Quit21

Day 1 after quitting smokingA day of short fuses

In shortWithin a day most of the nicotine has left your blood, and the extra receptors in your brain go empty at once. Irritability, restlessness and strong urges are the usual result. They are temporary and mean the quit has started.

What's happening in your body

Nicotine has a half-life of about two hours, so within a day of the last cigarette almost all of it has left your blood. The liver turns it into cotinine, which hangs around for a few more days and does nothing for a craving. Meanwhile the brain of a smoker carries more nicotine receptors than the brain of someone who never smoked, and today all of them go empty at once.

What to expect

Irritability, restlessness and a thin layer of anxiety, usually starting within the first day. The people around you may get the worst of it. It comes from the receptors, not from your character, and it has a known time course. Irritability builds over the first days, peaks somewhere in the first week and for most people is back to its usual level within two to four weeks.

Other things that commonly join it on day one are trouble concentrating and strong urges that come in waves. These are the most common withdrawal symptoms there are, and every one of them is temporary. None of them means the attempt is going badly. They mean it has started.

Try this

Take the first cigarette of the day out of its slot. If it went with coffee on the balcony, drink the coffee in another room and in a different order. Throw out the lighters, the ashtray and the pack kept for emergencies.

What else you could do

Tell whoever you live with that the next three days are the sharp ones; people forgive a short fuse they were warned about. Against the irritability itself, three simple things work. Give it to your body. Ten minutes of brisk walking or a few flights of stairs takes the edge off better than any amount of talking yourself down.

Put a pause between the jolt and the words, even ten minutes, because in these days a short fuse is about the receptors, not about the person in front of you. And keep this week free of hard conversations and deadlines that can be moved.

Sources. Hughes JR. Effects of abstinence from tobacco: valid symptoms and time course. Nicotine Tob Res, 2007. Benowitz et al., 2009. NHS Better Health, Managing nicotine withdrawal symptoms.