What is considered a regular smoker, i.e., a person with tobacco (nicotine) use disorder?

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Last updated: April 20, 2025View editorial policy

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From the Guidelines

A regular smoker is defined as someone who has smoked at least 100 cigarettes in their lifetime and currently smokes every day or some days, as per the National Health Interview Survey (NHIS) definition 1. This definition is crucial in assessing smoking status and its associated health risks.

  • The definition of a regular smoker is based on the frequency of smoking, with everyday users and some-day users being considered regular smokers.
  • The NHIS definition also takes into account the lifetime consumption of cigarettes, with a minimum of 100 cigarettes (5 packs) being the threshold for consideration as a regular smoker.
  • Former users, who have smoked at least 100 cigarettes in their lifetime but do not currently smoke, are also an important consideration, as they may still be at risk for smoking-related health issues.
  • The classification of smoking status is essential in healthcare, as it helps providers assess the risk of nicotine dependence and associated health risks, such as cardiovascular disease, cancers, and respiratory conditions 1.
  • According to the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards, the definition of tobacco use includes current or prior use of any combustible tobacco product, including cigarettes, cigars, and pipes, as well as heated tobacco products 1.

From the Research

Definition of a Regular Smoker

  • A regular smoker is typically defined as an adult who has smoked at least 100 cigarettes in their lifetime and currently smokes every day or some days 2.
  • This definition is used to estimate national and state adult smoking prevalence, and it is based on self-reported data from surveys such as the National Health Interview Surveys and the Behavioral Risk Factor Surveillance System survey 2.

Characteristics of Regular Smokers

  • Regular smokers may smoke a varying number of cigarettes per day, with some smoking one to nine cigarettes per day and others smoking 30 or more cigarettes per day 2.
  • The prevalence of cigarette smoking among adults can vary by region, with higher smoking prevalence observed in certain areas such as the Midwest and South 2.
  • Regular smokers may be more likely to experience nicotine addiction and withdrawal symptoms, making it difficult for them to quit smoking 3.

Smoking Cessation and Treatment

  • Regular smokers who want to quit smoking can benefit from evidence-based treatments, including pharmacotherapy and behavioral support 4, 5, 6, 3.
  • The US Food and Drug Administration has approved several medications for smoking cessation, including nicotine replacement therapy, bupropion, and varenicline 4, 5, 6, 3.
  • Combining pharmacotherapy with behavioral support, such as counseling and support groups, can significantly increase the chances of quitting smoking and achieving long-term abstinence 4, 5, 6, 3.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Current treatment options in smoking cessation.

Hospital practice (1995), 2010

Research

Comparison of available treatments for tobacco addiction.

Current psychiatry reports, 2010

Research

Smoking Cessation Interventions.

American family physician, 2022

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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