How to Stop Smoking When You Drink Alcohol

The habit of smoking a cigarette when drinking alcohol is common—and difficult to break. Alcohol decreases the ability to resist the urge to smoke, so for many, drinking triggers smoking.

Despite the challenges, you can quit successfully. This requires understanding why you smoke when you drink and reconditioning your response to cigarettes. Experts advise strategies such as avoiding triggers, cutting back on overall alcohol intake, and planning.

Why Alcohol Triggers Cigarette Cravings

Alcohol reduces inhibitions, which increases the risk of a smoking relapse. Once you've had a couple of drinks, staying true to your goal of quitting cigarettes can become far more difficult.

Simply being around cigarettes can make restraint a challenge. Drinking alcohol is often a social thing, so you're likely to be around others—and they might be smoking. You might encounter smokers (and smoke) as you walk past designated smoking areas. They might ask you to join them or offer you a cigarette. Planning your responses in such situations can be helpful.

Understanding Nicotine Addiction

Nicotine addiction has two components: physical addiction and psychological dependence.

• Physical addiction: While it can be challenging, you can overcome physical addiction when you quit smoking and cope with the symptoms of nicotine withdrawal, including cigarette cravings.
• Psychological dependence: Over time, people who smoke build a mental association between smoking and daily life, from having a smoke with their morning coffee to lighting up when stressed.

For many people, it is the psychological dependence of smoking that ties them most strongly to nicotine addiction. Those who link smoking only with drinking may have an advantage: They can concentrate on quitting in this one area alone rather than having to face triggers in many daily situations.

Avoid Triggers

It's perfectly OK to avoid a situation if you feel it'll trigger a cigarette craving. During nicotine withdrawal, cravings can be intense. You don't have to feel bad about putting yourself first.

Start by asking family or friends to avoid smoking around you. Let them know you're serious about quitting and you would appreciate their support.

If they don't respect your wishes, set some healthy boundaries and spend less time around them. Avoid bars after you quit smoking, too. If you're afraid you're going to relapse, you can eliminate the risk by staying away from places that will trigger you.

Go Alcohol-Free First

Although your goal is to be able to enjoy a drink without smoking, going alcohol-free when you first quit smoking has its advantages.

Many bars have a list of alcohol-free drinks or "mocktails," so you can still feel included in the night's festivities.

If you start drinking alcohol again, avoid binge drinking. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) recommends that daily drink consumption does not exceed four drinks for men and three drinks for women.

Find New Activities

Find some new smoke-free activities and like-minded people who don't smoke so that you're not tempted. You can even keep a journal to track the benefits of spending time in new places and with new people. For example, your health improves when you quit smoking. You're also not inhaling secondhand smoke as you do when you stand near people who are smoking.

Make a Plan

Have an escape plan for those moments when you feel like you're about to smoke a cigarette. Get up and head to the bathroom or step outside for some fresh air (avoiding the outdoor smoking area, if there is one). Reach out to a supportive friend or support quitline. If that doesn't do the trick, you may want to consider calling it a night and going home earlier than usual.

Go to a Smoke-Free Bar

Most public meeting places are smoke-free, but of course, you may encounter a bar that allows people to smoke inside. If this is the case, suggest to your friends that you go somewhere else instead.

Or, maybe you suggest that you try somewhere else altogether. You are guaranteed that no one will be smoking inside a movie theater or a museum, for instance. You can find ways to spend quality time with friends without cigarettes and alcohol.

Find a Replacement

You might find yourself missing the feeling of having a cigarette in your hand, especially if you're around other people who are smoking. There are different ways people swap out a cigarette for a healthier option.

Try holding on to a pencil, paper clip, or marble—anything small that you can fidget with to occupy your hand. If you miss having something in your mouth, you can try:

• Sugarless gum or a sugarless lollipop
• A straw
• A toothpick
• A crunchy snack like a carrot or celery stick

Practice Makes Perfect

You are teaching yourself new healthy habits each time you successfully navigate the situations that trigger the urge to smoke. Practice will cement them in place.

Smoking even a few cigarettes is dangerous to your health. If you find that you're struggling to quit smoking, be sure to reach out to a healthcare professional who can help you find methods of quitting such as nicotine replacement therapy (NRT), counseling, a support group, or a medication like Zyban (bupropion) or Chantix (varenicline).

Research has found that alcohol and nicotine use are closely related. People who have a dependence on one substance commonly have a dependence on the other. If you are struggling with how much you drink, talk to your doctor.

There are resources available to assess your drinking level and take action steps to reduce your drinking.

The Takeaways

Remember: Many people take more than one attempt to quit smoking for good. If you smoke a cigarette when you're out drinking, don't let it stop you from continuing on your journey to stay smoke-free. With these tips in mind, you'll be more prepared for next time to let the craving pass without smoking a cigarette.