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Varenicline

Quit smoking easily with Varenicline tablets

FDA Approved Drugs
Starter pack (0.5mg + 1mg)
4 weeks starter pack - 53 pills ($69.99)
$69.99 Including Rx and delivery
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Varenicline FAQs

Varenicline overview

Type of medicineNicotinic receptor partial agonist*
Used forSmoking cessation treatment
Active ingredient(s)Varenicline tartrate
Works byBinding to nicotine receptors in the brain, reducing cravings and withdrawal symptoms while blocking the rewarding effects of nicotine
Effective within1-2 weeks (for reducing cravings and withdrawal symptoms)
Available asTablets
Available strength0.5 mg, 1 mg
UsageStart 1 week before the quit date.

Days 1-3: 0.5 mg once daily;

Days 4-7: 0.5 mg twice daily;

Day 8 onwards: 1 mg twice daily.
PackagingStarter packs and continuation packs available
ManufacturerVarious
Branded available?No, the medicine is only available as generic Varenicline
StorageStore at room temperature between 59℉ to 86℉
Prescription requiredYes, get it with our FREE online consultation
Who is suitable for an online consultation?**Adults motivated to quit smoking

*Medicines that reduce withdrawal symptoms and feelings of pleasure associated with smoking

**Note: Our medical team must review your online consultation before approving this treatment. They will determine if the requested treatment and quantity are safe, appropriate, and effective for you.

What is Varenicline?

Varenicline is a prescription medicine that helps adults quit smoking.

Varenicline is different from other smoking cessation medicines. Varenicline works differently from other medicines used to quit smoking. Unlike nicotine patches or gum that replace nicotine, Varenicline specifically targets nicotine receptors in your brain. This helps to reduce cigarette cravings and minimize withdrawal symptoms.

Varenicline’s brand-name medicine, Chantix, was manufactured by Pfizer and was approved by the FDA in 2006. However, Pfizer discontinued the production of Chantix in 2021. The FDA approved generic Varenicline in the US in the same year.

At SpeedyHealth, our doctors are able to prescribe Varenicline for adults who are motivated to quit smoking.

How does Varenicline work?

Varenicline works in two ways. It helps in quitting smoking by reducing the craving to smoke and depriving the smoker of the pleasure associated with smoking.

  • Varenicline activates the brain’s nicotine receptors. This activation reduces the craving to smoke one more cigarette and helps smokers manage their withdrawal symptoms more easily. This step enables smokers to quit smoking in a more seamless manner than before.
  • Varenicline also blocks nicotine from attaching to the brain’s receptors. This deprives the brain of the pleasure associated with smoking. With this, smokers find less pleasure in smoking, making quitting or cutting down on smoking less challenging.

What are the benefits of Varenicline?

For those who are determined to quit smoking, Varenicline offers many benefits:

  • It is clinically proven to increase the chances of successfully quitting smoking addiction when compared with trying to quit without medication.
  • It partially activates the nicotine receptors in the brain to reduce cigarette cravings and minimize withdrawal symptoms.
  • It blocks the nicotine from binding to the receptors in the brain, preventing the pleasurable effects that smokers experience from smoking.
  • If smokers are not willing to quit abruptly, the medicine also offers gradual quitting over 12 weeks.
  • Clinical studies show that Varenicline also helps people stay smoke-free long-term, even after the treatment has ended.

How effective is Varenicline for smoking cessation?

Quit smoking medicine Varenicline is extremely efficient in helping smokers quit smoking.

A clinical study was conducted with 155 participants over 24 weeks to analyze the effects of using Varenicline to stop smoking. The participants used tobacco cigarettes and e-cigarettes at least once a day. For the first 12 weeks, the study was divided into two groups, where some participants were given Varenicline, and others were given a placebo.

Both groups were monitored for the next 12 weeks and also received counseling for smoking addiction.

The study found that:

  • Between the 4th and 12th week, 50% of participants on Varenicline abstained from smoking, as opposed to 16.9% of participants on the placebo.
  • By the 24th week, around 48.7% of participants on Varenicline remained smoke-free, compared to 14.3% of participants on placebo.

Varenicline vs placebo: Study results

Who can and cannot take Varenicline

Varenicline is highly effective for smokers committed to quitting, but it may not be suitable for everyone.

Who can take Varenicline?

Varenicline is suitable for individuals over 18 who are addicted to smoking and motivated to quit. It is recommended for people who have struggled to quit using other methods and are looking for an alternative.

Who cannot take Varenicline?

