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Chantix Continuing Month Pak

The Chantix Continuing Month Pak is used as a follow-up to the Chantix Starting Month Pak for patients who are undergoing treatment for smoking cessation. It contains varenicline, a medication designed to help people quit smoking by reducing cravings and withdrawal symptoms while blocking the pleasurable effects of nicotine. The Continuing Month Pak is typically used after the initial treatment phase and is designed to maintain the progress of smoking cessation.



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Frequently Asked Questions

How is the Continuing Month Pak different from the Starting Month Pak?
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The Starting Month Pak is used to introduce the medication gradually, starting with a lower dose to minimize side effects. The Continuing Month Pak contains the maintenance dose of 1 mg twice daily and is used for the remainder of the 12-week program.

Can I continue taking Chantix after 12 weeks?
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Some patients benefit from an additional 12-week course to help reduce the risk of relapse. Consult your healthcare provider to determine if an extended course is right for you.

What should I do if I experience vivid dreams while taking Chantix?
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Vivid dreams are a common side effect of Chantix. If the dreams are disruptive, talk to your healthcare provider about possible strategies to manage them, such as adjusting the timing of your dose.

Can I drink alcohol while taking Chantix?
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Chantix may increase your sensitivity to alcohol. If you choose to drink, do so cautiously, and monitor how your body reacts. Some people experience unusual behavior or increased intoxication.

What should I do if I miss a dose of Chantix?
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If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and take your next dose at the regular time. Do not double the dose.

Does Chantix cause weight gain?
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Chantix itself is not typically associated with weight gain. However, quitting smoking may lead to weight gain in some individuals. Maintaining a balanced diet and exercise routine can help manage any potential weight changes.

Is Chantix safe to use during pregnancy?
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Chantix is not recommended for use during pregnancy. If you are pregnant or planning to become pregnant, discuss alternative smoking cessation methods with your healthcare provider.

Can I use nicotine patches or gum with Chantix?
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It is generally not recommended to use nicotine replacement therapy (NRT) alongside Chantix, as this can increase the risk of side effects. Always consult your healthcare provider before combining treatments.

How long should I use Chantix to quit smoking?
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The typical course of treatment is 12 weeks. Some patients may benefit from an additional 12-week course to help prevent relapse. Always follow your healthcare provider’s guidance on treatment duration.

Comprehensive Drug Guide

How Does Chantix Continuing Month Pak Work?

Varenicline works by binding to nicotinic acetylcholine receptors in the brain. As a partial agonist, it mildly stimulates the nicotine receptors, which helps to reduce cravings and alleviate withdrawal symptoms. At the same time, it blocks nicotine from fully stimulating these receptors, which reduces the satisfaction or pleasure from smoking, helping patients to quit.

Common Dosages

  • 1 mg tablet taken twice daily, one in the morning and one in the evening, for the remaining weeks 5 through 12 of the smoking cessation program.

Typical Dosing

  • Administration: Chantix is taken orally, with or without food. It is recommended to take the medication with a full glass of water to reduce the likelihood of nausea.
  • Frequency: Twice daily, with a 1 mg tablet taken in the morning and evening.
  • Duration of Use: The Continuing Month Pak is used after completing the Starting Month Pak and is typically used for 12 weeks in total. In some cases, a healthcare provider may recommend extending the treatment to 24 weeks to reduce the chances of relapse.

Typical Dosing

FDA Approved Indications

Smoking cessation: To help adults quit smoking by reducing cravings and withdrawal symptoms. It is used as part of a comprehensive quit-smoking program, which may include behavioral counseling and support.

Who Shouldn't Take Chantix Continuing Month Pak?

  • Hypersensitivity to varenicline or any of the ingredients in the medication.
  • A history of serious allergic reactions or skin reactions to varenicline.

Advice From The Pharmacist

  • Take Chantix consistently twice daily, with food and water, to reduce the likelihood of nausea.
  • Be aware of possible vivid dreams or sleep disturbances, which are common with Chantix use.
  • Limit alcohol consumption, as some patients experience increased sensitivity to alcohol while taking Chantix, which may result in unusual behavior or intoxication.
  • Immediately report any mood changes, depression, or suicidal thoughts to their healthcare provider, as Chantix has been associated with neuropsychiatric side effects.
  • Stick to their quit-smoking plan and seek counseling or support if needed to maximize their chances of quitting successfully.
  • Be aware that withdrawal symptoms may persist, and patience is key. The Continuing Month Pak is designed to help manage cravings and ensure long-term smoking cessation.

Side Effects of Chantix Continuing Month Pak

Common Side Effects

  • Nausea
  • Vivid or unusual dreams
  • Insomnia or difficulty sleeping
  • Constipation
  • Flatulence (gas)


Uncommon/Severe Side Effects

  • Neuropsychiatric symptoms: Depression, agitation, changes in behavior, suicidal thoughts or actions.
  • Cardiovascular events: Increased risk of heart-related problems, especially in patients with pre-existing cardiovascular conditions.
  • Severe allergic reactions: Including swelling of the face, lips, tongue, or throat.
  • Seizures: Rare, but may occur in patients with a history of seizures or other risk factors.

Risks and Warnings of Chantix Continuing Month Pak

  • Neuropsychiatric Risk: Chantix has been associated with changes in behavior, depression, and suicidal thoughts. Close monitoring is recommended, especially in patients with a history of psychiatric illness.
  • Cardiovascular Risk: Patients with cardiovascular disease may be at increased risk for heart attacks or other heart-related problems while taking Chantix.
  • Seizure Risk: Seizures have been reported in some patients. Those with a history of seizures or risk factors should be closely monitored.
  • Allergic Reactions: Rare but serious allergic reactions and severe skin reactions (e.g., Stevens-Johnson syndrome) can occur. Immediate medical attention is required if such reactions develop.

Interactions with Chantix Continuing Month Pak

Common Drug Interactions

  • Alcohol: Chantix may increase sensitivity to alcohol, which can result in unusual behavior or increased intoxication. Patients should use caution when drinking alcohol.
  • Nicotine replacement therapy (NRT): Using nicotine patches, gum, or other nicotine replacement products in combination with Chantix may increase the risk of side effects such as nausea and headaches.
  • Medications metabolized by smoking: Quitting smoking can alter how the body processes certain medications, such as insulin, theophylline, and warfarin. Dose adjustments may be required after quitting.

Alternatives to Chantix Continuing Month Pak

  • Bupropion (Zyban): A prescription medication that reduces cravings and withdrawal symptoms.
  • Nicotine replacement therapy (NRT): Including nicotine patches, gum, lozenges, nasal sprays, and inhalers to help reduce withdrawal symptoms and cravings.
  • Behavioral counseling: Often combined with medication to increase the chances of quitting successfully.