Varenicline Tartrate side effects: what 79,553 FDA adverse event reports show
Drug class
Not stated in label
Who reports
79,553 reports · 41% serious · 1,637 with death outcome · 64% female
Used for
Varenicline tablets are indicated for use as an aid to smoking cessation treatment. Varenicline tablets are a nicotinic receptor partial agonist indicated for use as an aid to smoking cessation treatment. ( 1 and 2.1 )
What it is
Varenicline tablets contain varenicline (as the tartrate salt), which is a partial nicotinic agonist selective for α4β2 nicotinic acetylcholine receptor subtypes. Varenicline, as the tartrate .
Boxed warning
None in the current label
Causality screen of the 40 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Reporting / coding artifact An administrative, monitoring or exposure term (product issue, off-label use, 'test normal', overdose...). Not a biological reaction; a high PRR here reflects how reports are coded.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
Strongest disproportionality signals
Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,140 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Tobacco withdrawal symptoms | 109 | 427.9 315.2–580.9ROR 428.5 · calibrated p 9e-13 ✓ | 157.6 EB05 134.3 · IC025 +6.2 3/3 methods agree | Labeled (related wording) related wording | serious n=38 · 83% consumer | not reported in cached trials |
| Tobacco user | 793 | 299.5 270.5–331.7ROR 302.5 · calibrated p 1e-11 ✓ | 139.0 EB05 131.1 · IC025 +6.9 3/3 methods agree | Not in label — unassessed | serious n=198 · 81% consumer | not reported in cached trials |
| Smoker | 63 | 128.5 95.0–173.8ROR 128.6 · calibrated p 3e-8 ✓ | 84.1 EB05 68.1 · IC025 +5.3 3/3 methods agree | Labeled adverse reaction exact term | serious n=62 · 74% consumer | not reported in cached trials |
| Exposure to contaminated air | 19 | 123.1 71.3–212.5ROR 123.1 · calibrated p 2e-7 ✓ | 77.5 EB05 52.4 · IC025 +4.0 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Abnormal dreams | 7,825 | 103.4 100.8–106.0ROR 114.6 · calibrated p 4e-8 ✓ | 74.2 EB05 72.8 · IC025 +6.2 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 81.3 · serious PRR 70.8 · 81% consumer | NCT01456936: 201/2,016 (10.0%) on Varenicline; 92/2,014 (4.6%) control |
| Hostility | 419 | 51.3 46.2–57.0ROR 51.6 · calibrated p 1e-5 ✓ | 42.9 EB05 39.6 · IC025 +5.2 3/3 methods agree | Labeled adverse reaction exact term | serious n=293 · 81% consumer | not reported in cached trials |
| Homicidal ideation | 558 | 41.8 38.2–45.7ROR 42.1 · calibrated p 4e-5 ✓ | 36.1 EB05 33.6 · IC025 +5.0 3/3 methods agree | Labeled adverse reaction exact term | serious n=533 | not reported in cached trials |
| Violence-related symptom | 175 | 33.2 28.4–38.9ROR 33.3 · calibrated p 2e-4 ✓ | 29.5 EB05 26.0 · IC025 +4.5 3/3 methods agree | Not in label — unassessed | serious n=163 | not reported in cached trials |
| Nightmare | 3,347 | 28.0 27.1–29.0ROR 29.2 · calibrated p 3e-4 ✓ | 25.4 EB05 24.7 · IC025 +4.6 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 28.5 · serious PRR 23.7 · 73% consumer | not reported in cached trials |
| Suicidal behaviour | 339 | 23.2 20.7–25.9ROR 23.3 · calibrated p 1e-3 ✓ | 21.3 EB05 19.5 · IC025 +4.2 3/3 methods agree | Not in label — unassessed | serious n=332 | NCT01456936: 1/2,014 (0.0%) control (serious AE) |
