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Nicotine Pouches

Nicotine pouches are small, discreet and easy to use almost anywhere. That's exactly what makes them easy to underestimate. Here's what's really inside a pouch, what harm it can do to your body and how to quit nicotine pouches when you're ready.

What They Are

What Are Nicotine Pouches? (And What's Really in Them?)

Nicotine pouches are small pouches filled with nicotine powder and flavorings that sit between your lip and gum. They don't contain tobacco leaf, and there's no smoke or spitting involved.

As the powder breaks down, nicotine seeps through the soft tissue in your mouth and into your bloodstream. Even without the leaf, nicotine pouches are still considered a tobacco product.

WHAT'S IN NICOTINE POUCHES?

Each pouch is made of plant fiber and filled with a blend of these ingredients:

  • Nicotine powder

  • Sweeteners

  • Flavorings

  • pH stabilizers

  • Fillers

NICOTINE POUCH STRENGTH

Nicotine strength varies a lot from one product to the next, ranging from 1 to 47 mg per pouch. Most are sold between 3 and 6 mg. The nicotine can come from tobacco leaves, or it can be made in a lab.

In one study, a single 6 mg pouch left more nicotine in the blood after 30 minutes than smoking one cigarette. 

Remember, there is no safe number of nicotine pouches per day. Nicotine is an addictive chemical. There's no safe amount, because there are no safe tobacco products.

YOUTH VAPING

Vaping is an epidemic that puts kids, teens and young adults at risk. There are a million ways to teach about addiction, nicotine and the harmful effects of vaping. The risks are not worth the hit. One puff can lead to a nasty nicotine addiction, damage to your brain function, lung or heart disease, tooth decay and more.

Learn more about tobacco use in middle school or in young adults. 

Learn About Youth Users

Learn About Young Adult Users

BRAIN DAMAGE

Did you know that your brain continues to develop until the age of 25? During this time in life, the brain is super vulnerable. This means that kids and teens are at an increased risk of suffering the lifelong effects of tobacco.

These effects are irreversible and can cause:
  • Difficulty learning
  • Decreased memory
  • Increased risk of substance abuse
  • Anxiety
  • Depression
  • Suicidal tendencies
  • Nicotine dependency
  • Decreased impulse control
  • And more

HEART & LUNGS

Inhaling aerosols from a vape pen poses a serious threat to your lung health. “Fun” flavors can be extra risky. Along with the possibility of inhaling nicotine, there is a slew of chemicals in aerosol that can be harmful, according to the American Lung Association.

Many ingredients in e-cigarettes — even those without nicotine — are toxic and can cause damage to your lungs. These are just some of the emissions that can be detrimental:
  • Ultrafine particles
  • Acetaldehyde and formaldehyde — cause lung disease and heart disease
  • Diacetyl — linked to lung disease
  • Volatile organic compounds like benzene — found in car exhaust
  • Acrolein — a weedkiller that can cause lung injury, COPD, asthma and lung cancer
  • Heavy metals like nickel, tin and lead

You may even increase your risk of heart disease to the same level as a commercial cigarette. Most people with this disease are much older, but you could experience them much sooner by vaping. Blood flow to your heart may end up lower than that of traditional smokers, according to the American Heart Association.

Contracting heart or lung disease could mean losing your life.

ORAL PROBLEMS

Vaping puts you at a higher risk of experiencing symptoms like these:

  • Dry mouth — which leads to bad breath, sores and tooth decay
  • Periodontal disease — which damages gums and can damage the jaw
  • Cavities — which may come from acidity in vape juice
  • Tooth and bone loss
  • Receding gums
 

43% of e-cigarette users,

73% of smokers

& 28% of non-tobacco users...

... in the United States have gum disease and oral infections.

IMMUNE SYSTEM

White blood cells called neutrophils make up 50-70 percent of your white blood cells, and they play a huge role in fighting off illness. Even without nicotine, e-cigarette vapor has been proven to interfere with the effectiveness of white blood cells.

When exposed to this vapor, the affected white blood cells have a slower response to fighting infections. They also lose the ability to produce the necessary chemicals to complete their task. That makes you more vulnerable to diseases like COVID-19, the flu and more. Teens and young adults may be five times more likely to test positive for COVID-19 if they have vaped.

HOW TO GET HELP

There's nothing wrong with asking for help.

The best way to stop vaping or to get help for someone else is to talk to a trusted adult like a parent, guardian, teacher or other family member. Healthcare professionals can be even more helpful.

Bring up the situation, explain the problem and let them know your feelings on the matter. Speak calmly, and answer any questions they may have.

Then don't wait to get help if you need it.

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Did you know? Labels on nicotine pouches like "tobacco-free" and "less harmful" are marketing, not proof. No independent review has confirmed that nicotine pouches are safe.
The Risks of Pouches

Are Nicotine Pouches Safe?

No. Nicotine pouches are not safe, and they aren't approved to help you quit.

So, are nicotine pouches bad for you? Yes. They deliver nicotine, which is highly addictive and hits hardest for teens, young adults and anyone who's pregnant.

Nicotine squeezes your blood vessels tighter. Your heart beats faster, your blood pressure climbs and your odds of a heart attack or stroke go up, especially if you already have heart disease.

A brain that's still growing is especially vulnerable. In teens and young adults, nicotine can make it harder to focus and control impulses, and it can prime the brain for addiction to other substances, too.

Researchers are still learning about the short- and long-term health effects of nicotine pouches. What we already know is reason enough to think twice.

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what happens if you swallow a nicotine pouch? keep them out of reach.

Swallowing a nicotine pouch can cause nicotine poisoning, with signs that range from nausea, vomiting and headaches to dizziness, seizures and trouble breathing. Reports of young children swallowing nicotine pouches jumped 763% from 2020 to 2023. Store them somewhere locked, not in a purse or backpack, and save the Poison Help line in your phone: 1-800-222-1222.

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