Varenicline Flashcards
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Questions and Answers

What is the brand name of Varenicline?

  • Zyban
  • Chantix (correct)
  • Wellbutrin
  • Nicorette
  • What is the generic name for Chantix?

    Varenicline

    What is the indication for Varenicline?

    As an aid in the cessation of smoking

    Starting dose of Varenicline is _____ mg in the morning for 3 days.

    <p>0.5</p> Signup and view all the answers

    What is the dosage for Varenicline after the first week?

    <p>1 mg twice a day</p> Signup and view all the answers

    What medication class does Varenicline belong to?

    <p>Smoking Cessation Aid</p> Signup and view all the answers

    What is the mechanism of action of Varenicline?

    <p>Partial agonist at nicotinic receptors in the brain</p> Signup and view all the answers

    Using Varenicline with nicotine replacement therapy may increase the incidence of adverse effects.

    <p>True</p> Signup and view all the answers

    Name two common side effects of Varenicline.

    <p>Headache, Nausea</p> Signup and view all the answers

    Which of the following is a contraindication for Varenicline?

    <p>Known hypersensitivity to any ingredient</p> Signup and view all the answers

    What should patients do before starting Varenicline?

    <p>Begin Chantix one week prior to smoking cessation</p> Signup and view all the answers

    Patients should take Varenicline after _____ with a full glass of water.

    <p>meals</p> Signup and view all the answers

    Study Notes

    Varenicline Overview

    • Brand name: Chantix
    • Generic name: Varenicline
    • Classification: Smoking Cessation Aid

    Indications

    • Designed to assist individuals in quitting smoking.

    Dosing Guidelines

    • Initial dosage: 0.5 mg in the morning for 3 days.
    • Follow-up: Increase to 0.5 mg twice daily for 4 days.
    • After the first week: 1 mg twice daily.
    • For severe renal impairment: Start with 0.5 mg once daily, can titrate up to 0.5 mg twice daily if needed.

    Available Strengths and Dosage Forms

    • Tablet strengths: 0.5 mg and 1 mg.
    • Starter pack includes 11 tablets of 0.5 mg and 42 tablets of 1 mg.

    Pharmacology

    • Acts as a partial agonist at nicotinic receptors in the brain.
    • Binds selectively to α-4-β-2 neuronal nicotinic acetylcholine receptors.
    • Prevents nicotine from stimulating the central nervous mesolimbic dopamine system, which is linked to the rewarding effects of smoking.

    Drug Interactions

    • Caution with nicotine replacement therapy; may increase adverse effects like headache and nausea.
    • No significant interactions with other drugs; categorized as risk level None are risk X/D.

    Side Effects

    • Common: Headache, nausea, insomnia, abnormal dreams.
    • Additional effects: Flatulence, dysgeusia, upper respiratory tract issues, fatigue, constipation, dry mouth, dyspepsia, somnolence, increased appetite.

    Contraindications

    • Hypersensitivity to any ingredient in the formulation.
    • Severe renal impairment.
    • Risk of serious neuropsychiatric symptoms (e.g., behavior changes, agitation, depressed mood).
    • Use cautiously in patients with psychiatric disorders (schizophrenia, bipolar disorder, major depression).
    • Not recommended for nursing mothers (pregnancy risk category C).

    Patient Counseling Tips

    • Start taking Chantix one week before quitting smoking.
    • Take the medication after meals with a full glass of water.
    • Be cautious when driving or operating machinery until the effects are known.
    • Follow the prescribed taper to reduce adverse effects.
    • Contact a physician if side effects become severe or persistent.
    • Register for the Chantix GETQUIT support program as outlined in the starter pack.

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    Test your knowledge on Varenicline with these flashcards. Each card includes key terms like brand names, dosing instructions, and indications for use. Great for anyone studying smoking cessation aids.

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