Smoking and Kidney Health

Last Updated: October 27, 2025

Medically reviewed by NKF Patient Education Team

Smoking damages blood vessels, raises blood pressure, and reduces blood flow to the kidneys. Over time, it increases the risk of chronic kidney disease (CKD), kidney cancer, and kidney failure. Quitting smoking can improve kidney health and overall well-being.

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.

How smoking harms the kidneys

Narrows blood vessels and reduces blood flow to the kidneys

Smoking damages the lining of blood vessels and causes them to stiffen and narrow. When this happens, the kidneys receive less blood, oxygen, and nutrients. Over time, this reduced blood flow limits how well the kidneys can filter waste from the body.

Raises blood pressure and heart rate, putting extra strain on the kidneys

Nicotine makes your body release stress chemicals that raise your blood pressure and heart rate, which raise blood pressure and heart rate. High blood pressure is one of the leading causes of kidney disease, and smoking adds to that risk by creating constant extra strain on the kidneys’ delicate tiny filters in the kidneys.

Increases the risk of CKD, kidney failure, and kidney cancer

Research shows that people who smoke are more likely to develop chronic kidney disease, even if they don’t have other risk factors like diabetes or high blood pressure. Smoking also increases the likelihood of kidney failure, requiring dialysis or a kidney transplant. In addition, the chemicals in tobacco increase your chance of kidney cancer.

Makes existing kidney disease progress faster

For people already living with CKD, smoking can speed up the loss of kidney function. This means the disease may reach advanced stages more quickly, reducing treatment options and quality of life. Quitting smoking can help slow this process and protect remaining kidney function.

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.

Heart disease and stroke

Tobacco chemicals damage the inner lining of blood vessels and cause fatty deposits (plaque, a buildup inside arteries) to build up. This narrows arteries, makes blood clots more likely, and puts you at greater risk for heart attack, stroke, and circulation problems.

Lung disease, including COPD

Smoke irritates and inflames the airways, leading to scarring and reduced lung function. Over time, this can cause chronic obstructive pulmonary disease (COPD, a long-term lung disease that makes it hard to breathe), which includes emphysema and chronic bronchitis. COPD makes breathing difficult and can significantly limit daily activities.

Several types of cancer (lung, bladder, kidney, and more)

Cigarette smoke contains thousands of chemicals, many of which are known to cause cancer. These chemicals can change how cells grow and repair, increasing the chance of developing cancers of the lungs, bladder, kidneys, throat, mouth, and other organs.

Weakened immune system, making infections more likely

Smoking interferes with the body’s natural defenses. A weakened immune system makes it harder to fight off infections such as pneumonia, the flu, or urinary tract infections. For people with kidney disease, these infections can lead to more serious health complications.

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.

Improves blood flow and lowers blood pressure

Within a few weeks of quitting, circulation improves, making it easier for blood to reach vital organs. Blood pressure often starts to drop as well, which helps reduce stress on the heart and kidneys.

Slows the progression of kidney disease

Smoking can make chronic kidney disease (CKD) progress more quickly. Quitting helps protect the kidneys’ tiny filters in the kidneys, allowing them to work better for longer and slowing the loss of kidney function.

Reduces the risk of dialysis and transplant

Because quitting helps preserve kidney function, it lowers the chance of reaching kidney failure, which requires dialysis or a kidney transplant. For people already living with CKD, stopping smoking is an important way to delay or prevent the need for these treatments.

Decreases the risk of cancer, heart disease, and stroke

Stopping tobacco use reduces exposure to harmful chemicals that cause cell damage. This lowers the risk of many cancers, including kidney cancer, and reduces the chance of serious heart and blood vessel problems.

Improves overall health and quality of life

People who quit often notice that they have more energy, breathe more easily, and recover from illnesses faster. Quitting also improves taste and smell, increases physical stamina, and supports healthier aging.

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.

Questions to ask your doctor

  • How is smoking affecting my kidneys and overall health?
  • What treatment or support options are available to help me quit?
  • Will quitting smoking improve my current kidney function?
  • How do medications for quitting interact with my kidney disease or other treatments?

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This content is provided for informational use only and is not intended as medical advice or as a substitute for the medical advice of a healthcare professional.
© 2025 National Kidney Foundation, Inc.