Comments on: Is Chantix safe, and why Zyban, or bupropion, also received a black box warning http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html medical blog Sat, 21 Nov 2009 22:10:48 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Bruce http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html/comment-page-1#comment-105116 Bruce Thu, 09 Jul 2009 11:25:48 +0000 http://www.kevinmd.com/blog/?p=39160#comment-105116 Varenecline has been a remarkable addition and have prescribed it regularly. The black box does prompt me to ask the (hopefully) right questions before I provide the medication. I agree that it seems odd that one press release was used to announce the new warnings for both drugs. Their mechanisms of action are completely different. Varenecline has been a remarkable addition and have prescribed it regularly. The black box does prompt me to ask the (hopefully) right questions before I provide the medication.

I agree that it seems odd that one press release was used to announce the new warnings for both drugs. Their mechanisms of action are completely different.

]]> By: Mike http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html/comment-page-1#comment-102846 Mike Sun, 05 Jul 2009 22:18:36 +0000 http://www.kevinmd.com/blog/?p=39160#comment-102846 What is the purpose of the black box warning? Does this mean I shouldn't use it? Or just that I should be scared of lawsuits if I prescribe the drug and the possible adverse reaction occurs? Realy, what is accomplished with the black box warning? So many drugs have them, it really has no meaning anymore, other than helping lawyers in court. What is the purpose of the black box warning? Does this mean I shouldn’t use it? Or just that I should be scared of lawsuits if I prescribe the drug and the possible adverse reaction occurs? Realy, what is accomplished with the black box warning? So many drugs have them, it really has no meaning anymore, other than helping lawyers in court.

]]> By: Brangene http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html/comment-page-1#comment-102381 Brangene Sun, 05 Jul 2009 00:13:13 +0000 http://www.kevinmd.com/blog/?p=39160#comment-102381 If you're a longtime heavy smoker, having to quit is darn close to enough to make you suicidal all by itself--not so much the physical nicotine withdrawal as losing that instant psychological boost you've depended on for so many years. Maybe the drugs exacerbate it, but it's bad enough on its own. In some respects you're a case of arrested development in terms of dealing with stress, even "good stress," from the time you started smoking, even if you're reasonably well adjusted in other respects. The person who has been smoking for many years and quits goes through what amounts to severe bereavement, and physicians and therapists (not to mention the person trying to quit) need to take that very seriously. If you’re a longtime heavy smoker, having to quit is darn close to enough to make you suicidal all by itself–not so much the physical nicotine withdrawal as losing that instant psychological boost you’ve depended on for so many years. Maybe the drugs exacerbate it, but it’s bad enough on its own.

In some respects you’re a case of arrested development in terms of dealing with stress, even “good stress,” from the time you started smoking, even if you’re reasonably well adjusted in other respects.

The person who has been smoking for many years and quits goes through what amounts to severe bereavement, and physicians and therapists (not to mention the person trying to quit) need to take that very seriously.

]]> By: Popular Stop-Smoking Drugs to Carry Mental Health Risk Warnings « AGAPE http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html/comment-page-1#comment-101355 Popular Stop-Smoking Drugs to Carry Mental Health Risk Warnings « AGAPE Fri, 03 Jul 2009 13:51:41 +0000 http://www.kevinmd.com/blog/?p=39160#comment-101355 [...] I read this from KevinMd site. Then from the medpage site. See the link below. To think that these drugs is said has been very [...] [...] I read this from KevinMd site. Then from the medpage site. See the link below. To think that these drugs is said has been very [...]

]]> By: Pain management http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html/comment-page-1#comment-100996 Pain management Thu, 02 Jul 2009 18:45:51 +0000 http://www.kevinmd.com/blog/?p=39160#comment-100996 Hopefully that will improve health for all on this, the government must give force to the health sector, as there are many people who suffer from chronic illnesses and who need help to cover expenses stronger as fibromyalgia, cancer, producing a series very heavy cost to those who suffer as they must take powerful drugs such as oxycodone, Vicodin, Lortab, drugs that are highly controlled and that findrxonline indicate that opioids are very strong and anxiolytics do not know if that can be given life-threatening that consumes, that is why many times the costs are too high to be able to obtain and soothe the intense pain. Hopefully that will improve health for all on this, the government must give force to the health sector, as there are many people who suffer from chronic illnesses and who need help to cover expenses stronger as fibromyalgia, cancer, producing a series very heavy cost to those who suffer as they must take powerful drugs such as oxycodone, Vicodin, Lortab, drugs that are highly controlled and that findrxonline indicate that opioids are very strong and anxiolytics do not know if that can be given life-threatening that consumes, that is why many times the costs are too high to be able to obtain and soothe the intense pain.

]]> By: Pattie, RN http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html/comment-page-1#comment-100972 Pattie, RN Thu, 02 Jul 2009 14:33:06 +0000 http://www.kevinmd.com/blog/?p=39160#comment-100972 How many smokers do you know who do NOT have some sort or degree of psych problems??? Personally I haven't met one in the last 10 years... How many smokers do you know who do NOT have some sort or degree of psych problems??? Personally I haven’t met one in the last 10 years…

]]> By: family practitioner http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html/comment-page-1#comment-100971 family practitioner Thu, 02 Jul 2009 14:00:53 +0000 http://www.kevinmd.com/blog/?p=39160#comment-100971 Thanks FDA for making it more difficult for me to help my patients to quit smoking. What you accomplish with this black box warning is not clear. Thanks FDA for making it more difficult for me to help my patients to quit smoking. What you accomplish with this black box warning is not clear.

]]> By: vendorMD http://www.kevinmd.com/blog/2009/07/is-chantix-safe-and-why-zyban-or-bupropion-also-received-a-black-box-warning.html/comment-page-1#comment-100962 vendorMD Thu, 02 Jul 2009 13:07:31 +0000 http://www.kevinmd.com/blog/?p=39160#comment-100962 Isn't smoking a slow suicide??? Isn’t smoking a slow suicide???

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