Improving Smoking Cessation Outcomes in Heavy Drinkers - 1

Exclusion Criteria

• •1. meet full DSM-IV criteria for alcohol dependence in the past 12 months
• •2. meet criteria for other current psychoactive substance abuse or dependence (excluding nicotine dependence and alcohol abuse) in the past 12 months \[this would also exclude individuals with lifetime substance dependence who continue to have some abuse/dependence symptoms in the past 12 months\]
• •3. meet criteria for current dysthymia, major depression, or manic episode \[past month\]
• •4. are currently psychotic \[past 12 months\] or suicidal \[suicidal ideation or intent in the past month\]
• •5. have an unstable medical condition that would suggest caution in the use of the nicotine patch (e.g., unstable angina pectoris, arrhythmia, recent congestive heart failure)
• •6. are currently pregnant or lactating or intend to become pregnant. We also will exclude participants who are not alcohol dependent but who have characteristics that might make supervised alcohol detoxification necessary (e.g., morning drinking to avoid withdrawal, daily drinking of \>12 drinks, recent withdrawal symptoms, history of severe withdrawal symptoms such as hallucinations, seizures, or delirium tremens).