THE role of repeated nicotine administration on sleep and major depres
sion was studied. Six non-smoking normal volunteers (NV) and six non-s
moking major depressed patients (MD) with a Hamilton Rating Scale for
Depression > 18 served as subjects. All subjects underwent the followi
ng sleep procedures: acclimatization, control night, four nicotine nig
hts (17.5 mg, transdermal patches) and one withdrawal night (WN). Nico
tine increased REM sleep time in both groups and also on the WN. Hamil
ton scores showed an average reduction of 43.9% in the depressed patie
nts. These findings suggest that nicotine receptor activation may be i
mportant in major depression and shows for the first time that nicotin
e patches may be useful in the treatment of depression.