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Vomiting Diarrhea Hypersalivation Difficulty breathing (labored breathing) Muscle weakness Collapse Dilated pupils Tachycardia (rapid heartbeats) Tremors Seizures or collapse Wobbly walking Hyperactivity followed by lethargy It is recommended to contact the veterinarian even if your dog vomits their stomach contents (including the swallowed nicotine pouch) for a proper evaluation

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In the absence of clear evidence on the balance of benefits and harms of pharmacotherapy in pregnant women, clinicians are encouraged to consider the severity of tobacco dependence in each patient and engage in shared decision-making to determine the best individual treatment course

doi: 10.1016/S2214-109X(23)00467-9 5