A 54-year-old man comes to the physician for a follow up visit. He reports that he feels well. He is a smokerr of 2 packs daily and drinks three 12-oz bottles of beer each night. He works as an accountant and says he does not have time to exercise regularly. He is 178 cm (5 ft 10 in) tall and weighs 98 kg (216 lb); BMI is 31 kg/m2. His blood pressure is 146/90 mm Hg. Physical examination shows no abnormalities. During a previous visit, he was counseled on the benefits of smoking cessation. He reports that despite trying he has been unable to stop smoking due to overwhelming cravings. The physician prescribes a drug that reduces nicotine cravings while decreasing the pleasurable effects of cigarettes and other tobacco products. Which of the following medications was most likely prescribed to the patient?

Question

A 54-year-old man comes to the physician for a follow up visit. He reports that he feels well. He is a smokerr of 2 packs daily and drinks three 12-oz bottles of beer each night. He works as an accountant and says he does not have time to exercise regularly. He is 178 cm (5 ft 10 in) tall and weighs 98 kg (216 lb); BMI is 31 kg/m2. His blood pressure is 146/90 mm Hg. Physical examination shows no abnormalities. During a previous visit, he was counseled on the benefits of smoking cessation.  He reports that despite trying he has been unable to stop smoking due to overwhelming cravings.  The physician prescribes a drug that reduces nicotine cravings while decreasing the pleasurable effects of cigarettes and other tobacco products.  Which of the following medications was most likely prescribed to the patient?

Quizplus · Accepted Answer

Eductional Objective: Varenicline is a partial agonist of nicotinic acetylcholine receptors that competes with nicotine (a full agonist) and prevents it from binding. Because varenicline is a partial agonist, it helps reduce the symptoms of nicotine withdrawal by mildly stimulating the receptor.

A 54-Year-Old Man Comes to the Physician for a Follow