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NHS England offers an improved stop-smoking pill to help people quit

Tim Gunn
by Tim Gunn | News

12 November 2024

20 comments 20 comments

broken cigarette on yellow background
nawamin/Shutterstock.com

The NHS is rolling out an improved stop-smoking pill to help tens of thousands of people in England try and quit.

Varenicline, which is given in once-a-day and then twice-a-day pills, has been shown to work as well as vapes and better than nicotine patches. It reduces cravings for nicotine and blocks its effect on the brain, while also helping with withdrawal symptoms such as feeling irritable or having difficulty sleeping.

When used alongside behavioural support such as counselling, the drug has been shown to help around 1 in 4 people to stop smoking for at least six months.

NHS England will now offer a 12-week course of varenicline as an additional treatment option for people in England using NHS Stop Smoking Services. Estimates suggest this approach could help over 85,000 people trying to quit smoking each year. Research from University College London has also shown it could prevent up to 9,500 smoking-related deaths over the next five years.

ā€œSmoking is the biggest cause of cancer in the UK and stopping completely is the best thing you can do for your health,ā€ said Dr Ian Walker, our executive director of policy. ā€œIt’s great news that the NHS is making varenicline an option for people trying to quit. Along with funding for cessation services, making tools like this available will help more people stop smoking.ā€

Varenicline replaces a previous branded pill (Champix), which was withdrawn as a precaution in 2021 when regulators found an impurity. The UK Medicines Health and Regulatory Authority has now approved varenicline as safe.

As a ā€˜generic’ or unbranded drug, varenicline (made by the pharmaceutical company Teva UK) is much also a much cheaper option than Champix. Analysis from the National Institute of Health and Care Excellence (NICE) in 2018 showed that every Ā£1 the NHS spent on Champix and behavioural support saved it Ā£1.65 by preventing smoking-related illnesses. Varenicline should be even more cost-effective.

NHS chief executive Amanda Pritchard called varenicline a “vital step in shifting our NHS further towards prevention”. In a speech at the NHS Providers annual conference later today, she will explain how that shift will enable the NHS to improve services while saving money.

The NHS currently spends around £2.5 billion a year treating health issues caused by smoking, which is the leading cause of preventable illness in the UK. As well as causing more than seven in 10 lung cancers (along with at least 15 other types), smoking increases the risk of many major health conditions, such as strokes, diabetes, heart disease, stillbirth and dementia.

ā€œAround 160 cases of cancer are caused by tobacco every day in the UK, so it’s essential that action is taken to prevent people from smoking in the first place,ā€ added Walker. ā€œWe urge MPs across all political parties to vote in favour of the recently tabled Tobacco and Vapes Bill. Raising the age of sale of tobacco products and sustainably funding cessation support will pave way for a future free from the harms of smoking.”

NHS England is offering varenicline in conjunction with pharmacy and council-led stop smoking services across the country. People can self-refer to these services by visiting the NHS Better Health website.

    Comments

  • Chris
    2 April 2025

    The post is incorrect. You start with 0.5mg once a day for 3days then at day 4 you take 0.5 mg twice a day. At day eight you move to 1mg twice daily and continue this for 12 weeks.

  • reply
    Tim Gunn
    2 April 2025

    Hi Chris,

    Thanks for sharing this correction. I have updated the article to reflect it.

    Best wishes,

    Tim, Cancer Research UK

  • Luis Loureiro
    10 March 2025

    I have been smoking for 47 years, with many attempts to quit. I stopped smoking but now I vape and it seems to be even more addictive, so to reduce the vaping I bought some NRT shewing gum. The problem is that nicotine is always consumed.
    Years ago the GP prescribed me Champix but I never took it, because some people even committed suicide, nasty nightmares and so on.
    But now I probably would give it a try.

