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Cocaine self-administration appears to be mediated by dopamine uptake inhibition

These measures could be used, alongside national guidance from NICE, PHE and NHS England, in assessing progress: universal recording of patients smoking status on admission to acute mental health services (45% of trusts in 2019) the provision of treatment and behavioural support for tobacco dependence to inpatients of acute mental health services (93% of trusts in 2019) the offer within acute services of the choice of combination NRT or varenicline (47%) reduction of the frequency of smoking incidents within private bedrooms and adult mental health wards to less than once a week (52% of trusts in 2019) investment in stop smoking support within community mental health services (62% of trusts in 2019)

The potential increase in testosterone levels should not be seen as a justification or benefit of smoking

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