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Volume 360:730-731 February 12, 2009 Number 7
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Varenicline for Tobacco Dependence

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 by Hays, J. T.
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To the Editor: In the November 6 issue, Hays and Ebbert review the use of varenicline (Chantix) for tobacco dependence.1 Although this review highlights the role of varenicline in achieving abstinence, we think that the presentation of neuropsychiatric side effects is understated. Neuropsychiatric side effects with varenicline were first publicly reported by the Food and Drug Administration (FDA) on November 20, 2007. In a public health advisory issued on February 1, 2008, the agency stated, "As FDA's review of the data has progressed it has become increasingly likely that the severe changes in mood and behavior may be related to . . . [Full Text of this Article]




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