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Particular care is needed for drugs with a narrow therapeutic index, such as clozapine, olanzapine and warfarin

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Nicotine and other toxins from second-hand e-cigarette vapours easily dissolve in water, and small amounts can harm fish

Nicotine and its by-products actively damage the Leydig cells in the testes where testosterone is manufactured

This aligns with previous findings linking fruit-flavored ECIG use to higher reports of dry cough