Separate and combined effects of alcohol and tobacco on the amplitude of the contingent negative variation.

To examine the separate and combined effects of alcohol and tobacco smoking on cortical functioning, the amplitude of the contingent negative variation (CNV) was studied during a simple reaction time task in non-smokers, tobacco-deprived smokers and non-deprived smokers in sessions involving administration of four cigarettes and/or 0.65 g/kg ethyl alcohol. Computer analysis indicated that alcohol and combined alcohol + tobacco significantly reduced the CNV amplitude in non-deprived smokers. Two sub-groups of non-smokers were identified, one showing large pre-drug CNV amplitudes and significant alcohol-induced reductions and the other showing small pre-drug amplitudes and no change in CNV amplitude after alcohol. No significant results were observed with alcohol, tobacco or alcohol + tobacco combined in tobacco-deprived smokers. The results are discussed in relation to previously reported studies which have indicated both synergistic and antagonistic interactions between alcohol and tobacco, and suggestions are forwarded regarding the experimental and clinical significance of tobacco-induced enhancement of CNV amplitude reduction by alcohol.