These medications are sometimes used to treat depression.
ZYBAN (BUPROPRION): THIS IS A MEDICATION USED FOR LOW/DEPRESSED MOOD, SEASONAL EFFECTIVE DISORDER AND SMOKING CESSATION. TREATMENT SHOULD START ONE WEEK BEFORE TARGET QUIT DATE. THE DOSE IS SLOWLY INCREASED AND DECREASED. TREATMENT LASTS 7-12 WEEKS. IN GENERAL, CHANTIX IS SLIGHTLY MORE EFFECTIVE THAN ZYBAN, BUT ZYBAN IS LESS COSTLY AND IS AN ALTERNATIVE IF WEIGHT GAIN IS AN ISSUE.
ZYBAN: 150MG EVERY DAY FOR THREE DAYS THEN INCREASE TO 150MG TWICE A DAY FOR 7-12 WEEKS. TO STOP MEDICATION TAKE 150MG ONCE A DAY FOR THREE DAYS. FOR MORE INFORMATION, SIDE EFFECTS, COMMONLY ASKED QUESTIONS, CONCERNS, AND PRICING PLEASE SEE BELOW. PLEASE READ BELOW IMPORTANT SAFETY INFORMATION INCLUDING RARE BUT SERIOUS SIDE EFFECTS.
CHANTIX (VARENICLINE). CHANTIX HELPS REDUCE THE SYMPTOMS OF NICOTINE WITHDRAWAL. PLEASE SEEK MEDICAL TREATMENT IF YOU EXPERIENCE CHANGES IN MOOD OR BEHAVIOUR OR INCREASE IN HOSTILITY OR AGGRESSION. LESS THAN 10% OF PEOPLE EXPERIENCE SIDE EFFECTS SUCH AS HEADACHES, INSOMNIA, ABNORMAL DREAMS, IRRITABILITY, SUICIDAL IDEATION.
CHANTIX: 0.5MG EVERY DAY FOR THREE DAYS THEN INCREASE TO 0.5MG TWICE A DAY FOR FOUR DAYS, THEN INCREASE TO 1MG TWICE A DAY FOR 6-11 WEEKS. FOR MORE INFORMATION, SIDE EFFECTS, COMMONLY ASKED QUESTIONS, CONCERNS, AND PRICING PLEASE SEE BELOW. PLEASE READ BELOW IMPORTANT SAFETY INFORMATION INCLUDING RARE BUT SERIOUS SIDE EFFECTS.
Smoking is the leading preventable cause of death in the US. There are two first-line medications used to help people quit smoking. The two options are Chantix (Varenicline) and Wellbutrin (Bupropion). These medications work by lessening the effects of withdrawals.
Medication choice is based largely off of patient preference, with the exception of a few indications not to take a certain medication.
Bupropion is technically an antidepressant, but has been approved for smoking cessation. Treatment starts 1 week before your target quit date. One 150mg tablet is taken once per day for days 1-3. A 150 mg tablet is taken twice per day from days 4 and on. Smoking cessation should be achieved after 7-12 weeks of treatment. You can take this medication with or without meals. Bupropion may be less effective than Chantix but some patients may choose this medication over Chantix because of price, and concern for weight gain.Do not take this medication if you have a seizure disorder or have kidney or liver damage. Do not take this medication if you are allergic to Bupropion.
Common side effects of Bupropion include headaches, restlessness, agitation, and difficulty sleeping. Some patients may also experience increased heart rate, weight loss, tremors, or blurred vision.
This medication may increase depression or suicidal ideation. If you start to experience behavioral or mood changes stop the medication right away and contact a medical provider.
Bupropion is the generic version of this medication. Brand name medications include Wellbutrin XL. Bupropion is generally covered by Medicaid and most insurances although coupon prices might be lower. The price of this medication without insurance is around $25.00 for one month’s supply. Treatment can last from 7-12 weeks. Prices taken from www.goodrx.com
Chantix is FDA approved to help users stop smoking. You should take this medication after a meal and with a full glass of water. You should start Chantix 1 week before your target quit date. You start with a 0.5mg tablet once per day for three days. Then you increase to 0.5mg tablet twice per day from day 4-7. Day 8 and beyond, you take a 1mg tablet twice per day for 11 weeks. This is a total of three months of treatment (12 weeks).
20% or less of patients experience side effects include headaches, nausea, vomiting, difficulty sleeping, abnormal dreams, depression or suicidal ideation. Do not take this medication if you are allergic to Chantix. If you start to experience behavioral or mood changes stop the medication and contact a medical provider. Patients should exercise caution when driving or operating machinery until they know how this medication effects them, as it can cause drowsiness.
Chantix is a brand name drug. There currently is no generic form available. Chantix is covered by most Medicaid and insurance plans. Chantix, without insurance, can be costly. Prices without insurance are approximately $450 for one month. Typically, patients take Chantix for three months. Prices taken from www.goodrx.com
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