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DrugScreening.org


 

Cessation Drug Hampered by 'Adverse Effects'
September 11, 2008

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News Summary

Scientists at Pfizer are reevaluating the popular smoking-cessation drug Chantix (varenicline) in response to reports of negative side effects, Scientific American reported Aug. 27.

The Institute for Safe Medication Practices has documented 988 "adverse events" relating to the drug -- including acute psychiatric episodes such as seizures, psychosis and suicidal depression -- among the 6.5 million prescriptions written globally since 2006.

Varenicline is part of a new class of smoking-cessation drugs known as neural nicotinic acetylcholine receptors. The medications affect cognitive functions like pain, mood, memory and attention by preventing nicotine from attaching to receptors in the brain.

Scientists believe these medications may have unique benefits like reducing withdrawal symptoms, and researchers at the National Institute on Drug Abuse are testing varenicline to determine its effectiveness in treating cocaine and alcohol dependence.

However, the side effects have raised serious concerns, with the Federal Aviation Administration last spring banning pilots and air traffic controllers from taking varenicline and the Food and Drug Administration following suit by adding strong warning language to varenicline's medication guide.

Pfizer says that it is difficult to trace the exact causes of the drugs because smokers as a group have higher than average rates of anxiety and depressive disorders, which suggests that mild or undiagnosed preexisting mental illness might have played a part in some of the reactions to the drug.

"It's a story that's still evolving, and it's very complicated," said Lorna Role, a researcher studying nicotinic receptors at Columbia University and Stony Brook. "So, going in with a drug like varenicline, I'm not surprised that there are side effects."

COMMENTS ON THIS ARTICLE:

Posted by SusanB on 15 Sep 08 10:34 AM EDT
I used Chantix for 6 months and have been tabacco free for 10 months. No side effects except for feeling naseous for about 30 minutes after the morning dose. Well worth it, I say.

Posted by Mikeo on 15 Sep 08 09:51 AM EDT
I took Chantix for 2 Mo. I felt it was very effective . the drug seemed to be a mild form of all these serotonin etc. re uptake inhibitors. I thought the website was a little juvenile so i skipped it . I quit and still am smoke free 6 mo.I would say if you are putting cigarettes into your body you are having risk with no upside so with stats. like those, go for it

Posted by tokerdesigner on 13 Sep 08 01:03 PM EDT
Smoking cessation "drugs" would be moot if addicts were better informed about options such as: 1. vaporizer A device which heats tobacco (or any herb) to subcombustion temperatures (under 410 F) as opposed to the cigaret which burns at 1500 F when the victim is sucking on it. 2. E-cigarette This is shaped like a cigaret or cigar and has a rechargeable battery and a heating element which vaporizes liquid nicotine out of an insertable cartridge. 3. Single-toke utensil Has a narrow screened crater (diameter 1/4 inch or 6 mm) per-mitting 25 mg. servings instead of 700 mg. (typical hot burning overdose nicotine cigaret). Users on various websites report success substituting a device which permits the nicotine habit to continue while eliminating the deadly overdose problem which is the true cause of morbidity.

Posted by dd on 12 Sep 08 10:05 AM EDT
There are risks and benfits with every medication. With Chantix, the risk of these rare side effects has to be weighed against the high probability of sickness and premature death with continued smoking. Nevertheless, it's good that the side effect profile is being elaborated especially since some of these side effects may be avoidable (for example in the large percentage of smokers who have mental illness issues, adjustments in psychiatric medication may reduce side effects).

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