| Asthma-chronic obstructive pulmonary disease overlap syndrome | 39 | 21.3 15.3–29.5ROR 21.3 · calibrated p 0.002 ✓ | 19.6 EB05 14.9 · IC025 +3.5 3/3 methods agree | Labeled (related wording) related wording | serious n=39 · ♀ 0% (drug 64%) | not reported in cached trials |
| Feeling of relaxation | 49 | 20.1 15.0–26.9ROR 20.1 · calibrated p 0.002 ✓ | 18.6 EB05 14.6 · IC025 +3.5 3/3 methods agree | Not in label — unassessed | 100% consumer | not reported in cached trials |
| Anger | 2,251 | 18.7 17.9–19.5ROR 19.2 · calibrated p 0.002 ✓ | 17.5 EB05 16.9 · IC025 +4.1 3/3 methods agree | Not in label — unassessed | age-adj. PRR 18.5 · serious PRR 26.5 · 72% consumer | not reported in cached trials |
| Marital problem | 35 | 18.0 12.8–25.3ROR 18.0 · calibrated p 0.004 ✓ | 16.7 EB05 12.4 · IC025 +3.2 3/3 methods agree | Not in label — unassessed | serious n=31 · ♀ 39% (drug 64%) | not reported in cached trials |
| Verbal abuse | 31 | 17.6 12.2–25.3ROR 17.6 · calibrated p 0.005 ✓ | 16.3 EB05 11.9 · IC025 +3.1 3/3 methods agree | Reporting / coding artifact | serious n=23 · ♀ 0% (drug 64%) | not reported in cached trials |
| Flight of ideas | 33 | 17.6 12.3–25.0ROR 17.6 · calibrated p 0.005 ✓ | 16.3 EB05 12.0 · IC025 +3.2 3/3 methods agree | Not in label — unassessed | serious n=31 | not reported in cached trials |
| Physical assault | 125 | 16.7 13.9–20.0ROR 16.7 · calibrated p 0.005 ✓ | 15.7 EB05 13.5 · IC025 +3.6 3/3 methods agree | Not in label — unassessed | serious n=121 · ♀ 35% (drug 64%) | not reported in cached trials |
| Boredom | 20 | 16.3 10.4–25.7ROR 16.4 · calibrated p 0.007 ✓ | 14.9 EB05 9.8 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Frustration | 207 | 15.9 13.8–18.3ROR 15.9 · calibrated p 0.006 ✓ | 15.0 EB05 13.3 · IC025 +3.6 3/3 methods agree | Not in label — unassessed | serious n=119 · 83% consumer | not reported in cached trials |
| Aggression | 2,768 | 15.3 14.8–15.9ROR 15.9 · calibrated p 0.006 ✓ | 14.5 EB05 14.1 · IC025 +3.8 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 12.9 · serious PRR 21.6 | NCT01456936: 1/2,014 (0.0%) control (serious AE) |
| Morbid thoughts | 64 | 15.1 11.7–19.4ROR 15.1 · calibrated p 0.008 ✓ | 14.2 EB05 11.4 · IC025 +3.3 3/3 methods agree | Not in label — unassessed | serious n=49 | not reported in cached trials |
| Personality change | 503 | 14.9 13.7–16.3ROR 15.0 · calibrated p 0.007 ✓ | 14.2 EB05 13.2 · IC025 +3.7 3/3 methods agree | Not in label — unassessed | serious PRR 18.2 · 71% consumer | not reported in cached trials |
| Flashback | 31 | 14.9 10.4–21.4ROR 14.9 · calibrated p 0.009 ✓ | 13.8 EB05 10.0 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | serious n=19 | not reported in cached trials |
| Delusional perception | 22 | 14.6 9.5–22.4ROR 14.6 · calibrated p 0.011 ✓ | 13.3 EB05 8.8 · IC025 +2.7 3/3 methods agree | Not in label — unassessed | serious n=21 | not reported in cached trials |
| Oropharyngeal blistering | 84 | 14.1 11.3–17.6ROR 14.1 · calibrated p 0.010 ✓ | 13.3 EB05 11.1 · IC025 +3.3 3/3 methods agree | Not in label — unassessed | serious n=68 · 88% consumer | not reported in cached trials |
| Tobacco abuse | 27 | 13.8 9.4–20.3ROR 13.8 · calibrated p 0.013 ✓ | 12.7 EB05 8.8 · IC025 +2.8 3/3 methods agree | Reporting / coding artifact | serious n=21 | not reported in cached trials |
| Paranoia | 848 | 13.5 12.6–14.5ROR 13.7 · calibrated p 0.010 ✓ | 12.9 EB05 12.2 · IC025 +3.6 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 10.1 · serious PRR 21.6 | not reported in cached trials |
