The Law of Addiction

Joined: 06 Dec 2008, 16:58

25 Jul 2009, 01:31 #11

We may think that we can get away with just one, just once but
within 8 to 10 seconds of that first puff up to 50% of the brain's
a4b2-type nicotinic receptors will become occupied by nicotine,
creating a dopamine "aaah" sensation that our mind's priorities
teacher will record in high definition memory. We may walk
away thinking we've gotten away with just one, just once but
our brain will soon be begging for more! There's only one rule ...

No Nicotine Today!

Joined: 16 Aug 2009, 17:56

16 Aug 2009, 23:24 #12

Hi to everyone,well I think I finally quit smoking for good this time.I started when I was around 13 and am now 50.I have tried to quit numerous times before but deep down I did'nt want to.I got a scare a few weeks ago,bad sharp pains and a very heavy feeling in my chest.I went to the doctor convinced I had cancer but he did'nt seem concerned after examining me.I asked for a chest ex-ray just to be sure,I havent heard back yet which means good news.I quit the next day and altho it has been tough at times I read and read on here and that helps.I have been quit for 14 days at noon today.

Joined: 11 Nov 2008, 19:22

17 Aug 2009, 01:56 #13

Welcome to the group, BQuit, but more importantly, welcome to freedom! You're the boss now and you call the shots. So long as zero nicotine enters your bloodstream you get to continue living on this side of the bars while keeping your dependency securely arrested on the other. As Joel is fond of reminding us, the true test of nicotine's power isn't how hard it is to quit but how easy it is to relapse.

Let this recovery be your loving gift to you, BQuit. To keep those risks headed in the opposite direction there's only one rule ... no nicotine today! Be proud of how far you've come as there's no guarantee you could ever come this far again.

Breathe deep, hug hard, live long,

John (Gold x10)

Joined: 25 Aug 2009, 15:46

26 Aug 2009, 19:25 #14

I really do believe this. I finally get it. I can not even think about just cutting back or maybe do smoking when I am with smokers. I can not cheat myself and take one little puff. My addictive mind thoughts would have me going through withdrawl all over again and again. I have made it through 8 days and 1 hour plus 23 min. Thanks to the first 72 hours that I counted down as each hour passed. I know I am going to love being a non smoker. Love to all, Robin

Joined: 06 Dec 2008, 16:58

10 Oct 2009, 01:58 #15

Addiction to Smoking Nicotine
a Mental Illness and Disease
by []John R. Polito[/url][/size]
Schizophrenics commonly hear voices, while dependent smokers sense want for more nicotine. Although the title of this article sounds horrible, romanticizing smoking while denying the existence or nature of dependency lures youth into getting hooked, and dooms millions to early graves. The good news is that freedom from nicotine is vastly more rewarding than the dread-filled message playing inside the fooled addict's diseased mind.

According to Dr. Nora D. Volkow, Director of the U.S. National Institute on Drug Abuse (NIDA), "drug addiction is a mental illness. It is a complex brain disease characterized by compulsive, at times uncontrollable drug craving, seeking, and use despite devastating consequences - behaviors that stem from drug-induced changes in brain structure and function."

Five million smokers annually smoke themselves to death. Every puff destroys additional tissues while introducing up to 81 cancer causing chemicals. Smoking claims half of adult smokers and is projected to kill one billion before century's end. Here in the U.S., males claimed by smoking lose an average of 13 years of life, while females lose 14. Frankly, there's no nice way of saying it. Smokers are committing slow suicide, and they know it. But why?

These photos of 34 year-old Bryan Lee Curtis were taken 66 days apart.
As shown, small cell lung cancer is extremely aggressive. One-quarter
of adult smokers are claimed by their addiction during middle-age.

Smoking nicotine is extremely addictive. An alarming 26% of youth report signs of loss of control over continued smoking after just 3 to 4 cigarettes, rising to 44% after 5 to 9 cigarettes. There's growing consensus among addiction experts that nicotine dependency is as permanent as alcoholism, that it hijacks the same brain dopamine pathways as illegal drugs, and that successfully arresting nicotine dependency is as hard or harder than quitting heroin.

