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[30] It also raises the risk of fatal coronary artery disease, fatal stroke and non-fatal ischaemic heart disease [31] [32] Quitting naswar use is as challenging as smoking cessation

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All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases [see Boxed Warning]