You should avoid taking this medication if you are allergic to the active ingredient or any other ingredients in this medicine. Before you take Varenicline, inform us in your consultation form if you:

  • Are currently on other stop smoking pills.
  • Have a history or currently have depression or other mental health problems.
  • Have kidney problems or are on kidney dialysis.
  • Have heart problems or issues with blood vessels.
  • Are allergic to Varenicline.
  • Are pregnant or planning to get pregnant.

Special precautions need to be taken in the following events before taking Varenicline:

  • Patients with a history of seizure episodes or any other conditions that lower the threshold for seizure episodes should use Varenicline with caution.
  • Patients with a history of cardiovascular events may experience another cardiovascular event after taking Varenicline. Hence, Varenicline should be prescribed with caution in such cases, and any worsening cardiovascular symptoms need to be reported immediately.

How do I take Varenicline?

There are two ways you can take Varenicline. The information below explains how to take Varenicline for the best results.

How to take Varenicline

Pick a quit date

  1. Pick your quit date.
  2. Begin taking Varenicline 7 days before the quit date.
  3. Stop smoking on the decided quit date.

Keep a flexible quit date

  1. Take Varenicline from day 1 to day 7.
  2. Pick a quit date between day 8 and day 35.
  3. Stop smoking on the decided quit date.

0.5 mg tablets (white) - starter pack

1 mg tablets (blue) - maintenance pack

Dosage schedule

Take Varenicline with a full glass of water.

Days 1-3

Take one 0.5 mg tablet daily.

Days 4-7

Take one 0.5 mg tablet twice a day

(Once in the morning, once in the evening)

Day 8 onwards

Take one 1 mg tablet twice a day

(Once in the morning, once in the evening)

Missed a dose?

Take it as soon as you remember it.

Almost time for your next dose?

Skip the missed dose and continue with regular dosing schedule.


If you slip up and begin smoking again after taking Varenicline, do not get demotivated. Just try again. Usually, people need to take Varenicline for a few weeks before the tablet actually begins working for them.

Dr. Adrian Rawlinson Supervising Physician

How long does Varenicline take to work?

Varenicline begins to work as soon as you start to take it. However, it might take a few weeks to notice the effects.

How will I know if Varenicline is working?

You will notice signs of improvement when it comes to your smoking addiction. These include:

  • Reduced cigarette cravings and withdrawal symptoms.
  • Reduced pleasurable experience after smoking a cigarette.

How long do I need to take Varenicline for?

Varenicline needs to be taken for up to 12 weeks.

If by week 12, you have completely stopped smoking, our doctor may prescribe a maintenance dose of Varenicline for another 12 weeks to keep you off smoking.

To make quitting smoking easier, you can also try the gradual approach to abstain from using a cigarette.

How to take Varenicline: The gradual approach

Weeks 1-4

Start taking Varenicline and reduce smoking by 50% from baseline.

20 cigarettes

10 cigarettes

Weeks 5-8

Continue taking Varenicline and reduce smoking by another 50%.

10 cigarettes

5 cigarettes

Weeks 9-12

Continue taking Varenicline and try to stop smoking completely.

5 cigarettes

0 cigarettes

Weeks 13-24

If you have successfully stopped smoking, stay on Varenicline’s maintenance dose to maintain abstinence from smoking.

If by week 12, you have not been able to stop smoking completely, it is recommended that you try taking Varenicline again.

What lifestyle changes should I make while taking Varenicline?

Taking Varenicline to stop smoking is one of the biggest lifestyle decisions you will ever make. To get the most out of this medication and improve your chances of success, it's important to consider the following lifestyle changes:

  • Seek professional help if required: Varenicline helps battle nicotine addiction. Withdrawal symptoms may include feelings of depression, anxiety, hostility, agitation, and even suicidal thoughts. Let your doctor know immediately if you experience any of these feelings.
  • Meditate: Meditation can help calm feelings of agitation and restlessness. Practice meditation to combat negative thoughts and emotions.
  • Exercise regularly: Exercise, for at least 150 minutes a week can help fight the side effects of nicotine addiction.
  • Avoid smoking triggers: Identify and avoid situations that tempt you to smoke, such as social events or drinking alcohol.
  • Get support: Join a support group, or talk to friends and family who can help you along the way.

What are some Varenicline side effects?

Like all medicines, Varenicline may cause some side effects.

