Nicotine is one of the most addictive substances known, and tobacco use remains the leading cause of preventable death worldwide. Nicotine reaches the brain within seconds of inhalation, triggering the release of dopamine and creating a cycle of craving and relief that is extraordinarily difficult to break. Many people in recovery from other substances find that nicotine is the hardest addiction to overcome.
Tobacco and nicotine use is disproportionately high among people with substance use disorders. Historically, smoking was accepted and even encouraged in recovery settings. Today, there is growing recognition that addressing nicotine addiction is an important part of overall health and well-being in recovery. Some people choose to tackle nicotine early in sobriety, while others address it later once other aspects of their recovery are stable.
The health benefits of quitting nicotine begin almost immediately. Within 20 minutes, heart rate drops. Within weeks, circulation and lung function improve. Over months and years, the risk of heart disease, stroke, and cancer decreases significantly. For people in recovery who are already working hard to rebuild their health, quitting nicotine compounds those positive changes in powerful ways.
Multiple evidence-based tools are available for quitting nicotine: nicotine replacement therapies (patches, gum, lozenges), prescription medications, behavioral counseling, support groups, and quitlines. The same skills that support recovery from other substances — honesty, community support, managing triggers, and taking it one day at a time — are directly applicable to quitting nicotine. Talk to your healthcare provider about creating a quit plan that works for you.
If you or someone you love is struggling, ORTC offers confidential, compassionate treatment. Call us today.