| Bipolar disorder | 526 | 13.3 12.1–14.5ROR 13.3 · calibrated p 0.011 ✓ | 12.6 EB05 11.8 · IC025 +3.5 3/3 methods agree | Not in label — unassessed | serious PRR 20.4 | NCT01456936: 1/2,016 (0.0%) on Varenicline (serious AE) |
| Suicidal ideation (thoughts of suicide) | 4,203 | 12.6 12.3–13.0ROR 13.3 · calibrated p 0.011 ✓ | 12.1 EB05 11.8 · IC025 +3.5 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 11.6 · serious PRR 16.9 | NCT01456936: 2/2,016 (0.1%) on Varenicline; 3/2,014 (0.1%) control (serious AE) |
| Impatience | 85 | 12.5 10.0–15.5ROR 12.5 · calibrated p 0.016 ✓ | 11.8 EB05 9.8 · IC025 +3.1 3/3 methods agree | Not in label — unassessed | serious n=43 · 82% consumer | not reported in cached trials |
| Recalled product administered | 382 | 11.9 10.8–13.2ROR 12.0 · calibrated p 0.017 ✓ | 11.4 EB05 10.5 · IC025 +3.3 3/3 methods agree | Not in label — unassessed | serious n=97 · 95% consumer | not reported in cached trials |
| Elevated mood | 19 | 11.8 7.4–18.7ROR 11.8 · calibrated p 0.024 ✓ | 10.3 EB05 6.6 · IC025 +2.4 3/3 methods agree | Not in label — unassessed | – | not reported in cached trials |
| Mood swings | 1,351 | 11.6 11.0–12.3ROR 11.8 · calibrated p 0.018 ✓ | 11.2 EB05 10.7 · IC025 +3.4 3/3 methods agree | Labeled adverse reaction exact term | serious PRR 17.4 | not reported in cached trials |
| Abnormal behaviour | 1,671 | 11.5 10.9–12.1ROR 11.7 · calibrated p 0.018 ✓ | 11.0 EB05 10.6 · IC025 +3.4 3/3 methods agree | Not in label — unassessed | age-adj. PRR 13.2 · serious PRR 17.0 | NCT01456936: 1/2,014 (0.0%) control (serious AE) |
| Thinking abnormal | 765 | 11.2 10.4–12.0ROR 11.3 · calibrated p 0.021 ✓ | 10.7 EB05 10.1 · IC025 +3.3 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 12.1 · serious PRR 14.9 · 73% consumer | not reported in cached trials |
| Pre-existing condition improved | 250 | 10.8 9.6–12.3ROR 10.9 · calibrated p 0.025 ✓ | 10.4 EB05 9.3 · IC025 +3.1 3/3 methods agree | Not in label — unassessed | serious n=33 · 82% consumer | not reported in cached trials |
| Personality disorder | 104 | 10.8 8.9–13.1ROR 10.8 · calibrated p 0.026 ✓ | 10.2 EB05 8.6 · IC025 +3.0 3/3 methods agree | Not in label — unassessed | serious n=78 · 71% consumer | NCT01456936: 1/2,014 (0.0%) control (serious AE) |
| Hypoaesthesia facial | 60 | 10.8 8.3–13.9ROR 10.8 · calibrated p 0.027 ✓ | 10.1 EB05 8.0 · IC025 +2.8 3/3 methods agree | Not in label — unassessed | serious n=40 · 70% consumer | not reported in cached trials |
| Sleep talking | 67 | 10.7 8.4–13.7ROR 10.7 · calibrated p 0.027 ✓ | 10.1 EB05 8.1 · IC025 +2.9 3/3 methods agree | Not in label — unassessed | serious n=26 · 76% consumer | not reported in cached trials |
| Alcohol use | 145 | 10.6 9.0–12.6ROR 10.7 · calibrated p 0.027 ✓ | 10.1 EB05 8.8 · IC025 +3.0 3/3 methods agree | Labeled (related wording) related wording | serious n=115 · ♀ 36% (drug 64%) | NCT01456936: 1/2,016 (0.0%) on Varenicline (serious AE) |
Clinical concept groups
MedDRA splits one clinical problem across several terms (e.g. "neutropenia", "neutrophil count decreased", "agranulocytosis"), which dilutes term-level signals. These rows count reports with any term in a concept group (an exact union, not a sum), compared with all other drugs. Groups are hand-built and listed in the methods.