  • richard curtis
    23 January 2025

    The nhs say its rolled out the new improved pill but where my stop smoking service says exactly the same don’t no when nhs will roll it out or is it a postcode thing ?I been smoking for 40 years this new pill seems like the real deal to stop smoking as it blocks out the part in the brain if nhs say it saves 85000 a year and its cheaper thsn patchs why are they not supplying to stop smoking service ?

  • Adele
    13 January 2025

    After alot of begging have just been prescribed this medication. Good luck to me !

  • Grant Knowles
    23 December 2024

    I’ve tried to get these new tablets but keep getting past from piller to post, nobody seems to know when it’s going to be available.

  • Margaret kinghorn
    13 December 2024

    My husband has COPD and he has been to the GP who told him he cĆ nt prescribe it he told him to see the pharmacist who said he has never heard of this new tablet the he phoned nhs stop smoking she said she hadn’t heard of this new tablet she could give him patches so what is the correct advice and we’re can he buy this tablet because no one professional know

  • roger pikett
    22 November 2024

    I tried comic years ago. And def worked for me I stopped for years but made one fateful mistake and started again after 10 years but my doctor won’t prescribe my them

  • MRS SUSAN MUSGRAVE
    18 November 2024

    I was disappointed to learn that my local NHS stop smoking clinic does not prescribe this. Why, when it has received approval? I have just ordered a pack of 39 tablets from HealthExpress for £44.99. Hope it works!

  • Lyn Walker
    17 November 2024

    I have had breast cancer twice. Now have tried all usual stop smoking. All i want is to stop. New tablet seems like the answer. Dont no when available at my Doctor.

  • Diane
    17 November 2024

    I would like to try this new drug as I’m now getting more chest infections.

  • Myra Doyle
    16 November 2024

    I took champix years ago and stopped smoking for over 5 years, no side effects, I was a lucky one but got stressed and started again ā˜¹ļø, great news on new drug.

  • M sproat
    15 November 2024

    How do you get on programme for this new smoking tablet

  • Jane
    14 November 2024

    Tidayi have contacted my gp to request this drug which is meant to be available on the NHS to be told they cannot help me ? Why ????

  • Cheryl Gibson
    14 November 2024

    Wondered when this will be available to be prescribed by the smoking cessation clinics

  • Edward Hills
    13 November 2024

    I tried champix two years ago I had terrible nightmares and got very depressed and had to stop l am more than willing to give this new pill a go.ive been smoking for fifty years and have already had bowel cancer

  • Evelyn bradley
    12 November 2024

    I would like to try this pill as I have just been diagnosed with copd I’ve tried to stop smoking but I can’t

  • Debbie Malcolm
    12 November 2024

    This would be beneficial for me day2 of stopping currently on patches. Only problem is I am in Scotland, I wonder when it will roll out here?

  • Paula Marie Barry
    12 November 2024

    I have Emphysema and asthma I tried and tried could this help me

  • Kevin mcgann
    12 November 2024

    Can I use the new pill if I have cops and history of high blood preasure atrial fibliration

  • reply
    Amy Warnock
    20 February 2025

    Hi Kevin,
    Thanks for your comment. The best thing to do is to speak to your doctor who will know more about your medical history and which medications will work best for you.
    Best wishes,
    Amy, Cancer Research UK

  • Karen Woodroffe
    12 November 2024

    I took champix 20 years ago. Stopped within 7 days. This is good news.

Tell us what you think

Leave a Reply

Your email address will not be published. Required fields are marked *

Read our comment policy.

    Comments

  • Chris
    2 April 2025

    The post is incorrect. You start with 0.5mg once a day for 3days then at day 4 you take 0.5 mg twice a day. At day eight you move to 1mg twice daily and continue this for 12 weeks.

  • reply
    Tim Gunn
    2 April 2025

    Hi Chris,

    Thanks for sharing this correction. I have updated the article to reflect it.

