initially take 1 capsule every 2 hours [while awake] for 3 days (total 6 capsules daily) then 1 capsule every 2.5 hours for 9 days, then 1 capsule every 3 hours for 4 days, then 1 capsule every 5 hours for 4 days, then 1 to 2 capsules daily for 5 days. The number of cigarettes smoked should be gradually reduced over the first few days and smoking is stopped by day 5 of treatment.

Cytisine works by reducing the urge to smoke.  It attaches to some of the same nerve receptors in the brain as nicotine. This leads to fewer nicotine withdrawal symptoms and lessens the feeling of satisfaction from nicotine.

The most common side effects:

• gastrointestinal symptoms such as nausea and constipation
• headache
• abnormal dreams

Other possible side effects:

• increased appetite
• dry mouth
• irritability
• increased heart rate

Do not take cytisine if you have uncontrolled high blood pressure or atherosclerosis.

Check with your healthcare provider if you have high blood pressure or any heart conditions before use.

Drug Interactions:

• varenicline - similar activity
• antiseizure medications - may decrease effectiveness

Use in pregnancy and breastfeeding: not recommended.