Dr. Volkow's 1999 brain imaging study showed smoked nicotine's amazingly quick arrival time, its stimulation of dopamine pathways, and how cigarette smoke diminishes MAO (a killjoy enzyme), making smoked nicotine possibly the most perfectly designed drug of addiction. Not only does nicotine stimulate dopamine release within ten seconds of a puff, suppression of MAO and normal dopamine clean-up allows it to linger far longer than a natural release, such as occurs when eating food or quenching thirst.

More recently, scientists have documented how nicotine physically alters the brain. Nicotine activates, saturates and desensitizes dopamine pathway receptors, which is followed by growth or activation of millions of extra receptors, a process known as up-regulation. One cigarette per day, then two, then three, the longer nicotine is smoked, the more receptors become saturated and desensitized, the more grown, and the more nicotine needed to satisfy resulting "want" for replenishment.
According to Dr. Volkow, addiction is a disease where brain changes translate into an inability to control drug intake. These drug induced brain modifications then signal the brain with a message that's equivalent to "when you are starving," the signal to "seek food and eat it," that the drug is "necessary to survival."

Dr. Volkow has documented how the brain's dopamine system makes us take notice and "pay attention" to critical survival events such as food, water and reproduction, how it generates extremely durable memories, its effects upon motivation and drive, and how certain drugs like nicotine are able to take the system hostage. As Dr. Volkow puts it, dopamine ensures "long-lasting memory of salient events."

A true priority or "wanting" disease, it's why the dependent user seems deaf to their loved one's pleas to quit, and blind to articles such as this.

What right do any of us have to expect to awaken them to truth when their mind's priorities teacher is pounding home the contrary message that smoking nicotine is as important as eating food? Whom should they believe, us or their mental illness? It doesn't mean we'll stop trying.

Dr. Volkow teaches that drug addiction damages impulse control, the ability of the rational, thinking mind to control unhealthy impulses flowing from the primitive limbic mind. "So, it's like when the brakes in your car don't function, and an onlooker says, 'You should have stopped at the red light! Why didn't you brake?'"

Priorities hijacked, their mental disorder leaves them convinced that smoking nicotine defines who they are, gives them their edge, helps them cope, that life without it would be horrible, that quitting would mean endless suffering and feeling deprived for the rest of their life.

The Good News

The good news is that it's all a lie, that drug addiction is about living a lie. It's hard work being an actively feeding drug addict, and comfortable again being you. The good news is that knowledge is power, that we can each grow smarter than our addiction is strong, and that recovery is entirely do-able. In fact, today there are more ex-smokers in the U.S. than smokers.

While the first few days may feel like an emotional train wreck, beyond them, with each passing day the challenges grow fewer, generally less intense and shorter in duration. Recovery leads to a calm and quiet mind where addiction chatter and wanting gradually fade into rarity, where the ex-smoker begins going days, weeks or even months without once wanting for nicotine.

Recovery is good, not bad. It needs to be embraced not feared. The good news is that everything done while under nicotine's influence can be done as well or better without it.

"Our brain has tremendous capacity for recovery," says Dr. Volkow. But the addicted person "has to take responsibility that they have a disease."

While no cure for the disease, there is only one rule that if followed provides a 100% guarantee of success in arresting it -- no nicotine today.

Successful Recovery

Each year, more successful ex-smokers stop smoking cold turkey than all other methods combined. Their common thread? No nicotine, just one hour, challenge and day at a time. The common element among all who relapsed? A puff of nicotine.

On a conscious level, roughly 70% of daily smokers want to stop. But few understand how and even fewer appreciate that they're dealing with a permanent priorities disorder and disease of the mind. Instead, they invent justifications and rationalizations to explain why they must smoke that next cigarette. Subconsciously, they've established nicotine use cues. Their use cues trigger urges or craves upon encountering a specific time, place, person, situation or emotion during which they've trained their mind to expect a new supply of nicotine. But the catalyst and foundation for both conscious rationalizations and subconscious conditioning is their underlying chemical dependency.