    Best wishes,

    Tim, Cancer Research UK

  • Luis Loureiro
    10 March 2025

    I have been smoking for 47 years, with many attempts to quit. I stopped smoking but now I vape and it seems to be even more addictive, so to reduce the vaping I bought some NRT shewing gum. The problem is that nicotine is always consumed.
    Years ago the GP prescribed me Champix but I never took it, because some people even committed suicide, nasty nightmares and so on.
    But now I probably would give it a try.

  • richard curtis
    23 January 2025

    The nhs say its rolled out the new improved pill but where my stop smoking service says exactly the same don’t no when nhs will roll it out or is it a postcode thing ?I been smoking for 40 years this new pill seems like the real deal to stop smoking as it blocks out the part in the brain if nhs say it saves 85000 a year and its cheaper thsn patchs why are they not supplying to stop smoking service ?

  • Adele
    13 January 2025

    After alot of begging have just been prescribed this medication. Good luck to me !

  • Grant Knowles
    23 December 2024

    I’ve tried to get these new tablets but keep getting past from piller to post, nobody seems to know when it’s going to be available.

  • Margaret kinghorn
    13 December 2024

    My husband has COPD and he has been to the GP who told him he cĆ nt prescribe it he told him to see the pharmacist who said he has never heard of this new tablet the he phoned nhs stop smoking she said she hadn’t heard of this new tablet she could give him patches so what is the correct advice and we’re can he buy this tablet because no one professional know

  • roger pikett
    22 November 2024

    I tried comic years ago. And def worked for me I stopped for years but made one fateful mistake and started again after 10 years but my doctor won’t prescribe my them

  • MRS SUSAN MUSGRAVE
    18 November 2024

    I was disappointed to learn that my local NHS stop smoking clinic does not prescribe this. Why, when it has received approval? I have just ordered a pack of 39 tablets from HealthExpress for £44.99. Hope it works!

  • Lyn Walker
    17 November 2024

    I have had breast cancer twice. Now have tried all usual stop smoking. All i want is to stop. New tablet seems like the answer. Dont no when available at my Doctor.

  • Diane
    17 November 2024

    I would like to try this new drug as I’m now getting more chest infections.

  • Myra Doyle
    16 November 2024

    I took champix years ago and stopped smoking for over 5 years, no side effects, I was a lucky one but got stressed and started again ā˜¹ļø, great news on new drug.

  • M sproat
    15 November 2024

    How do you get on programme for this new smoking tablet

  • Jane
    14 November 2024

    Tidayi have contacted my gp to request this drug which is meant to be available on the NHS to be told they cannot help me ? Why ????

  • Cheryl Gibson
    14 November 2024

    Wondered when this will be available to be prescribed by the smoking cessation clinics

  • Edward Hills
    13 November 2024

    I tried champix two years ago I had terrible nightmares and got very depressed and had to stop l am more than willing to give this new pill a go.ive been smoking for fifty years and have already had bowel cancer

  • Evelyn bradley
    12 November 2024

    I would like to try this pill as I have just been diagnosed with copd I’ve tried to stop smoking but I can’t

  • Debbie Malcolm
    12 November 2024

    This would be beneficial for me day2 of stopping currently on patches. Only problem is I am in Scotland, I wonder when it will roll out here?

  • Paula Marie Barry
    12 November 2024

    I have Emphysema and asthma I tried and tried could this help me

  • Kevin mcgann
    12 November 2024

    Can I use the new pill if I have cops and history of high blood preasure atrial fibliration

  • reply
    Amy Warnock
    20 February 2025

    Hi Kevin,
    Thanks for your comment. The best thing to do is to speak to your doctor who will know more about your medical history and which medications will work best for you.
    Best wishes,
    Amy, Cancer Research UK

  • Karen Woodroffe
    12 November 2024

    I took champix 20 years ago. Stopped within 7 days. This is good news.

Tell us what you think

Leave a Reply

Your email address will not be published. Required fields are marked *

Read our comment policy.