Treating Schizophrenic Smokers: Effects on Craving, Cues and Withdrawal

This is an interventional treatment trial for Tobacco Use Disorder focused on measuring smoking cessation, varenicline, schizophrenia, serious mental illness, Nicotine addiction, Smoking Behavior Read More

Inclusion Criteria:

Eligible participants for this study:

• Are between the ages 18-65 years of age
• Are daily cigarette smokers
• Have smoked a minimum of 10 cigarettes per day for at least one year
• Are confirmed smokers as verified by CO
• Have a psychiatric diagnosis of schizophrenia or schizoaffective disorder (any subtype) as determined by the SCID-IV. Participants must have received a stable dose of antipsychotic medication for at least 2 weeks prior to beginning the study. Patients receiving clozapine at 500 mg/day or more must also be receiving anti-seizure prophylaxis. Patients must be determined to be psychiatrically stable at baseline as established by standardized interview and medical review by psychiatrist.

Exclusion Criteria:

Individuals who are not eligible to participate in this study include individuals with:

• Any serious or unstable medical problem in the last 6 months
• Severe renal impairment
• A history of clinically significant allergic reactions to nicotine agonist medications
• Current primary use of tobacco products other than cigarettes
• Breath alcohol level > 0.005 g/l at screening
• Current substance abuse or dependence (besides nicotine)
• Current attempts to quit smoking using any method
• Designation as legally incompetent to sign the informed consent (i.e., have a guardian or have delegated power of attorney to another).

Other exclusions are:

• Current use of medications that might affect the behavioral response to cigarette smoking, including transdermal nicotine or nicotine gum and bupropion - Inability to participate in the screening session due to severe psychosis, severe depression or suicidality, current mania, or an organic mental disorder such as dementia or delirium
• Presence of unstable psychiatric symptoms or clinical deterioration (i.e., unstable psychosis, homicidality, or suicidality) within the last month.
• Females of childbearing potential are eligible if not pregnant or nursing and if they practice effective contraception (oral, injectable, or implantable contraceptives; intrauterine device; or barrier method with spermicide).
• There currently are no known contraindications to the use of varenicline and no identified drug-drug interactions. However, reduced dosage of varenicline is recommended for individuals with severe renal impairment.