Trapped between nicotine's two-hour elimination half-life and a gradually escalating need to smoke harder or more, the dependent smoker faces five primary recovery hurdles: (1) appreciation for where they now find themselves, (2) reclaiming their hijacked dopamine pathways, (3) breaking and extinguishing smoking cues, (4) abandoning smoking rationalizations, and (5) relapse prevention.

The Law of Addiction

Most quitting literature suggests that it normally takes multiple failed quit smoking attempts before the smoker self-discovers the key to success. What they don't tell you is the lesson eventually learned, or that it can be learned and mastered during the very first attempt.

Successful recovery isn't about strength or weakness. It's about a mental disorder where by chance and happenstance dopamine pathway receptors have eight times greater attraction to nicotine than the receptor's own neurotransmitter, where just one puff and within ten seconds up to 50% of those receptors become occupied by nicotine. It's called the "Law of Addiction" and it states, "Administration of a drug to an addict will cause reestablishment of chemical dependence upon the addictive substance."

Roughly half of relapsing quitters report thinking that they thought they could get away with smoking just once. The benefit of fully accepting that we have a true chemical dependency and permanent priorities disease can't be overstated. It greatly simplifies recovery's rules while helping protect against relapse. Key to arresting our disease is obedience to one simple concept, that "one is too many and a thousand never enough." There was always only one rule, no nicotine just one hour, challenge and day at a time

Navigating Withdrawal and Reclaiming Hijacked Dopamine Pathways

Like clockwork, constantly falling nicotine reserves soon had hostage dopamine pathways generating "want" for more. Sensing that "want" thousands of times per year, how could we not expect the dependent smoker to equate quitting to starving yourself to death? The essence of drug addiction is about dependency quickly burying all memory of the pre-dependency self. The first step in coming home and again meeting the real us is emptying the body of nicotine.

It's surprisingly fast too. The amount of nicotine remaining in the bloodstream is cut by half every two hours. The new ex-user experiences peak withdrawal and becomes 100% nicotine-free within 72 hours of ending all use. Extraction complete, healing can now begin. While receptor sensitivities are quickly restored, down-regulation of the number of receptors to levels seen in non-smokers may take up to 21 days. But after two to three weeks the ex-user's dependency is no longer doing the talking.

It's critical during early withdrawal to not skip meals, especially breakfast. Attempting to do so will likely cause blood sugar levels to plummet, making recovery far more challenging than need be.

Nicotine is a stimulant that activates the body's fight or flight response, feeding the smoker instant energy by pumping stored fats and sugars into the bloodstream. It allowed us to skip breakfast and/or lunch without experiencing low blood sugar symptoms such as feeling nervous or jittery, trembling, irritability, anxiousness, anger, confusion, difficulty thinking or an inability to concentrate. Eat little, healthy and often.

Also, heavy caffeine users need to know that (as strange as this sounds), nicotine doubles the rate by which caffeine is removed from the bloodstream. One cup of coffee, tea or one cola may now feel like two. While most caffeine users can handle a doubling of intake, consider a modest reduction of up to one-half if feeling anxious or irritable after using caffeine.

If your diet and health permit, drink some form of natural fruit juice use for the first three days. Cranberry juice is excellent. It will aid in stabilizing blood sugar while accelerating removal of the alkaloid nicotine from the bloodstream.

One caution. While we need not give-up any activity except nicotine use, use extreme caution with early alcohol use as it is associated with roughly 50% of all relapses.

Extinguishing Use Conditioning

Embrace recovery don't fear it. Why fear a temporary journey of re-adjustment that transports us to a point in time where we're going days, weeks and eventually months without wanting to smoke nicotine?

Each cue driven crave episode presents an opportunity to extinguish additional conditioning and reclaim another aspect of life. We may have trained our mind to expect nicotine during stressful events, when walking in the back yard, while driving a car, talking on the phone or encountering a smoking friend. Attempting these activities after quitting may generate a short yet possibly powerful crave episode.

