What Does The NHS Say About Nicotine Pouches?

The NHS notes that while nicotine pouches may help some people manage nicotine withdrawal symptoms, the NHS does not currently officially recommend them as a stop-smoking aid due to a lack of comprehensive research on their safety and effectiveness for this purpose. Nicotine pouches are a relatively new addition to the range of nicotine replacement products available in the UK. These pouches are placed between the lip and gum and come in various nicotine strengths and flavours. They are tobacco-free, meaning they do not contain the harmful chemicals found in tobacco products.

The National Health Service (NHS) in the UK provides various resources and treatments to help individuals quit smoking. One of the main strategies involves Nicotine Replacement Therapies (NRTs), which deliver nicotine without the harmful chemicals found in tobacco smoke. NRTs help alleviate withdrawal symptoms and cravings, making it easier for individuals to quit smoking. Common NRTs include nicotine patches, gum, inhalators, lozenges, and nasal sprays.

Current Research and Findings

A clinical study sponsored by Philip Morris Products S.A. aimed to evaluate the pharmacokinetic profiles and subjective effects of different nicotine pouches. The study involved 31 healthy adult smokers and compared the nicotine absorption and user experiences of various nicotine pouch products. The results indicated that nicotine pouches can effectively deliver nicotine, but the study also highlighted the need for further research to fully understand their impact and safety.

Effects on Cognition, Appetite, and Mood

Another study, sponsored by British American Tobacco, investigated the effects of nicotine pouches on cognition, appetite, and mood. This randomised crossover study compared the effects of nicotine pouches, e-cigarettes, and conventional cigarettes on various parameters, including emotion, smoking urges, cognitive function, and appetite. The study found that nicotine pouches could influence these factors, but again, emphasised the need for more comprehensive research to draw definitive conclusions.

Government and Regulatory Perspectives

The UK government has been proactive in addressing the rise of new nicotine products, including nicotine pouches. In a recent plan to create a smoke-free generation, the government acknowledged the growing popularity of nicotine pouches among younger audiences and indicated that further regulatory measures might be necessary. This includes new age restrictions including a ban on nicotine pouches for minors and other regulations to ensure safe use.

Usage and Recommendations

Despite the lack of an explicit recommendation from the NHS, nicotine pouches are available for purchase in the UK. They are an alternative to traditional tobacco products and other nicotine delivery systems. Users place the pouches between their lip and gum, allowing nicotine to be absorbed through the mucous membrane. The NHS advises that while these products may help with nicotine withdrawal, individuals should consult healthcare professionals for personalised advice and consider more established NRTs for quitting smoking.

Benefits and Risks of Nicotine Pouches

Benefits

• Tobacco-Free: Nicotine pouches do not contain tobacco, which means they lack the harmful chemicals found in tobacco smoke.
• Discreet Use: They are easy to use discreetly, without the need for smoking or vaping.
• Variety of Flavours and Strengths: Available in various flavours and nicotine strengths, allowing users to choose based on their preferences and needs.
• Potential for cognitive enhancement: New research into the benefits of nicotine pouches evidences enhancements in alertness, orientation, and fine motor skills.

Risks

• Lack of Comprehensive Research: There is limited research on the long-term safety and effectiveness of nicotine pouches as a smoking cessation aid.
• Potential for Dependence: As with other nicotine products, there is a risk of developing or maintaining nicotine dependence.
• Adverse Reactions: Some users may experience mild adverse reactions such as nausea, hiccups, or throat irritation.

More NHS Research Is Needed

Nicotine pouches represent a new frontier in nicotine replacement therapies, offering a tobacco-free alternative that may help some individuals manage nicotine withdrawal symptoms. However, the NHS currently does not recommend them as a primary stop-smoking aid due to insufficient research on their safety and effectiveness. Ongoing studies and government regulatory measures will likely shape the future of nicotine pouches in the UK. For those looking to quit smoking, the NHS recommends consulting healthcare professionals and considering more established NRTs alongside support from stop-smoking services for the best chances of success.