Soviet-era pill from Bulgaria helps smokers quit; its low price holds hope for poor countries

A pill developed in Bulgaria during the Soviet era shows promise for helping millions of smokers cheaply and safely kick the habit, the first big study of it shows. It could become a new weapon to combat smoking in poor countries, but it is unclear whether it will ever reach the market in the U.S. or Western Europe. The drug, cytisine, is now used just in Eastern Europe, where smokers usually take the pill for three or four weeks. Generic versions cost as little as $5 to $17 a month, compared with about $100 for an eight-week supply of nicotine patches or about $300 for a 12-week supply of Pfizer Inc.'s Chantix pill - common treatments in rich countries to help smokers quit. Cytisine "is so cheap that even in developing countries, if you can afford to smoke, you can afford to stop," said Dr. Robert West of University College London. He led the study, published in Thursday's New England Journal of Medicine