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In practice, smoking while driving can become legally relevant if it: Distracts the driver, Interferes with visibility (for example, smoke obscuring the windshield), Requires the driver to remove a hand from the steering wheel for a prolonged period, or Leads to sudden or unsafe movements (such as dropping a lit cigarette)

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However, recent studies like the EAGLES trial found no significant increase in neuropsychiatric events among patients with mental illness using varenicline compared to placebo