By Iyaad Hasan, DNP, MBA, APRN, CTTS

Oral nicotine products—such as nicotine pouches, lozenges, and gums—are becoming increasingly popular, particularly among teens and young adults. While they are often marketed as “tobacco-free” alternatives to smoking or vaping, they still pose significant health risks.

Why Oral Nicotine is Harmful

Even though oral nicotine products don’t contain tobacco leaf, they still deliver highly addictive nicotine, which can:

  • Increase heart rate and blood pressure, putting strain on the cardiovascular system.
  • Damage oral health, leading to gum irritation, enamel erosion, and increased risk of oral cancer.
  • Affect brain development in teens, impacting memory, learning, and impulse control.
  • Cause nicotine addiction, which can lead to dependency on other nicotine products.

Signs Someone May Be Using Oral Nicotine

If you suspect your child, student, or colleague is using oral nicotine, look for these signs:

  • White pouches, tins, or lozenges in their pockets, backpacks, or desks.
  • Frequent lip or cheek movements, as users often tuck pouches inside their mouths.
  • Sudden changes in behavior, such as increased anxiety, restlessness, or irritability (nicotine withdrawal).
  • Strong minty, fruity, or sweet smells, since many nicotine pouches come in flavored varieties.
  • Gum irritation, mouth sores, or excessive thirst, common side effects of prolonged use.

Best Treatment Options for Quitting

Quitting nicotine can be challenging, but there are effective strategies to help:

  • Behavioral Support: Counseling, quitline services, and support groups can help users develop coping strategies.
  • Nicotine Replacement Therapy (NRT): If needed, FDA-approved options like patches or nicotine gum can help reduce withdrawal symptoms.
  • Medication: Prescription medications like varenicline (Chantix) or bupropion (Zyban) can assist with quitting.
  • Lifestyle Changes: Regular exercise, hydration, and mindfulness techniques can help manage cravings and stress.

If you or someone you know is struggling with nicotine addiction, reach out to The Breathing Association for support and expert guidance on quitting for good. https://breathingassociation.org/start-your-journey/