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[7][11] Common Side Effects: Nausea (which is the most common, affecting about 30% of users) Trouble sleeping or unusual, vivid dreams Constipation, gas, and vomiting [11] Rare but serious risks: Mental health symptoms, like mood swings, feeling depressed, or having thoughts of harming yourself (seek help right away if you feel like hurting yourself) Heart problems, especially in people with pre-existing conditions Serious allergic reactions (anaphylaxis), like swelling of the face, lips, or throat, or severe skin rashes, like Stevens-Johnson syndrome and erythema multiforme Sleepwalking, which sometimes leads to harmful behaviors Seizures, particularly in people with a history of seizures [11] Varenicline interactions Alcohol: Varenicline may increase the effects of alcohol, potentially causing unusual or aggressive behavior

Consequently, they own it with the kind of quiet confidence that makes everyone else feel slightly underdressed

Long-term nicotine replacement therapy: a randomized clinical trial

Janbaz KH, Qadir MI, Basser HT, Bokhari TH, Ahmad B (2014) Risk for oral cancer from smokeless tobacco

The NHSDA Report: Tobacco Use, Income, and Educational Level

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