We consider combined rate and power adaptations in direct-sequence code-division multiple-access communications, where the transmission power and the data rate are adapted relative to channel variations. We discuss the power gain that the combined adaptations provide over power adaptation. Then, me consider an integrated voice and data transmission system that offers a constant bit rate voice service, using power adaptation and a variable bit rate data service with rate adaptation, We present an expression for the required average transmission power of each traffic type having different quality-of-service specifications and discuss the capacity gain over power adaptation for voice and data.