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The dose should be tailored to each patient, and may be lowered or raised depending on the severity of symptoms either at time of initiating drug therapy or as the patient responds or fails to respond

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However, some people, especially those with a history of mental illness, may experience serious adverse side effects, such as: Changes in mood including depression and mania Hallucinations and delusions Paranoia Thoughts of homicide and/or suicide Aggression and hostility Anxiety and panic Skin redness, swelling, and peeling If you experience any of these symptoms, stop taking Chantix immediately and see your doctor