Last Updated: October 27, 2025
Medically reviewed by NKF Patient Education Team
About smoking and kidney disease
Smoking affects nearly every organ in the body, including the kidneys. The chemicals in tobacco can change how blood flows through the kidneys, making them work harder to filter waste. This added stress may increase the chance of developing chronic kidney disease (CKD) or make existing kidney disease progress more quickly. Smoking is also linked to a higher risk of kidney cancer.
- Smoking can raise blood pressure, which puts extra strain on the kidneys over time.
- It can also harden and narrow blood vessels, reducing the kidneys’ ability to get the oxygen and nutrients they need to stay healthy.
- Understanding these connections can help you make informed choices about protecting your kidney health.
Other health risks from smoking
Smoking harms more than just the kidneys. Because it affects blood vessels, the heart, lungs, and immune system, the impact of smoking reaches nearly every part of the body. Understanding these wider effects helps show why quitting can bring benefits to your overall health, not just your kidney health.
Benefits of quitting smoking
Quitting smoking is one of the most important steps you can take to protect your health and your kidneys. Even if you have smoked for many years, your body begins to heal within hours of stopping. Over time, the benefits continue to grow, reducing risks and improving quality of life.
The Good News About Quitting
Quitting smoking improves health in many ways:
- Blood pressure lowers and circulation improves within months
- Lungs start to heal, and breathing gets easier
- The risk of heart attack, stroke, and cancer begins to drop
- For your kidneys: quitting slows down kidney disease, helps protect remaining kidney function, and lowers the chance of kidney failure or cancer
Within months of quitting smoking, circulation improves, blood pressure begins to lower, and lung function starts to recover, helping reduce these health risks over time.
Steps to quit smoking
- Quitting smoking can feel challenging, but it is possible, and many people succeed with the right tools and support.
- Make a plan and using resources designed to help can increase your chances of quitting for good.
- Talk with your doctor about quit-smoking programs, medications, or nicotine replacement therapy
- Your healthcare team can guide you toward options that fit your needs. Medications and nicotine replacement (such as patches, lozenges, or gum) can reduce withdrawal symptoms and cravings, making it easier to stay on track.
- Reach out for support from family, friends, or counseling groups. Having encouragement from others makes a big difference.
- Let the people close to you know you are quitting and ask for their support.
- Counseling, support groups, and quit lines also provide motivation and strategies when you need them most.
Identify your smoking triggers and plan healthy alternatives
Many people smoke at certain times, like with coffee, after meals, or during stress. By recognizing these patterns, you can prepare substitutes, such as taking a short walk, deep breathing, or chewing sugar-free gum.
More Resources
- National Quitline: Call 1-800-QUIT-NOW (1-800-784-8669) for free help and support.
- CDC Quit Smoking Resources
- American Cancer Society Guide to Quitting Smoking








