Electronic Cigarette and Nicotine Toxicity – Quan, D. & Kuehnle, S. Primary Care Reports. Published online: 26th January 2016.
- E-cigarettes are not regulated in the United States and can therefore be legally sold and used by minors. They aerosolize nicotine and other flavorings, and can be used to deliver other drugs of abuse.
- Nicotine causes increased mental alertness, as well as mood enhancement and mild euphoria. It is also an appetite suppressant.
- Ingestion of nicotine in large amounts often leads to nausea and vomiting, thereby limiting toxicity.
- Nicotine toxicity includes bronchorrhea, wheezing, seizures, and rhabdomyolysis. Use of succinylcholine in patients with nicotine toxicity is not recommended.
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2. Longitudinal study of e-cigarette use and onset of cigarette smoking among high school students in Hawaii – Wills, T. et al. Tobacco Control. Published Online First: 25th January 2016
Conclusions: Adolescents who use e-cigarettes are more likely to start smoking cigarettes. This result together with other findings suggests that policies restricting adolescents’ access to e-cigarettes may have a rationale from a public health standpoint.
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3. Expert reaction to study of e-cigarette use and cigarette smoking in children. Science Media Centre. 25th January 2016
Prof. Linda Bauld, Professor of Health Policy at the University of Stirling, Deputy Director of UK Centre for Tobacco and Alcohol Studies, and Chair in Behavioural Research for Cancer Prevention at Cancer Research UK, said:
“This is the third published study from the USA suggesting that young people who have tried e-cigarettes at baseline are more likely to have tried tobacco smoking at follow up (in this case one year later).
“However, if you look more closely at the paper any assumptions that one leads to the other are not supported, as is the case with previous studies. In particular in this paper, more frequent use (compared to experimentation) of both e-cigarettes and tobacco at baseline and follow up was low and did not significantly increase – around 8% for e-cigarettes and 4% for tobacco at both time points.
“This study does not provide evidence that e-cigarettes are a gateway to regular smoking in teenagers. It is important that ongoing research on this topic is conducted, including in the UK, where e-cigarette age of sale laws already exist and significant marketing restrictions will be introduced from May this year. Such measures are important to protect children, as electronic cigarettes are products for adult smokers who wish to cut down and stop smoking.”
Read the full analysis here