CHAPTER 9. TOBACCO USE 243 TABLE 9.2( Continued) Agent(Brands) Advantages Disadvantages Varenicline Easy use Possible headache, vomiting, tartrate May ease withdrawa fatulence insomnia, abnormal (Chantrix) symptoms dreams, dysgeusia(taste May block effects of disturbance) May delay weight gain May be effective in depression(see Chapter 13) Nortriptyline Easy use Not FDA approved for (Aventyl Inexpensive smoking cessation HCI May be effective in Possible tremor, headache, dry Pamelor) depression(see Chapter 13)mouth, nausea, indigestion constipation, diarrhea, fatiguc weakness, anxiety, insomnia Avoid use with alcohol methyprylon, or monoamine oxidase inhibitor Clonidine Easy use Not FDa approved for oral expensive moking cessation (Catapres) Possible dizziness, weight gain, drowsiness, dry mouth, constipation Avoid use with alcohol OTC=over-the-counter; FDA= U.S. Food and Drug Administration. Quit Lin The use of telephone-based tobacco cessation services, commonly known as quit lines, has been shown to improve smoking cessation rates(20) Their effectiveness with smokers who use them is well established. In many states with comprehensive tobacco control programs, quit lines play an important role in media-based efforts to encourage smoking cessation Depending on the state, and sometimes by insurance status within states, quit lines offer either reactive counseling(smokers can call as needed during their quit attempt)or the more effective proactive counseling(a series of counseling calls initiated by quit line personnel timed around a qu attempt)(21). Quit lines are accessible and eliminate many barriers associated with traditional smoking cessation classes or support groups. These include having to wait for sessions to be offered, needing to arrange transportation