We're going to ask you some brief questions about your health and smoking history in order to assess if a prescription is appropriate for you. One of our licensed clinicians will review your answers and get back to you shortly if the medication is suitable.

By clicking “Continue”, you are confirming that you:

  • Are completing this questionnaire for yourself and to the best of your knowledge.
  • Were assigned male at birth.
  • Will disclose any serious illnesses or operations you have had.
  • Will disclose any prescription medication you currently take.
  • Are aware that taking varenicline may cause mood changes and it might not be suitable if you have a history of mental illness.
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