Success in moving beyond each episode awards the new ex-user return of another slice of a nicotine-free life, a surprising sense of calm during crisis, return of their yard, car, phone or friends. But be sure and look at a clock during craves as cessation time distortion can combine with fear or even panic to make a less than 3 minute episode feel much longer.

Research suggests that the average quitter experiences a maximum of 6 crave episodes per day on the third day of quitting, declining to about 1.4 per day by day ten. If each crave is less than 3 minutes and the average quitter experiences a maximum of 6 on their most challenging day, can you handle 18 minutes of challenge?

But what if you're not average or normal. What if, instead, you've created twice as many nicotine use cues as the "average" smoker? Can you handle 36 minutes of significant challenge if it means arresting your dependency, improving your mental and physical health and the prospect of a significant increase in life expectancy? Absolutely!

Abandonment of Use Rationalizations

Acceptance that drug addiction is a mental disorder and that we're just as addicted as the alcoholic, heroin or meth addict, destroys the need for nicotine use rationalizations. Try this. List your top ten reasons for smoking. Now go back and cross off all the reasons except the truth, that hijacked pay attention pathways kept us wanting for more.

We didn't continue destroying our body's ability to receive and transport life giving oxygen because we wanted to. We did so because a rising tide of withdrawal anxieties would begin to hurt when we didn't.

Contrary to convenience store tobacco marketing, we did not smoke for flavor or taste. In fact, there are zero taste buds inside human lungs. Contrary to hundreds of store "pleasure" signs, drug addiction isn't about seeking pleasure but about satisfying a brain "wanting" disorder.

Our mind's priorities disorder had most of us convinced that we liked or even loved smoking. But what basis did we have for making honest comparisons? Try hard to recall the calm inside your mind prior to getting hooked, going days, weeks and months without once having an urge or crave to smoke. You can't do it, can you? Vivid dopamine pathway nicotine use memories long ago buried all remaining memory of the beauty of life without nicotine. It isn't that we liked smoking but that we didn't like what happened when we didn't smoke, the onset of withdrawal.

Most of us convinced ourselves that we smoked to relieve stress when in reality our addiction intensified it. While nicotine is an alkaloid, stress, alcohol and vitamin C are each acid generating events that accelerate elimination of nicotine from the bloodstream. Stressful situations would often induce early withdrawal, forcing immediate nicotine replenishment. Replenishment's temporary silencing of our disease left us falsely convinced that smoking had relieved our stress, when all it had relieved was nicotine's absence and the onset of early withdrawal.

Think about it. Once we finished tanking-up with a new supply of nicotine and had satisfied our dependency, the car's tire was still flat, or the bad news was still bad. One of the greatest recovery gifts of all is an amazing sense of calm during crisis, as we're no longer adding nicotine withdrawal atop every stressful event.

Probably the most destructive rationalization of all is pretending that all we suffer from is a nasty little habit, that like using a cuss word now and then, that we can smoke just once now and then after quitting and get away with it.

Why tease yourself? Willpower cannot stop smoked nicotine from arriving in the brain. Ask yourself, how many marathon runners have the endurance to run two marathons in a row? While we may walk away from one puff and relapse thinking we've gotten away with it, as sure as the sun rises in the sky our disease will soon be begging for more. We can no more take a puff than an alcoholic can take a sip.

"But now just isn't the right time," you say? Frankly, there will never be a perfect time to arrest mental illness. In fact, planning and putting it off until some future date actually breeds needless anticipation anxieties that diminish our odds of success. As backwards as this sounds, two recent studies, one in the UK and the other in the US, found that unplanned attempts are twice as successful as planned ones. The next few minutes are all within our ability to control and each is entirely do-able.

One concern Dr. Volkow hears is that by telling smokers that they have an addiction that's both a mental illness and disease that it will cause some to use it as an excuse for avoiding responsibility for arresting it. But as she notes, does a person who's told that they have cancer or heart disease pretend helplessness, or do they instead fight to save and extend their life?

