Ten patients with schizophrenia participated in 120-min free-smoking s
essions when actively psychotic and free of antipsychotic medications,
and again after the initiation of haloperidol treatment. During these
free-smoking sessions they had access to cigarettes ad libitum. Their
expired air carbon monoxide (CO) and plasma nicotine and cotinine lev
els were measured at the end of the 120-min free-smoking sessions. The
se patients smoked more after starting haloperidol treatment, relative
to their baseline rate of smoking when free of antipsychotic medicati
ons, as evidenced by significantly higher expired CO and plasma nicoti
ne levels.