The responses of ex-smokers to an experimental cue exposure trial, and
the effect of caffeine on these responses, were compared with those o
f a matched group of control subjects in a placebo controlled single-b
lind cross-over design. In contrast to placebo, caffeine protected the
ex-smokers from a surge of anxiety and rise in blood pressure associa
ted with exposure to smoking-related cues. Caffeine had no significant
effects on the control group at this dose (equivalent to a single cup
of strong coffee). The results are discussed with reference to Stewar
t's conditioned appetitive motivational model of addiction. It is sugg
ested that further work may identify caffeine as an adjunct to smoking
relapse prevention measures.