V+PSF-M for Tobacco Cessation in HIV Care in India

This study is testing a program combining varenicline (a prescription quit-smoking pill), personalized support, and mHealth tools to help people living with HIV in India quit smoking or using tobacco. Tobacco use is especially harmful for people with HIV, and this program aims to offer an effective, accessible approach. **You may be eligible if...** - You are 18 or older and have a confirmed HIV diagnosis - You currently smoke cigarettes or use tobacco in combination with other products - You can read at a 6th grade level and speak Tamil, Telugu, or English - You are ready to quit or interested in quitting - Your doctor considers it safe for you to take varenicline **You may NOT be eligible if...** - You are pregnant or planning to become pregnant in the next 6 months - You are breastfeeding - You have had a heart attack in the past 30 days or have unstable chest pain - You have a history of liver or kidney failure - You have a history of suicide attempts or current suicidal thoughts - You have untreated or unstable major depression or a history of psychosis - You are allergic to varenicline Talk to your doctor to see if this trial is right for you.