Nicotine dependency recovery can be the greatest personal awakening we've ever known. Destruction of needless fears allow us to savor the beauty unfolding before us. Our breathing and taste buds healing, even white flour and rain drops have smell. It's a clean ash free world where the the oil on our skin isn't tar's but ours. Imagine the return of self respect, of being home and residing here on Easy Street with hundreds of millions of comfortable ex-users, of knowing it's a keeper, and never having to quit again.

Relapse Prevention

"One day at a time" is an empowering focus accomplishment skill. Why worry about how much of the mountain is left to climb or how far we could fall when all that matters is our grip upon here and now, the next few minutes? Combining the "Law of Addiction" with a "one day at a time" recovery philosophy is all that's needed to remain free and keep our mind's priorities disease arrested for life.

The greatest unsolved mystery is why after having successfully quit for 5, 10 or even 30 years that it normally only takes a single lapse in judgment - smoking on just one occasion - to trigger full and complete relapse. What makes our disease permanent? Did years of smoking somehow burn or etch permanent tracks into our brain? Does new nicotine somehow turn on our addiction switch? Once the brain restores natural receptor counts (down-regulates), is some record kept of how many receptors there once were? Or, does one powerful hit of nicotine simply awaken thousands of old memories of an addict having "wanted" for more?

Frankly, science doesn't yet know. What it does know is that it's impossible to fail so long as all nicotine remains on the outside. There was always only one rule, no nicotine, just one hour, challenge and day at a time. The next few minutes are yours to command and each is entirely do-able. Baby steps to glory. Yes you can!
Last edited by FreedomNicotine on 31 Dec 2010, 15:38, edited 3 times in total.

Joined: 18 Oct 2009, 08:31

07 Nov 2009, 08:13 #16

Just doing some revision on the Law of Addiction - some prep for the weekend.
I have a university degree but have always been wary of the value of this thing called getting "an education".
I have always had a huge respect for knowledge tho.
But the true Power of Knowledge has only really hit home when I found & explored this site - and then amazingly, quit smoking!!!!!!!!
With Love & Gratitude
Stopped Smoking for Twenty Eight Days, 15 Hours and 27 Minutes, by avoiding the use of 945 nicotine delivery devices. Quit Day : 09/10/2009.

Joined: 31 Oct 2009, 22:32

11 Nov 2009, 01:05 #17

I agree. The way whyquit and FFN is layed out it makes it pretty clear that one needs to quit. I guess I milled aroung for about 3 days reading till I made the sudden decision to give them up. I have been trying to quit and thinking about quiting for sometime. The way that it lays out the raw truth is an eye opener. I think that people need to be shown the reality of smokeing and what it does to ones body. It jerked me right into reality that I may very well die and it may just be to late to save me from the damage to my body from years of abuse that I have put it through with all the smokeing. I have quit now and will never again take another puff.

I have been quit for 1 Week, 6 Days, 3 hours, 5 minutes and 44 seconds (13 days). I have saved $123.14 by not smoking 367 cigarettes. I have saved 1 Day, 6 hours and 35 minutes of my life. My Quit Date: 10/28/2009 2:00 PM


Joined: 11 Nov 2008, 19:22

04 Jan 2010, 20:48 #18

There was always only one rule ... NONE  =  NO Nicotine Ever!
Last edited by JohnPolito on 26 Jul 2017, 10:40, edited 1 time in total.

Joined: 11 Nov 2008, 19:22

12 Apr 2010, 18:38 #19

A recent dependency study summary of note
Tobacco addiction: a biochemical
model of nicotine dependence

Journal:  Medical Hypotheses. 2010 May; Volume 74(5): Pages 884-894. Epub 2009 Dec 3.
Authors:  Ortells MO, Barrantes GE.
Facultad de Medicina, Universidad de Morón - Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina. [][/url]

Nicotine is the main psychoactive substance present in tobacco, targeting in the CNS the nicotinic acetylcholine receptors (nAChR). The main effects of nicotine associated with smoking are nAChR upregulation, nAChR desensitization and modulation of the dopaminergic system. However, there is a lack of a comprehensive explanation of their roles that effectively makes clear how nicotine dependence might be established on those grounds.

