Originally posted by Ratmagiclady Yeah, you have to be careful with that stuff: it essentially *is* an antidepressant, (With all the attendant risks of side-effects.) and a lot of smokers out there *are* smokers because they've been essentially self-medicating for this or that without knowing it. It's part of why people have different experiences with quitting: there's more to it than just the nicotene addiction, which is one of the most serious ones out there.
Incorrect, I'm afraid.
Varenicline (
Champix in Australia) is not an antidepressant at all. It is an
alpha-4 beta-2 niconitic receptor partial agonist (to be precise), which just means it competes with nicotine for the receptor in the brain that is responsible for nicotine addiction.
It has no anti-depressive qualities, however there are precautions advised when prescribing the drug in depressed or otherwise psychiatrically-disturbed patients due to the effects smoking cessation itself tipping a mentally-unstable patient further off the edge. The most common side effect I have had reported is nightmares, which can be disturbing to some patients. More info here:
http://www.nps.org.au/__data/assets/pdf_file/0011/26768/pfcchamt.pdf
The medication may reduce cravings, but does not alter the psychological habit of smoking, which must be dealt with concomitantly. Hence, in Australia at least, the drug cannot be prescribed unless the patient agrees to undertake a multi-disciplinary support program to assist with quitting.
This involves in the least:
1. regular attendance of the prescribing doctor (for consistent follow up),
2. regular calling of the Quit-line (a government-sponsored telephone support agency for smoking cessation),
3. regular visits to the local psychologist for cognitive behavioural therapy (to address the psychological dependency of smoking and work through alternate methods of relaxation and diversion from the need to smoke), and
4. consistent, monitored use of the drug (under supervision of the prescribing doctor).
The drug will not be provided by any pharmacy unless these criteria are met. Similar situation with Zyban (Bupropion). Both drugs are subsidised by the government, making smoking cessation a better option economically than continuing to smoke. Overall, a very safe and effective medication.