the Effects and Duration of Champix for Smoking Cessation - Smoking Cessation

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Hello, Doctor: I used to smoke 30 cigarettes a day and quit for 11 months a few years ago, but I relapsed.
Since then, I found it very difficult to quit again until I visited a smoking cessation clinic nearby a month ago.
I have been taking one tablet of Champix (varenicline) 1 mg daily, and I haven't smoked since the first day of treatment.
Recently, I came across some articles online about the side effects of Champix, and I have a few questions.

Is it necessary to complete a full two-month course of Champix? If I stop taking it in between, will it affect the smoking cessation results? While taking Champix, will using a nicotine inhaler occasionally impact the effectiveness of quitting smoking? After stopping Champix, will withdrawal symptoms still occur? If so, will they be milder? Thank you for your response.

Joe, 40~49 year old female. Ask Date: 2012/11/13

Dr. Chen Houliang reply Smoking Cessation


Hello Joe: The recommended treatment course for Champix is generally 8 to 12 weeks, and it is usually not advised to stop the medication midway.
Champix can be used in conjunction with nicotine inhalers without affecting the smoking cessation effectiveness.
Discontinuing Champix may lead to symptoms such as irritability, depression, sleep disturbances, and cravings for cigarettes.
The occurrence and severity of withdrawal symptoms can vary from person to person.

Reply Date: 2012/11/13

More Info


Champix, known generically as varenicline, is a prescription medication that aids in smoking cessation by targeting nicotine receptors in the brain. It works by stimulating these receptors to a lesser degree than nicotine itself, which helps reduce withdrawal symptoms and cravings associated with quitting smoking. Understanding the effects and duration of Champix is crucial for anyone looking to quit smoking effectively.


Duration of Treatment
The standard treatment duration for Champix is typically around 12 weeks (3 months). However, some healthcare providers may recommend extending the treatment for an additional 12 weeks, especially for individuals who have a history of relapse or who find it particularly challenging to quit. Completing the full course of treatment is generally advised to maximize the chances of long-term success in quitting smoking. If you stop taking Champix before the recommended duration, it may reduce its effectiveness and increase the likelihood of relapse.


Effects of Stopping Treatment Early
If you discontinue Champix before completing the full treatment course, you may experience a resurgence of cravings and withdrawal symptoms. The medication helps to mitigate these symptoms, and stopping it prematurely can leave you vulnerable to the urge to smoke. Therefore, it is essential to discuss any concerns about stopping treatment with your healthcare provider, who can help you weigh the risks and benefits.


Use of Nicotine Replacement Therapy (NRT)
Using nicotine replacement therapies, such as nicotine inhalers or patches, while on Champix is generally considered safe. In fact, some studies suggest that combining Champix with NRT can enhance the chances of quitting smoking. However, it is crucial to consult your healthcare provider before combining these treatments, as they can provide personalized advice based on your specific situation.


Withdrawal Symptoms After Stopping Champix
After discontinuing Champix, some individuals may experience withdrawal symptoms, as the body adjusts to the absence of the medication. However, many users report that these symptoms are less severe than those experienced when quitting smoking without any assistance. The extent of withdrawal symptoms can vary from person to person, depending on factors such as the duration of smoking, the level of dependence, and individual physiology.


Conclusion
In summary, Champix can be an effective tool for smoking cessation, and completing the full treatment course is generally recommended to maximize its benefits. Stopping treatment early may increase the risk of relapse, and using nicotine replacement therapies alongside Champix can be beneficial. If you experience withdrawal symptoms after stopping Champix, they may be milder than those associated with quitting smoking without medication. Always consult your healthcare provider for personalized advice and support throughout your quitting journey. Remember, quitting smoking is a significant step towards improving your overall health, and seeking help is a commendable decision.

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