Nicotine stimulates nicotinic acetylcholine receptors in the brain, leading to increased release of dopamine, norepinephrine, serotonin, acetylcholine, and glutamate. These neurochemical effects can temporarily enhance mood, concentration, and alertness—making nicotine use feel relaxing or mentally focusing. Many individuals with ADHD, anxiety, or depression use tobacco products as a form of self-medication. Identify a single prescription medication that can address depression, ADHD symptoms, and assist with smoking cessation. Write a complete medication order for this drug, and include monitoring and patient counseling . Should the patient quit smoking before beginning the medication?

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