What I think is harmful is the association between the two things.
In my personal experience, the emotional addiction happens long before the physical.
If he only smokes when drinking, can he drink without smoking? If he can he may be a social smoker but there is a thin line, tread carefully.
I'm 28/f and I started casually smoking when I was 18. Went to college and smoked all the time- about a pack every 2 days or so. Graduated college, quit for two years. Picked it back up just on the weekends- quit again in 2006. Started weekends only again about a year ago, and that's where I'm at. Smoking + drinking is a dangerous association. I'm glad that I don't have ANY cravings at all when I'm not drinking- I can go weeks w/o a cigg- but the second I have that one beer or cocktail, the cravings set in. It's awful. I smoked almost a whole pack this weekend and I feel terrible. My new strategy is to cut out all alcohol for a few weeks and hope for the best.
My doctor is aware of my situation and YES, occasional weekend smokes will collect and become harmful. Of course, smoking a few butts every week is better than a back a day, but not smoking at all is the best solution!!
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