Receptor upregulation is an unusual effect for a drug of abuse, because theoretically this implies less need for drug consumption. Receptor upregulation and receptor desensitization are commonly viewed as opposite, homeostatic mechanisms.

We here analyze the available information under a model in which both receptor upregulation and receptor desensitization are responsible for establishing a mechanism of nicotine dependence, consequently having an important role in starting and maintaining tobacco addiction.

We propose that negative feedbacks on dopamine release regulated by alpha4beta2 nAChRs are disrupted by nicotine. nAChR desensitization is the disrupting mechanism, while nAChR upregulation is the reinforcing process of nicotine dependence, which eventually initiates tobacco addiction. A conclusion of the model is that drugs used for smoking cessation should inhibit preferentially alpha4beta2 nAChRs and to have a low or null ability to upregulate nAChRs, as this characteristic allows the smoker to achieve downregulation without abstinence symptoms. A relationship between this hypothesis and smoking and schizophrenia is also discussed.

PubMed Link:

Joined: 17 Aug 2010, 16:35

03 Sep 2010, 16:47 #20

A wise businessman I worked for, way back before laptops were around, used to carry his business around in his shirt pocket, he would say. There, on an index card, he had the five or six essential things he felt he needed to know, about where biz was strong, where it needed work, etc. Nowadays most of us have laptops, PDAs, etc. But my old boss' idea still packs a lot of punch for me. And I hope to distill what I learn on this site down to a half-dozen or so Master Principles.

The Law of Addiction, of course, will always rule the roost.
Gratefully Gold

I escaped from the prison of smoking on August 14, 2010.  
[font]The best revenge is quitting well![/font] 

Joined: 11 Nov 2008, 19:22

31 Dec 2010, 15:44 #21

I'll never be stronger than nicotine but then I don't need to be as it's only a chemical with an IQ of zero.  What I can do is become vastly more dependency recovery savvy than my addiction is strong! 

Yes you can!!!!

Joined: 11 Nov 2008, 19:22

07 Jun 2011, 21:38 #22

The below new study followed 63 quitters assigned to two different groups for 14 days but only examined relapses which occurred within the first 9 days .  One group was encouraged to not lapse while the other was told to smoke two of their own brand of cigarettes at 48 hours.  In that it only looked at the first nine days of quitting, the study's most important finding was the effect of smoking those two cigarettes on changes in craving.    The study found that although lapse initially diminished cravings (as would be expected following nicotine replenishment) that thereafter episode craving within the lapse group esclated :
"Among participants in the lapse condition, the hazard of relapse was estimated to be 12 times higher (12.42, 95% CI [2.00, 77.1] .007) after experiencing an increase in craving than it was among participants in the control condition who experienced stable craving."

Here's two more quotes from the full text of the study:

[P]eriods of abstinence following a lapse are typically short-lived: nearly every smoker who lapses eventually relapses (Brandon, Tiffany, Obremski, & Baker, 1990; Chornock, Stitzer, Gross, & Leischow, 1992; Garvey, Bliss, Hitchcock, Heinold, & Rosner, 1992).

From the Discussion portion of the paper:

The results of the current study, in combination with the results of other experimental studies (Chornock et al., 1992; Juliano et al., 2006), firmly establish that lapse has a causal relationship to relapse in smokers. The current study goes beyond these previous studies in that it provides new information about mediating mechanisms that link smoking lapses to relapses. Compared with participants in the no-lapse condition, participants who were assigned to lapse experienced an initial acute decrease in craving followed by a significant surge in craving. The surges in craving experienced by those in the lapse condition, which were observed after controlling for their baseline craving levels, explained their faster rate of relapse relative to participants in the control condition.

The field of tobacco control has long struggled to understand why smoking lapses nearly always lead to relapses. As a result, cognitive– behavioral and pharmacological interventions have had little success in helping smokers to avoid relapse.

