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long-term use is not recommended Varenicline Varenicline is now funded with Special Authority, with the following criteria: The patient has not used varenicline in the past 12 months AND: The patient has had two or more unsuccessful quit attempts using NRT, at least one of which involved comprehensive advice about the use of NRT OR The patient has had an unsuccessful quit attempt using bupropion or nortripyline Special Authority is also subject to the patient enrolling in a support and counselling programme for smoking cessation, including monitoring

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Interestingly, those who quit smoking saw improvements in their gut symptoms within a year. For people who already live with IBS, smoking can make pain and discomfort worse