Sep 2007, 09:09 #18

Clinical Review
Drug interactions with smoking
Am J Health Syst Pharm. 2007 September 15;64(18):1917-21.
Kroon LA.

Department of Clinical Pharmacy, School of Pharmacy, University of California San Francisco, 3333 California Street, Suite 420, Box 0613, San Francisco, CA 94118, USA. [][/url]

PURPOSE: The mechanisms for drug interactions with smoking and clinically significant pharmacokinetic and pharmacodynamic drug interactions with smoking are reviewed.

SUMMARY: Polycyclic aromatic hydrocarbons (PAHs) are some of the major lung carcinogens found in tobacco smoke. PAHs are potent inducers of the hepatic cytochrome P-450 (CYP) isoenzymes 1A1, 1A2, and, possibly, 2E1. After a person quits smoking, an important consideration is how quickly the induction of CYP1A2 dissipates. The primary pharmacokinetic interactions with smoking occur with drugs that are CYP1A2 substrates, such as caffeine, clozapine, fluvoxamine, olanzapine, tacrine, and theophylline. Inhaled insulin's pharmacokinetic profile is significantly affected, peaking faster and reaching higher concentrations in smokers compared with nonsmokers, achieving significantly faster onset and higher insulin levels. The primary pharmacodynamic drug interactions with smoking are hormonal contraceptives and inhaled corticosteroids. The most clinically significant interaction occurs with combined hormonal contraceptives. The use of hormonal contraceptives of any kind in women who are 35 years or older and smoke 15 or more cigarettes daily is considered contraindicated because of the increased risk of serious cardiovascular adverse effects. The efficacy of inhaled corticosteroids may be reduced in patients with asthma who smoke.

CONCLUSION: Numerous drug interactions exist with smoking. Therefore, smokers taking a medication that interacts with smoking may require higher dosages than nonsmokers. Conversely, upon smoking cessation, smokers may require a reduction in the dosage of an interacting medication.

Sal GOLD.ffn
Joined: 16 Jan 2003, 08:00

12 Aug 2008, 05:59 #19

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Last edited by Sal GOLD.ffn on 12 Mar 2009, 23:54, edited 1 time in total.

Joel Spitzer
Joined: 13 Nov 2008, 14:04

12 Mar 2009, 21:58 #20

From above:

I saw a post up earlier asking when a person returns to "normal" after quitting. This string addresses the issue of what is "normal." "Normal" levels for certain people of certain neurotransmitters or hormones or other chemicals may not be what is normal or the right amount of these substances. That is why symptoms lasting longer than a few days should never be simply ignored or written off to longer term withdrawal. Prolonged symptoms should be medically evaluated to insure that the individual is indeed normal for various conditions.