Previous studies have shown that cotinine, a metabolite of nicotine, a
ntagonizes some of the effects of nicotine. One study showed that coti
nine eliminates the beneficial effects of the nicotine patch in reduci
ng cigarette withdrawal symptoms. The purpose of this study was to exa
mine the effects of various doses of cotinine on cigarette self-admini
stration. Subjects were randomly assigned to one of three doses of cot
inine fumarate (40, 80 and 160 mg) and placebo, each for a period of 1
0 days, in a randomized order. Outcome variables included measures of
nicotine intake and subjective responses to smoked cigarettes. Results
showed no differences in the number of cigarettes smoked, carbon mono
xide levels, and weights of cigarette butts across the various doses o
f cotinine and placebo. However, higher nicotine serum levels were obs
erved in the 160 mg cotinine fumarate condition compared to placebo an
d to 40mg cotinine fumarate. No systematic effects of cotinine on subj
ective responses to cigarettes were observed. Cotinine appears potenti
ally to have a selective modulatory effect on nicotine withdrawal symp
toms but not on cigarette smoking.