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There were similar rates of mild adverse events (e.g., nausea, restlessness, insomnia, irritability) across groups in trials of cytisine based on our initial overview.22 However, an updated Cochrane review on cytisine42 suggested there may be a small increase in adverse events, which could constitute a small harm (4 RCTs, n = 4052

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[11] It is often used as a cigarette additive to mask the flavor and feel of the tobacco smoke or to improve the throat and mouth feel of the cigarette