Tag Archive for: vapes

Vaping: Better Than Tobacco

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Today’s final look at vaping and quitting smoking considers the following question: Does the use of vaping to quit smoking result in eliminating the dependence on nicotine? Based on the research, the answer is no, because there’s no research that attempts to answer that question that I could find. Knowing the powerful addictive qualities of nicotine, the only assumption we can make is that vaping does not result in breaking away from nicotine. Therefore when it comes to that question, vaping transfers the nicotine addiction from one delivery system, tobacco, to another delivery system, electronic nicotine-delivery devices. The addiction remains.

But we can still say vaping is better than smoking or chewing tobacco simply for the reduction in chemical exposure.

Maybe the assumption is that nicotine is benign. It isn’t. It has powerful effects on the cardiovascular and nervous systems as well as the adrenal and pancreatic glands. But that isn’t the only issue.

Research Questions

Besides the long-term effects of vaping on the body as well as the question I posed above, there are still several questions that have to be answered.

  • What is the effect of the incineration of the flavors used in vaping juices? The assumption is that because they come from fruit and other juices, they’re natural and won’t have any negative effect on the teeth, the trachea, and the lungs. We know that cooking changes the chemicals in the fruits and vegetables we eat; we also know that when eaten, they have no negative impact on the digestive system, but there’s concern that some of the by-products may be harmful to the lungs. We have no idea what incineration of the juices at high temperature will create. Remember that tobacco is a plant, too—it’s not that different.
  • What is the effect of the smoke or vapors on other people? Vaping generates second-hand smoke just as smoking does, but there’s no research on that.
  • Will childhood vaping lead to nicotine experimentation and addiction? Vaping devices have been marketed like candy to children for their taste. Nicotine cannot be advertised to children, hence the warning in the television ad that began this series, but the concern is that once using the same type of e-cigarette delivery system with fruit juices, it will be a small step for the kids to try the nicotine forms when they’re old enough, if not before.

The Bottom Line

At this time, vaping is better than smoking or chewing tobacco due to the reduction in exposure to toxic chemicals. However, it’s not correct to suggest that vaping is safe until the above research has been done. Until research demonstrates that vaping will lead to helping smokers break their addiction to nicotine, it’s the best route available to help people quit smoking and probably to quit chewing tobacco, although that’s not been tested. But that still doesn’t make it healthy.

If you want to know more about nicotine, the business of vaping and my personal experience with cigarette smoking become a Member or Insider at drchet.com. I cover those issues in the latest episode of Straight Talk on Health.

What are you prepared to do today?

        Dr. Chet

Reference: Ther Adv Respir Dis. 2018 .doi: 10.1177/1753465817744960.

Do Vapes Help People Quit Smoking?

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The only answer at this point is maybe. In the most recent review of the literature, population-based studies that rely on surveys and questionnaires suggest that vaping helps; the problem is that while they tells us something about the population as a whole, it tells us nothing about an individual. We’re still missing randomized placebo-controlled trials. The placebos wouldn’t have to have zero nicotine but should have a variety of doses to assess the best dose of nicotine for quitting; after all, nicotine patches and nicotine gum have been available for decades and have proven to be only 7% effective over a year.

The premise of vaping is that it’s healthier than smoking cigarettes. Is it? When you consider the hundreds if not thousands of chemicals released from tobacco cigarettes, the answer would be yes. Switching from cigarettes to vapes is better from that perspective. But does vaping really help people quit smoking?

One of the characteristics of recent electronic nicotine-delivery systems is the use of liquids with higher doses of nicotine, close to what is found in cigarettes. It may take these higher doses to help people quit smoking.

What are you prepared to do today?

After they quit smoking cigarettes, how long does it last? Research from the United Kingdom suggests that vaping help smokers quit with the use of traditional quit-smoking programs. The long-term effectiveness remains unknown. Which raises the second question: are people able to get off nicotine altogether? I’ll talk about that on Saturday.

        Dr. Chet

References:

1. Ther Adv Respir Dis. 2018 .doi: 10.1177/1753465817744960.
2. Cochrane Database Syst Rev. 2016. doi: 10.1002/14651858.CD010216.pub3.

Warning: Vaping Update

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A couple of months ago, I happened to read a story about a couple of graduate students who came up with a business plan to replace cigarettes with vapes; they wanted the nicotine from the vapes but none of the harmful chemicals in tobacco products. Turns out, the company in the commercial was their company 15 years later after a major investment by a tobacco company.

With a DVR, you can pretty much skip all commercials if you want to. But as I hit the fast-forward recently, I saw something that made me rewind. It said something like “Warning: the following product contains nicotine.” The bulk of the commercial was a testimonial from someone who quit smoking cigarettes by switching to an electronic nicotine delivery system or vaping, for short. The commercial ended with the name of the product found in many vaping stores.

The health questions that vaping presents haven’t been answered, especially the question implied by the commercial: does vaping help people quit smoking cigarettes? Further, do people who smoked tobacco and switch to vaping ultimately quit nicotine all together?

I’ll answer the first question on Thursday. What are you prepared to do today?

        Dr. Chet