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According to depositions, Paul became increasingly agitated and at one point even got into an altercation with his then-girlfriend

Alcohol use may counter the effects of the antidepressant, decreasing its efficacy

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[15][22] Emergency responses for nicotine overdose Call 911 or the American Association of Poison Control Center at 1-800-222-1222 right away if any of the following symptoms occur : difficulty breathing, seizures or convulsions, loss of consciousness, irregular or slow heartbeat, severe vomiting or persistent nausea, confusion, dizziness, or altered mental state, excessive salivation (drooling) or sweating