According to the Centers for Disease Control and Prevention, cigarette smoking hit a historic low in 2023, with the adult smoking rate dropping to 11%. Because of the steady decline of smokers over the years, tobacco companies have tried other ways to retain customers as well as attract new ones by introducing new products.
One of those new products is oral nicotine pouches. Oral nicotine pouches are small permeable pouches typically placed between the lip and the gum containing crystalized nicotine powder in various flavors. Although little is known about the product, nicotine pouches have become one of the fastest-growing categories, increasing sales from about 126 million units to over 800 million units between 2019 and 2022.
Oral nicotine pouches are aimed at adults who are looking for a tobacco-less, smoke-free alternative to cigarettes as they try to stop smoking. However, according to the 2023 National Youth Tobacco Survey conducted by the Food and Drug Administration and the Centers for Disease Control and Prevention, in October of 2023, 1.5% of middle and high school students reported using nicotine pouches in the previous 30 days.
Tobacco companies sell nicotine pouches in attractive packaging and assorted flavors, including citrus, berry, peppermint, coffee, and mango. Researchers are concerned that this marketing tactic is likely to appeal to young people who may not be aware of the harmful effects of nicotine. Some social media influencers have promoted the use of nicotine pouches by showing how they use them in their daily lives, discreetly placing them in their mouths at work and school, as well as doing taste tests.
“Nicotine pouches are marketed as a nicotine product that provides a buzz without the harmful effects of tobacco or smoking. However, people using these products should be aware that ‘tobacco-free’ does not mean ‘risk-free’”, says Alexandra Howell, DMD, Oral Medicine Specialist and Assistant Professor in the Department of Oral Diagnostic Services at Virginia Commonwealth’s University’s School of Dentistry.
Despite the long-term health impact of nicotine pouches being unknown, the side effects of its use can include:
- Nicotine addiction
- Irritation of the gums
- Lung problems
- Infertility problems
- Stomach problems
- Sore mouth
- Hiccups
- Nausea
Nicotine pouches can also present several cardiovascular risks. The use of these products can lead to increased heart rate and blood pressure increasing the risk of developing cardiovascular diseases such as hypertension, heart disease, and potential heart attacks.
To speak with a Family Medicine doctor at Jamaica Hospital Medical Center about smoking cessation, please call (718) 206-6942.
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