The final point above suggests the importance of treating lapse as relapse, versus conventional quitting wisdom which invites lapse/relapse by teaching quitters,  "Don't be discouraged if you slip up and smoke one or two cigarettes. It's not a lost cause," "One cigarette is better than an entire pack, "  "Understand that you've had a slip. You've had a small setback. This doesn't make you a smoker again, " and "Don't be too hard on yourself. One slip up doesn't make you a failure."  

As Joel says, it's like telling an alcoholic not to let a sip now and then put you back to drinking or a heroin addict not to allow shooting up put you back to using.  That's horrible advice.  What this study adds to the knowledge base is what most of us already knew.   That while most who lapse walk away from it thinking that they've gotten away with using just once, that their brain will soon be begging for more.  There was always only one rule ... no nicotine today,  never take another puff, dip or chew!

Breathe deep, hug hard, live long,

John - Gold x12

Lapse-induced surges in craving influence relapse in adult smokers: An experimental investigation
Health Psychology, 2011 May 16. [Epub ahead of print]
Shadel WG, Martino SC, Setodji C, Cervone D, Witkiewitz K, Beckjord EB, Scharf D, Shih R.
Abstract Objectives: Nearly all smokers who lapse experience a full-blown relapse, but the mediating mechanisms that contribute to this relationship are not well understood. A better understanding of these mechanisms would help to advance more effective relapse prevention treatments for smokers. The purpose of this study is to experimentally evaluate the effects of a programmed smoking lapse on smoking relapse and the effects of postlapse changes in craving on relapse.

Method: Adult smokers (n = 63) who quit smoking with a brief cognitive-behavioral intervention and self-help materials were randomly assigned to one of two experimental conditions after 48 h of abstinence: No lapse (a no-smoking control/30-min waiting period) or lapse (smoking two cigarettes of their favored brand during a 30-min period). All participants were then followed daily for 14 days. Craving and biochemically verified self-reported abstinence were assessed on each follow-up day. Time (days) to relapse (7 consecutive days of smoking) was the main dependent measure.

Results: Results of Cox regression analysis revealed that participants in the lapse condition relapsed more quickly than participants in the no-lapse condition (hazard ratio

= 2.12, 95% confidence interval [CI] = [1.03, 4.35]). These effects were attributable, in part, to episodic increases in craving among participants in the lapse condition only (HR = 12.42, 95% CI =[2.00, 77.1]).

Conclusions: Previously abstinent smokers who lapse are at risk for increased cigarette cravings and consequently, full-blown relapse. These results have implications for both cognitive-behavioral treatments for relapse prevention and for medications designed to help smokers manage cravings. [/size][/font]

PubMed Link:


Joined: 11 Nov 2008, 19:22

02 Jan 2012, 16:36 #23

Success is 100% guaranteed so long as all nicotine remains on the outside!

The next few moments are all you can control and each is do-able!

Yes you can!


Joined: 03 Feb 2012, 19:59

06 Feb 2012, 23:13 #24

12 days 19hrs not smoking and feeling pretty good!!! Glad to be here I've been reading from these sites for along time finally decided to quit on jan 24/2012. I had one previous quit about 6years ago that didn't last very long , the funny thing was I was doing very well and than thought why not try one puff from a friend at work(just to see if I remembered what it tasted like) the rest is 6yrs of smoking history. I'v been smoking roughly 32 years. Hoping all the newbies and the oldies stay smoke free forever!and praying the ones that haven't quit yet will realize how very doable it is and find themselves on the rd to better health and freedom now.!!!

Joined: 26 May 2012, 21:42

29 May 2012, 20:08 #25

Great info!

Joined: 20 Jul 2012, 01:33

20 Jul 2012, 23:06 #26

Thanks for this site and article.  I read it over and over.  Stating day 5- nicotine free.  My mott- no nicitine- just for today.  Enjoying all the information here.  Thank you.

Joined: 26 Jul 2009, 15:42

21 Jul 2012, 04:25 #27

It gets easier and easier as the days go by. Take it one day at a time.

Joined: 11 Nov 2008, 19:22

12 Jun 2014, 11:35 #28

Link to higher resolution copy of this image for sharing:
Our sincere thanks to all helping share quitting's only rule!