Side effects of the medication Jiebishi (戒必適)?
Hello Doctor, I would like to ask for your advice.
I am currently taking Champix for smoking cessation, but every time I take the medication, I feel extremely uncomfortable in my stomach, with nausea and a desire to vomit.
I do not want to take antacids; are there other methods to improve this? Is it necessary to complete the entire treatment course of Champix? Since the medication makes me uncomfortable, I was thinking of stopping once I quit smoking, but I am unsure if this is the right approach.
Will this decrease my chances of success? Previously, I found that eating a lot after taking the medication helped alleviate the discomfort, but I am currently overweight and trying to control my weight.
If I eat too much, it may hinder my weight management.
Could you please advise me on other options? Thank you very much for your help, and I hope to successfully quit smoking soon.
Niming, 20~29 year old female. Ask Date: 2021/07/02
Dr. Yang Wenda reply Pulmonology
Hello: About 5% of people taking varenicline may experience gastrointestinal side effects, which can be alleviated with gastrointestinal medications.
There are no other methods to improve these side effects.
It sounds like you have a strong motivation to quit smoking.
If you remain smoke-free for more than seven days, combined with willpower, you should be able to successfully quit.
Whether to finish the medication should be discussed with your treating physician.
Additionally, during the smoking cessation process, it is important to incorporate exercise to prevent weight gain!
Reply Date: 2021/07/02
More Info
Managing the side effects of smoking cessation medications can be challenging, especially when the discomfort outweighs the benefits of quitting smoking. It's commendable that you are taking steps to quit smoking, and understanding how to manage the side effects of medications like Chantix (varenicline) or other cessation aids is crucial for your success.
Firstly, it's important to recognize that nausea and gastrointestinal discomfort are common side effects of many smoking cessation medications. These side effects can be particularly pronounced when starting the medication or increasing the dosage. Here are some strategies to help manage these symptoms:
1. Take Medication with Food: If you are not already doing so, try taking your medication with a meal or a snack. This can help buffer the stomach and reduce feelings of nausea. Eating smaller, more frequent meals throughout the day may also help.
2. Stay Hydrated: Drinking plenty of water can help alleviate nausea. Sometimes, dehydration can exacerbate feelings of discomfort, so ensure you are consuming enough fluids.
3. Ginger or Peppermint: Natural remedies such as ginger tea or peppermint tea can be soothing for the stomach. Ginger has been shown to help with nausea, and peppermint can aid digestion.
4. Adjust Dosage: If the side effects are severe, consult your healthcare provider about possibly adjusting the dosage. Sometimes starting at a lower dose and gradually increasing it can help your body adjust better.
5. Alternative Medications: If the side effects from your current medication are intolerable, discuss with your doctor the possibility of switching to another smoking cessation aid. Options include nicotine replacement therapies (like patches or gum) or other prescription medications that may have a different side effect profile.
6. Behavioral Support: In addition to medication, consider engaging in behavioral support programs. These can provide strategies to cope with cravings and withdrawal symptoms, which may help reduce reliance on medication.
Regarding your question about whether you need to complete the entire course of medication, it is generally recommended to follow the prescribed treatment plan. Smoking cessation medications are designed to help you gradually reduce your dependence on nicotine and manage withdrawal symptoms effectively. Stopping the medication prematurely may increase the likelihood of relapse. However, if the side effects are significantly impacting your quality of life, it’s essential to have an open discussion with your healthcare provider about your concerns. They can help you weigh the risks and benefits and determine the best course of action.
Lastly, managing your weight while quitting smoking is a valid concern. Many people experience weight gain after quitting due to increased appetite or changes in metabolism. To mitigate this, focus on maintaining a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Regular physical activity can also help manage weight and improve mood, which is beneficial during the quitting process.
In summary, while it is crucial to adhere to your smoking cessation medication regimen, it is equally important to manage side effects effectively. Open communication with your healthcare provider is key to finding the right balance that allows you to quit smoking successfully while minimizing discomfort. Remember, quitting smoking is a journey, and it’s okay to seek help along the way. Good luck on your path to a smoke-free life!
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