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Varenicline Tablets

  • Prescription stop smoking treatment for adults
  • Helps ease the cravings and withdrawal symptoms of quitting
  • Reduces the enjoyment of cigarettes while smoking during treatment
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Pharmacy, clinic and prescribers based in Greater Manchester.

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Varenicline Stop Smoking Treatment

Medication Name Varenicline Film-Coated Tablets
Medication Form Film-coated tablets
Used For Helping adults stop smoking
Who Can Use Adults aged 18 and over
Active Ingredient(s) Varenicline (as tartrate), 0.5mg or 1mg
Usual Dose One 0.5mg tablet daily to start, building up to one 1mg tablet twice daily
Common Side Effects Nausea, difficulty sleeping, abnormal dreams, headache
Prescription Required Yes
Patient Information Leaflet Varenicline Patient Information Leaflet

What are Varenicline tablets used for?

Varenicline tablets are a prescription medicine that helps adults stop smoking. They ease cravings and nicotine withdrawal symptoms that make quitting so difficult, and they take away some of the enjoyment of smoking, so a cigarette feels less rewarding if you do have one while taking them.

You’ll get the most from varenicline as part of a planned quit attempt. Being motivated to stop makes a real difference, and your doctor or pharmacist can offer advice and support to help you succeed. You can also get free support from the NHS Better Health stop smoking service.

How does Varenicline work?

When you smoke, nicotine attaches to receptors in the brain and triggers the release of chemicals that create the pleasant, rewarding feeling smokers associate with a cigarette. Over time, this is what keeps the physical side of nicotine addiction going.

Varenicline works on those same receptors. It gives them a mild, steady stimulation, reducing cravings for nicotine and taking the edge off withdrawal when you stop. At the same time, it blocks nicotine from getting to the receptors, so if you do smoke while taking it, you get far less of the usual reward.

Who can use Varenicline tablets?

Varenicline tablets are suitable for adults who want to stop smoking. They’re not recommended for anyone under 18, as they haven’t been shown to work in this age group.

Don’t take varenicline if you:

  • Are allergic to varenicline or any of the other ingredients

Speak to your doctor or pharmacist before taking varenicline if you:

  • Have ever had depression or another mental health condition
  • Have heart or circulation problems
  • Have had seizures or have epilepsy
  • Have kidney problems, as you may need a lower dose
  • Are pregnant, think you may be pregnant or are planning to become pregnant
  • Are breastfeeding

How To Take Varenicline Tablets

Before you start, choose a “quit date”, also called your stop smoking date. This is usually in the second week of treatment, between day 8 and day 14. If you’re not ready to set a date within two weeks, you can pick one up to five weeks after starting. It helps to write your quit date on the pack as a reminder.

You begin on the lower strength tablet and build up gradually:

  • Days 1 to 3: one 0.5mg tablet once a day
  • Days 4 to 7: one 0.5mg tablet twice a day, morning and evening
  • Day 8 onwards: one 1mg tablet twice a day, morning and evening

Try to take your tablets at about the same time each day. Swallow them whole with water. You can take them with or without food.

The usual course lasts 12 weeks. If you’ve stopped smoking by the end, your doctor may suggest a further 12 weeks to help you avoid slipping back into smoking. Keep taking varenicline for the full course your doctor recommends, even once the cravings have settled, as this helps increase your chances of quitting smoking.

Side Effects of Varenicline Tablets

Like all medicines, varenicline can cause side effects, though not everyone gets them.

Stopping smoking itself, with or without treatment, can also bring on symptoms such as mood changes, difficulty sleeping, trouble concentrating, a slower heart rate and an increased appetite or weight gain.

Very Common Side Effects

May affect more than 1 in 10 people:

  • Feeling sick (nausea)
  • Difficulty sleeping and vivid or abnormal dreams
  • Headache
  • Inflammation of the nose and throat

Common Side Effects

May affect up to 1 in 10 people:

  • Increased or decreased appetite, weight gain
  • Sleepiness, dizziness or changes in taste
  • Chest infection or inflammation of the sinuses
  • Shortness of breath, cough
  • Heartburn, vomiting, constipation, diarrhoea, bloating, stomach pain, indigestion, wind, dry mouth or toothache
  • Skin rash or itching
  • Joint, muscle or back pain
  • Chest pain, tiredness

Uncommon Side Effects

May affect up to 1 in 100 people:

  • Panic, restlessness, mood swings, anxiety, depression, hallucinations or changes in sex drive
  • Seizure, tremor or feeling sluggish
  • Fast or irregular heartbeat, palpitations or angina
  • Raised blood pressure, hot flushes
  • Raised blood sugar
  • Suicidal thoughts
  • Changes in thinking or behaviour, such as aggression
  • Heart attack

Rare Side Effects

May affect up to 1 in 1,000 people:

  • Stroke
  • Losing touch with reality (psychosis)
  • Abnormal behaviour or sleepwalking
  • Diabetes
  • Irregular heart rhythm
  • Serious skin reactions with blistering or peeling (Stevens-Johnson syndrome or erythema multiforme)
  • Serious allergic reactions, including swelling of the face, mouth or throat (angioedema)

Stop taking varenicline and get medical help straight away if you notice:

  • Low mood, agitation, or any changes in behaviour that worry you or your family, or thoughts of harming yourself. Contact your doctor immediately
  • Swelling of the face, lips, tongue, gums, throat or body, or difficulty breathing or wheezing
  • A rash, or skin that starts to peel or blister
  • Signs of a heart attack or stroke
  • A seizure

If you notice any side effects, including any not listed here, tell your doctor or pharmacist. You can also report side effects directly through the Yellow Card Scheme.

