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Key Safety Points Safety: Generally safe with medical supervision Benefits: May enhance antidepressant effectiveness Timing: Best when depression is well-controlled The Smoking-Depression Connection Why Depression and Smoking Often Co-Occur Shared Brain Chemistry Dopamine pathways: Both depression and nicotine affect reward circuits Serotonin systems: Smoking influences mood-regulating neurotransmitters Stress response: Nicotine temporarily reduces stress and anxiety Self-medication: People use smoking to manage depressive symptoms The Vicious Cycle Short-term relief: Smoking temporarily improves mood Long-term worsening: Smoking increases depression risk over time Withdrawal depression: Between cigarettes, mood drops Increased dependence: Need more nicotine to feel "normal" How Antidepressants Interact with Smoking Cessation Ready to Quit

You can: order these signs from your local public health unit download the PDF (right-click and choose "Save link as") and print a copy Get more detail about posting these signs and their required dimensions in the legislation

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Aldehydes (formaldehyde, acetaldehyde) are important toxic components in cigarette smoke, resulting in an equivalence of 1 cig/week during the burning season in Chiang Mai while Bangkok and Beijing do not have such high values but have higher annual averages

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