| Concept | Reports | PRR 95% CI | Reading |
|---|---|---|---|
| Depression | 9,838 | 9.59.3–9.7 | signal |
| Suicidality | 7,065 | 7.87.6–8.0 | signal |
| Seizure | 931 | 1.31.2–1.3 | raised |
| Dependence / withdrawal | 930 | 0.80.8–0.9 | lower than other drugs |
| Myocardial infarction | 637 | 0.80.8–0.9 | lower than other drugs |
| Hyperglycaemia / diabetes | 1,016 | 0.80.7–0.8 | lower than other drugs |
| Stroke | 571 | 0.60.6–0.7 | lower than other drugs |
| Fall / fracture | 852 | 0.60.6–0.6 | lower than other drugs |
| Extrapyramidal | 213 | 0.50.5–0.6 | lower than other drugs |
| Pancreatitis | 160 | 0.50.4–0.6 | lower than other drugs |
| Hyponatraemia | 145 | 0.50.4–0.6 | lower than other drugs |
| Hypoglycaemia | 166 | 0.50.4–0.5 | lower than other drugs |
| Venous thromboembolism | 321 | 0.40.3–0.4 | lower than other drugs |
| Malignancy | 555 | 0.40.4–0.4 | lower than other drugs |
| Gi bleeding | 265 | 0.40.3–0.4 | lower than other drugs |
| Serious infection | 995 | 0.30.3–0.4 | lower than other drugs |
Trial evidence (ClinicalTrials.gov)
✓ Trial adverse-event data found on ClinicalTrials.gov
Largest completed trials with posted results that list Varenicline as a study intervention. The right-hand column of the signal table shows whether each FAERS term was also recorded in these trials, with a real denominator (8 of 40 signal terms matched).
- NCT01456936 — Study Evaluating The Safety And Efficacy Of Varenicline and Bupropion For Smoking Cessation In Subjects With A (N=8144, PHASE4; 153 AE terms posted; arms: Varenicline 1.0 mg BID; Bupropion; NRT Patch; Placebo)
- NCT01574703 — Study To Evaluate Cardiac Assessments Following Different Treatments Of Smoking Cessation Medications In Subje (N=4595, PHASE4; 135 AE terms posted; arms: Varenicline; Bupropion; NRT Patch; Placebo)
Caveats: trial populations, doses and follow-up differ from the reporting population; AE terms are sponsor-coded and matched here by wording; absence from a trial list means the term was not reported above the sponsor's frequency threshold, not that it cannot occur.
Most frequently reported reactions
By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Nausea | 14,464 | 4.9 4.8–5.0ROR 5.8 · calibrated p 0.165 | 4.8 EB05 4.8 · IC025 +2.2 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 3.0 · serious PRR 2.8 · 79% consumer | NCT01456936: 511/2,016 (25.3%) on Varenicline; 137/2,014 (6.8%) control |
| Depression | 8,678 | 10.4 10.2–10.6ROR 11.5 · calibrated p 0.019 ✓ | 10.0 EB05 9.8 · IC025 +3.3 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 7.8 · serious PRR 15.0 | NCT01456936: 1/2,016 (0.0%) on Varenicline (serious AE) |
| Abnormal dreams | 7,825 | 103.4 100.8–106.0ROR 114.6 · calibrated p 4e-8 ✓ | 74.2 EB05 72.8 · IC025 +6.2 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 81.3 · serious PRR 70.8 · 81% consumer | NCT01456936: 201/2,016 (10.0%) on Varenicline; 92/2,014 (4.6%) control |
| Anxiety | 5,948 | 5.6 5.5–5.7ROR 6.0 · calibrated p 0.152 | 5.5 EB05 5.4 · IC025 +2.4 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 3.9 · serious PRR 8.4 | NCT01456936: 2/2,022 (0.1%) on Varenicline (serious AE) |
| Drug ineffective (drug did not work) | 5,649 | 1.1 1.1–1.2ROR 1.1 · calibrated p 0.400 | 1.1 EB05 1.1 · IC025 +0.1 | Reporting / coding artifact | age-adj. PRR 1.5 · serious PRR 0.9 · 84% consumer | not reported in cached trials |
| Insomnia (trouble sleeping) | 5,572 | 5.6 5.5–5.7ROR 5.9 · calibrated p 0.153 | 5.5 EB05 5.4 · IC025 +2.4 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 3.9 · serious PRR 5.9 · 77% consumer | NCT01456936: 189/2,016 (9.4%) on Varenicline; 139/2,014 (6.9%) control |
