Quit Smoking — Maintenance Refills Online that Keep You Moving Forward
Who this is for: Adults (18+) who have previously used varenicline or bupropion SR successfully and want refills with a structured plan. We pair medication with behavioral tactics to maximize your chance of long‑term success.
What to have ready
· Which med worked before and side effects you experienced.
· Quit date (target within 1–2 weeks) or current cut‑down strategy.
· Cigarettes/day, first‑cigarette timing, prior quit attempts.
· Medical history: depression, bipolar, seizure disorder, eating disorder, alcohol use, pregnancy status.
· Other meds: especially MAOIs, linezolid, or drugs that lower seizure threshold.
How the visit works
1) Smart intake: prior responses, side effects, triggers, daily pattern.
2) MD video visit: confirm safety and fit for varenicline or bupropion SR; recommend NRT overlays (patch + gum/lozenge) when helpful.
3) Plan: set a quit date (or reduce to quit path), send maintenance refills, and provide a skills packet (urge surfing, stimulus control, social support).
4) Follow‑up cadence: check‑ins at 2–4 weeks and 8–12 weeks if needed.
What we refill (maintenance)
· Varenicline: standard titration to 1 mg BID; continue up to 12 weeks (extend another 12 weeks if needed). Take with food/water to reduce nausea; vivid dreams are common.
· Bupropion SR: 150 mg QAM x 3 days, then 150 mg BID (≥8 hours apart; last dose before 6 PM). Combine with NRT if appropriate.
We do not prescribe new controlled substances or cytisine here. New starts may be considered selectively if safety gates are met, but this visit is optimized for maintenance refills.
Safety checks & cautions
· Bupropion: avoid with seizure disorders, bulimia/anorexia, abrupt alcohol/benzo withdrawal; monitor BP.
· Varenicline: nausea, insomnia, unusual dreams; rare mood changes—report promptly.
· Pregnancy: avoid bupropion/varenicline unless coordinated with OB; discuss NRT risks/benefits.
· Psych history: ensure mood is stable; coordinate with mental‑health clinician as needed.
Practical tactics we’ll include in writing
· Patch + short‑acting NRT combo (gum/lozenge) for urges.
· Trigger map: time/place/mood cues and replacement actions.
· Delay‑distract (urge surfing), self‑talk scripts, and support options.
· Slip vs relapse: a slip is feedback—not failure. Restart the plan the same day.
Pricing & scope
· $49 flat adult video visit; cash‑pay.
· No controlled substances; adult‑only.
FAQ
Which is better, varenicline or bupropion?
Varenicline often has the highest quit odds; bupropion is helpful, particularly with added NRT. We’ll tailor to you.
Can I use the patch and gum together?
Yes—combination NRT is effective: a daily patch for baseline + gum/lozenge for spikes.
What if I slip?
Refocus—not a failure. Remove cigarettes, restart NRT/meds, and message us for tactics.
Ready for a refuel of motivation?
Book your $49 MD video visit for quit‑smoking refills. Pair meds + skills for real results.