The authors observed the effect of transdermally administered nicotine
on the drug craving of 15 patients with nicotine dependence and recen
t cocaine abuse. Transdermal nicotine and placebo patches were applied
in a cross-over, double-blind design, and outcome was assessed by vis
ual analog scales to measure drug craving Nicotine patches significant
ly reduced craving for cigarettes without affecting cigarette use. The
re was a nonsignificant trend for nicotine patches to reduce cocaine c
raving more than placebo patches.