in my very humble opinion, only
i feel that all medications, including Chantix should be given with open dialogue between the healthcare professional and the patient. it's important that the doctor disclose the risks to the best knowlege that they have [followed by the pharmacist that fills the medication] and that the patient also take an active role in their health. [as exampled by joechemo looking into the chantix when i started to feel "odd"].
most medications come with a long list of side effects and not every doctor can know all of them--thus we have the safety net of pharmacists that drug interactions and side effects are their business. often a doc will call the pharmacist for this time of information.
i love chantix and i hate chantix. the second time i quit smoking was with the aid of chantix [for 1 month]. if anyone has ever had any history of depression or suicidal thoughts or actions, this is NOT a medication for you. there are a few side effects that should go away with the use of the medication such as nausea and slight headaches [in many cases]. there are a few side effects that are warning signs that do not go away and may progressively get worse such as sleeplessness or bad dreams. if a patient called into our office and said they were having bad dreams or couldn't sleep after starting the chantix, we just told them to stop it immediately and then would bring them in to see if other smoking cessations may be a viable option.
for me, however, the problems started out so subtle that i didn't realize it was the medication. small arguments at home that were hard to pinpoint as a bad day, chantix, or lack of nicotine in general. i quit smoking. i went to "cheat" and bought a pack, twice, on it and would start smoking and realize that i didn't want it. both times, i pulled over and handed the pack to people that were walking down the side walk smoking. but by the end of the month, in my head---my relationship at home was falling apart, i thought we were over several times. [i'm sure i would have made that a reality had i continued]. everything in my life, [inside my head] was falling apart. i knew enough about this medication going in that i would constantly talk myself
through these episodes by telling myself that it was just the chantix. but when i had to start reminding myself that my children deserved to grow up with a mom, that was when i knew that i had to stop the medication.
it was becoming so constant that i was afraid that i would either not realize it was the medication or that i would not care, either way it wasn't pretty. i quit the medication and i bought a pack of camels.
fortunately, my doc and i were close [since he was one of the docs that i worked with]; but it was horrible to tell him that i started smoking, [again]. after all, i worked pulmonary. i'll never forget how he turned an embarrassing situation as an opportunity to pat me on the back and told me, that every attempt at quitting was another step towards success.
i've known a ton of success stories with this medication. but for many, i think you really need to know yourself and to be smart enough to stop it, if it's having undesirable effects. none of the doctors that i've worked with ever use this as a first line to quit smoking.