Varenicline Tablets Ingredients

Active ingredient: varenicline (as tartrate), 0.5mg or 1mg per tablet

Other ingredients:

  • Tablet core: microcrystalline cellulose, calcium hydrogen phosphate dihydrate, croscarmellose sodium, stearic acid
  • Film coating (0.5mg tablets): hypromellose, titanium dioxide (E171), macrogol 400
  • Film coating (1mg tablets): hypromellose, titanium dioxide (E171), macrogol 400, indigo carmine aluminium lake (E132)

Warnings and Precautions

  • Tell your doctor or pharmacist about all other medicines you’re taking. Stopping smoking can change how some medicines work, including theophylline, warfarin and insulin, so your dose may need adjusting.
  • If you have severe kidney disease, avoid taking cimetidine at the same time as varenicline, as this can raise the level of varenicline in your blood.
  • Speak to your doctor before using varenicline alongside other stop smoking treatments such as nicotine replacement patches or gum.
  • Some people have reported feeling the effects of alcohol more strongly while taking varenicline, so take care with how much you drink until you know how it affects you.
  • Varenicline can cause dizziness, sleepiness and, rarely, a brief loss of consciousness. Don’t drive or use machinery until you’re sure it doesn’t affect you.
  • Keep an eye on your mood. If you or those around you notice low mood, agitation or changes in behaviour, stop taking varenicline and contact your doctor.
  • It’s best to avoid varenicline in pregnancy. Talk to your doctor if you’re pregnant, planning a pregnancy or breastfeeding.
  • Keep out of the sight and reach of children.
  • Don’t store above 25°C.
  • Don’t use after the expiry date printed on the packaging.
  • Don’t throw away medicines down the drain or into household waste. Ask your pharmacist how to dispose of any you no longer need.

Varenicline Tablets Reviews

Varenicline Tablets FAQs


Varenicline doesn’t work right away. The dose is built up over your first 1 to 2 weeks, and most people set their quit date for the second week once the medicine has reached its full strength. From that point, it helps take the edge off cravings and withdrawal. Give it time and keep taking it for the full course, as stopping early makes it more likely you’ll go back to smoking.

For the first week or two, you’ll usually still be smoking, since your quit date is set for the second week of treatment. If you slip and have a cigarette after your quit date, don’t abandon the course. Most people find cigarettes far less enjoyable while taking varenicline, which can make it easier to stop for good.

You can order varenicline online from Click2Pharmacy. As it’s a prescription-only medicine, you’ll first complete a short online consultation. One of our licensed pharmacists will review your answers and, if varenicline is suitable, issue your prescription and send your treatment for fast, discreet delivery.

If you’ve had a missed dose, take the tablet as soon as you remember. If it’s within three to four hours of your next dose, skip the one you missed and carry on as normal. Don’t take a double dose to make up for a forgotten tablet. Taking varenicline regularly at the same time each day gives you the best chance of quitting.

It’s often possible to try varenicline again if a previous attempt didn’t lead to stopping for good. Your doctor or pharmacist will review how you got on last time and decide whether another course is right for you. As before, motivation and support will improve your chances.

Varenicline isn’t classed as an addictive medicine. When your course ends, your doctor may gradually lower the dose rather than stopping all at once. A few people feel more irritable, notice a stronger urge to smoke, or have low mood or disturbed sleep for a short time afterwards, but this usually passes.

If you develop low mood, agitation, anxiety or any changes in behaviour that worry you or your family, or you have thoughts of harming yourself, stop taking varenicline and contact your doctor straight away. Stopping smoking can affect your mood on its own, but symptoms like these should always be checked by a professional.

Having a cigarette while on varenicline won’t harm you, but you’ll probably find it less enjoyable than usual, as the medicine reduces the reward you get from smoking. If you slip up after your quit date, don’t feel discouraged. Carry on with your course and keep going.

Varenicline needs a little time to build up in your body before it can properly ease cravings and withdrawal. That’s why you start taking it while you’re still smoking and set your quit date for the second week, usually between day 8 and day 14. By then the medicine is working at full dose, and you’re in a stronger position to stop.

Champix is a branded version of the same medicine. It contains the same active ingredient, varenicline, so it works in exactly the same way to help you quit smoking. Champix was withdrawn in the UK in 2021 over a manufacturing issue, and generic varenicline became the main option, but Champix has since returned to the market. Your prescriber will decide which version is right for you.

Varenicline is one of several smoking cessation options. Nicotine replacement therapy, such as patches, gum or lozenges, is a common choice and can be used on its own or, in some cases, alongside other support. Cytisine is another stop smoking tablet that works in a broadly similar way. Your doctor or pharmacist can talk you through what might suit you best.

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