Champix - Prescribing for smoking cessation

Patient presents requesting assistance with smoking cessation
They state they would like to try Champix
Discussed smoking, psychological, physical and social aspects of addiction.
Discussed how Champix works to block nicotine receptors.
Patient needs to look at other aspects of smoking, and how will address these.
Tips given, such as picking quit date; throwing out all cigarettes, lighters etc; dealing with stress; telling friends/family about quitting, 4Ds
No Hx of depression or suicide attempts -
Discussed this risk. Advised patient to self-monitor, and ask family to monitor for neuropsychiatric sx such as change in behaviour, aggression, agitation, depressed mood, suicidal ideation and behaviour. Advised to cease Champix immediately should these sx occur, and present for R/V.
Discussed common SEs including nausea, insomnia, headaches.
Discussed cost of Champix to medicare/PBS, and authority rules - desire to quit, GP counselling program, one script per 12 month period.
Discussed how to take Champix, including picking quit date, increasing dose as per starter pack. 12 week course, needs to come back for R/V in 3-4/52.
Given handouts on Champix and smoking

Key words:  Champix, Smoking cessation, quit smoking, +champix

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