NEET PG Medical – 2019 – Question – 76
DOC for smoking cessation?
a) Acamprosate
b) Varenicline
c) Thalidomide
d) Tryptophan
Show Answer
Correct Answer – B
Ans. B. Varenicline (If Bupropion is not an option)
Anti-smoking drugs:
- Bupropion (along with Varenicline & Nicotine replacement therapy) is a USFDA approved first-line agent for pharmacotherapy in smoking cessation.
Varenicline:
- Effective agents for smoking cessation.
- Synthetic drug with partial agonist action at α4 ß2 nicotinic receptors.
- Has antagonist properties persisting due to long half-life & high receptor affinity.
- Hence, prevents stimulant effect of nicotine at presynaptic α4 ß2 nicotinic receptors –> results in dopamine release.