| Vomiting | 4,598 | 2.6 2.5–2.7ROR 2.7 · calibrated p 0.732 | 2.6 EB05 2.5 · IC025 +1.3 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 2.1 · serious PRR 1.6 · 76% consumer | not reported in cached trials |
| Suicidal ideation (thoughts of suicide) | 4,203 | 12.6 12.3–13.0ROR 13.3 · calibrated p 0.011 ✓ | 12.1 EB05 11.8 · IC025 +3.5 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 11.6 · serious PRR 16.9 | NCT01456936: 2/2,016 (0.1%) on Varenicline; 3/2,014 (0.1%) control (serious AE) |
| Headache | 4,150 | 1.8 1.7–1.8ROR 1.8 · calibrated p 0.826 | 1.7 EB05 1.7 · IC025 +0.8 | Labeled adverse reaction exact term | age-adj. PRR 1.2 · serious PRR 1.8 · 76% consumer | NCT01456936: 245/2,016 (12.2%) on Varenicline; 199/2,014 (9.9%) control |
| Feeling abnormal | 3,990 | 4.4 4.3–4.6ROR 4.6 · calibrated p 0.281 | 4.4 EB05 4.3 · IC025 +2.1 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 4.2 · serious PRR 5.5 · 77% consumer | not reported in cached trials |
| Malaise (feeling unwell) | 3,989 | 2.4 2.3–2.5ROR 2.5 · calibrated p 0.822 | 2.4 EB05 2.3 · IC025 +1.2 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 2.0 · serious PRR 1.7 · 84% consumer | not reported in cached trials |
| Nightmare | 3,347 | 28.0 27.1–29.0ROR 29.2 · calibrated p 3e-4 ✓ | 25.4 EB05 24.7 · IC025 +4.6 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 28.5 · serious PRR 23.7 · 73% consumer | not reported in cached trials |
| Fatigue (tiredness) | 3,174 | 1.1 1.0–1.1ROR 1.1 · calibrated p 0.360 | 1.1 EB05 1.0 · IC025 +0.0 | Labeled adverse reaction exact term | age-adj. PRR 0.9 · serious PRR 1.1 · 75% consumer | NCT01456936: 124/2,016 (6.2%) on Varenicline; 83/2,014 (4.1%) control |
| Dizziness | 3,032 | 1.6 1.6–1.7ROR 1.6 · calibrated p 0.727 | 1.6 EB05 1.6 · IC025 +0.6 | Labeled adverse reaction exact term | age-adj. PRR 1.3 · serious PRR 1.8 · 73% consumer | NCT01456936: 1/2,022 (0.0%) on Varenicline (serious AE) |
| Aggression | 2,768 | 15.3 14.8–15.9ROR 15.9 · calibrated p 0.006 ✓ | 14.5 EB05 14.1 · IC025 +3.8 3/3 methods agree | Labeled adverse reaction exact term | age-adj. PRR 12.9 · serious PRR 21.6 | NCT01456936: 1/2,014 (0.0%) control (serious AE) |
Unlabeled candidate signals
These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.
- Tobacco user — n=793, PRR 299.5
- Violence-related symptom — n=175, PRR 33.2
- Suicidal behaviour — n=339, PRR 23.2 (also seen in trial arm)
- Feeling of relaxation — n=49, PRR 20.1
- Anger — n=2,251, PRR 18.7
- Marital problem — n=35, PRR 18.0
- Flight of ideas — n=33, PRR 17.6
- Physical assault — n=125, PRR 16.7
- Boredom — n=20, PRR 16.3
- Frustration — n=207, PRR 15.9
✓ A hand-written Bradford Hill causality assessment exists for this drug: Varenicline (Chantix) ↔ Suicidal ideation / depression.
Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.
Common questions
What are the most reported side effects of Varenicline?
In FDA FAERS, the most frequently co-reported reaction terms for Varenicline are nausea, depression, abnormal dreams, anxiety, insomnia, vomiting. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.
Does Varenicline have an FDA boxed warning?
No. The FDA label retrieved for Varenicline has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Varenicline causes these side effects?
No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.
Sources & methods
- FDA label via openFDA (set ID 09e23664-936d-4c7f-86e5-5f924cb0c8b4, effective 20260921; matched on
openfda.generic_name.exact:"VARENICLINE") - Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 1,180 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath - ClinicalTrials.gov API v2 (query
VARENICLINE, results-bearing studies sorted by enrollment)
Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.