Common side effects:

  • Nausea
  • Troubled dreams or strange and vivid nightmares
  • Feeling constipated
  • Experiencing gastric issues
  • Vomiting

Varenicline can have some serious side effects. Stop taking the medicine and seek immediate medical attention if the following side effects persist or worsen:

Serious side effects:

  • Feeling suicidal or attempting suicide
  • Feeling depressed or getting panic/anxiety attacks
  • Feeling agitated or restless
  • Experiencing violent thoughts or violent behavior
  • Hallucinations
  • Paranoia
  • Confusion
  • Abnormal mood changes
  • Swelling of face, mouth, tongue, and lips
  • Trouble breathing
  • Skin rash, redness, swelling, or peeling

This is not a complete list of Varenicline’s side effects. For a full list, please refer to the Patient Information Leaflet.

Nausea is one of the most common side effects of taking Varenicline. It will usually resolve within a few days of starting the medicine. But if nausea persists, talk to us about dose reduction.

Dr. Adrian Rawlinson Supervising Physician

What interacts with Varenicline?

Varenicline doesn’t interact with a lot of medicines. However, inform us in your consultation form if you are currently on or planning to take any of the following medicines:

  • Insulin
  • Some medicines for asthma
  • Blood thinners e.g. Warfarin
  • Other ‘stop smoking’ pills

What safety advice should be followed when taking Varenicline?

When taking Varenicline, it's important to follow these safety guidelines:

Category Safety Advice
Alcohol Safe It is safe to drink alcohol while taking Varenicline.
But be cautious if you experience hallucinations or paranoia while taking this medicine, as alcohol may worsen the side effects.
Pregnancy Use caution It is not known if Varenicline affects pregnancy.
Let us know in your consultation form if you are pregnant or planning to become pregnant so that our doctor can advise you accordingly.
Breastfeeding Use caution It is not known if Varenicline passes into breast milk.
Let us know in your consultation form if you are breastfeeding or planning to breastfeed so that our doctor can advise you accordingly.
Driving Avoid Varenicline may affect driving or operating heavy machinery.
Avoid driving or operating heavy machinery until you are not sure of how Varenicline affects you.

How should I store Varenicline?

Store Varenicline at room temperature between 59℉ and 86℉. Do not use Varenicline tablets past their expiry date. Keep this medicine out of the reach of children and pets.

Disposal

Do not throw away unused or expired Varenicline in your household waste. Return it to your nearest pharmacy for proper disposal.

Can I buy Varenicline over the counter?

No, you cannot buy Varenicline over the counter. It's a prescription-only medication. You will need a valid prescription from a licensed healthcare professional to purchase the medicine.

You can simply fill out our short consultation form and get an e-prescription from one of our licensed doctors.

Can I buy Varenicline online?

Yes, you can buy Varenicline online from SpeedyHealth. Ordering this medicine online is convenient and straightforward. All you need to do is follow these four simple steps:

  • Complete a quick online consultation for Varenicline. It only takes 5-10 minutes.
  • Our doctor will review the form to ensure the medicine is right for you.
  • Upon approval, an e-prescription will be issued.
  • Our licensed pharmacy will dispatch the medicine in discreet packaging and send you the tracking details. We offer free doorstep delivery, so you do not have to pay for shipping.

Your privacy is our top priority. SpeedyHealth uses secure, encrypted transactions and complies with USA medical standards to maintain confidentiality.

Why should I choose SpeedyHealth?

Here’s why you should choose SpeedyHealth for better management of your health:

  • Our licensed doctors manage your consultations and prescriptions.
  • Enjoy the convenience of online consultations and forget lengthy wait times for prescription approvals. With SpeedyHealth, everything is handled online and with complete discretion.
  • Our dedicated customer support team is available to answer your questions and resolve your concerns.
  • You can manage your prescriptions easily through our secure platform.

What alternatives are available?

Varenicline is a highly effective option for quitting smoking however, another alternative is Bupropion (Zyban). Explore the comparison table below to learn more about these treatments:

Features Varenicline Bupropion (Zyban)
Form Tablets Tablets
Dosage
  • 0.5 mg once a day for three days
  • 0.5 mg twice a day for four days
  • 1 mg twice a day until the treatment ends
  • 150 mg once a day for three days
  • 150 mg twice a day until the treatment ends
Efficacy In a clinical study, 50% of participants abstained from smoking between weeks 4 and 12 of taking Varenicline In a clinical study, approximately 37% of participants abstained from smoking after 12 months of taking Bupropion
Side effects Nausea, abnormal dreams, depression, anxiety, and suicidal thoughts Nausea, fits, allergic reactions, depression, anxiety, and hallucinations