Medical Assessment

Are you female or male aged between 18 and 65?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you allergic to varenicline or any of the other ingredients in this medicine?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you pregnant or breastfeeding or planning to become pregnant or start breastfeeding during this treatment?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Do you suffer from any of the following?

  • kidney problems;
  • liver problems;
  • depression or other psychiatric disorders;
  • diabetes;
  • seizures such as epilepsy;
  • asthma;
  • heart problems;
  • any other chronic conditions we should know about;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you taking any of the following medication?

  • theophylline (for breathing problems);
  • insulin;
  • cimetidine;
  • medication for depression;
  • warfarin;
  • heart medication;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you taking any other medication not listed above?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Are you aware that before starting your course of CHAMPIX you should decide on a date in the second week of treatment (between day 8 and day 14) when you will stop smoking. If you are not willing or able to set a target quit date within 2 weeks, you may choose your own target quit date within 5 weeks after starting treatment. If you are not able or willing to quit smoking straight away, you should reduce smoking during the first 12 weeks of treatment and quit by the end of that treatment period. You should then continue to take CHAMPIX 1 mg film-coated tablets twice daily for a further 12 weeks resulting in a total of 24 weeks of treatment?

Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Do you understand and agree to stop taking Champix (Varenicline) and contact your doctor or healthcare provider if you experience any of the following conditions?

  • new or worse heart or blood vessel (cardiovascular) problems;
  • seizures;
  • increased depression/anxiety, changes in behaviour, agitation, suicidal thoughts;
  • swelling of face mouth or neck;
  • unusual skin rash or reaction;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Do you agree to the following?

  • you have answered truthfully to all the questions and you are aware that any incorrect information you provided can present a potential danger to your health;
  • you will inform your doctor about any unusual side effects;
  • the treatment is solely for your own use ;
  • you will read the patient information leaflet supplied with your medication;
  • you will not exceed the maximum daily dose of this medication ;
Error We are unable to prescribe you this medication.

For further information kindly contact our patient support team:

Phone 0207 867 3932

Email email help@clickpharmacy.co.uk.

Please tick the boxes to confirm the following:

Error You must accept the terms and conditions to continue!