smoking cessation aides and cigarette substitutes : new products, new dangers

Smoking Cessation Smoking Cessation Aides and Cigarette Aides and Cigarette

SubstitutesSubstitutes:: New Products, New New Products, New

DangersDangersAngela Shepard, MDAngela Shepard, MD

CigarettesCigarettes Everyone understands that Everyone understands that

cigarettes are unhealthycigarettes are unhealthy As parents, we keep those products As parents, we keep those products

away from our childrenaway from our children At our schools no smoking policies At our schools no smoking policies

clearly prohibit themclearly prohibit them They are easily recognized, so we They are easily recognized, so we

can confiscate themcan confiscate them

Nicotine DangersNicotine Dangers In 2007, 6,724 tobacco-related poisonings were In 2007, 6,724 tobacco-related poisonings were

reported among children five and under. reported among children five and under.

Small children can experience nausea and vomiting Small children can experience nausea and vomiting from as little as 1 mg of nicotine. from as little as 1 mg of nicotine.

New candy flavored products (many of which look like New candy flavored products (many of which look like gum or candy) present increased poisoning risk to gum or candy) present increased poisoning risk to small children.small children.

Young adults may not view these products as harmful.Young adults may not view these products as harmful.

An article in April’s An article in April’s Pediatrics Pediatrics journaljournal “Unintentional “Unintentional Childhood Poisonings Through Ingestion of Childhood Poisonings Through Ingestion of Conventional and Novel Tobacco Products” highlights Conventional and Novel Tobacco Products” highlights this danger. this danger.

QuestionsQuestions Do you know what these nicotine Do you know what these nicotine

containing products look like?containing products look like?

Does your school policy address Does your school policy address smoking cessation products or other smoking cessation products or other nicotine containing products? nicotine containing products?

Commit LozengeCommit Lozenge Can be a useful anti-Can be a useful anti-

smoking aid but does smoking aid but does contain 2 - 4 mg contain 2 - 4 mg nicotine (depending on nicotine (depending on strength purchased)strength purchased)

Comes in cherry, mint, Comes in cherry, mint, original and now original and now cappuccino flavorcappuccino flavor

NicoretteNicorette Every kid loves gum, but this one contains Every kid loves gum, but this one contains

2 - 4 mg nicotine (depending on the 2 - 4 mg nicotine (depending on the strength purchased)strength purchased)

Comes in “six great tasting flavors”Comes in “six great tasting flavors” White Ice MintWhite Ice Mint Cinnamon SurgeCinnamon Surge Fruit ChillFruit Chill FreshMint FreshMint Mint Mint OriginalOriginal

Camel Orbs – “Dissolvable Camel Orbs – “Dissolvable Tobacco”Tobacco”

This product is designed to deliver tobacco by This product is designed to deliver tobacco by dissolving in your mouth and then being dissolving in your mouth and then being absorbed absorbed

Contains 1 mg of nicotine per pelletContains 1 mg of nicotine per pellet The company has also launched The company has also launched

Camel Strips (containing 0.6 mg of nicotine per Camel Strips (containing 0.6 mg of nicotine per strip) strip)

Camel Sticks (containinCamel Sticks (containin3.1 mg of nicotine per stick)3.1 mg of nicotine per stick)

Available in flavors Available in flavors ““mellow” (cinnamon)mellow” (cinnamon) ““fresh” (mint)fresh” (mint)

Comparative Size of OrbsComparative Size of Orbs

ArivaAriva Dissolvable tablet of Dissolvable tablet of

compressed tobacco compressed tobacco powder with powder with sweeteners and other sweeteners and other flavoringsflavorings

Resembles a brand of Resembles a brand of popular breath mints popular breath mints

Contains 1.5 mg Contains 1.5 mg nicotinenicotine

Available in Available in wintergreen, java and wintergreen, java and originaloriginal

Everyone’s favorite role Everyone’s favorite role model, Lindsay Lohan, with model, Lindsay Lohan, with

Ariva. Ariva.

Stonewall Stonewall Stonewall is marketed asStonewall is marketed asthe “heavy duty” version of Arivathe “heavy duty” version of Ariva

(Seeks to attract those who (Seeks to attract those who like chew instead of those who like chew instead of those who admire Paris Hilton)admire Paris Hilton)

It contains 4 mg of nicotineIt contains 4 mg of nicotine

Chew and SnuffChew and Snuff

Old fashioned chew and snuff have been rejuvenated with slick marketing and fun flavors.

HookahsHookahs Hookah smoking has been Hookah smoking has been

used by a surprising number used by a surprising number of kids and young adultsof kids and young adults

The tobacco comes in aThe tobacco comes in avariety of flavors likevariety of flavors like … …

The links below explains why The links below explains why hookah smoking may hookah smoking may actually actually pose greater health risks pose greater health risks than than cigarettes. cigarettes.

http://www.health.harvard.edu/press_releases/dangers-of-hookah-smoking http://www.webmd.com/smoking-cessation/news/20100510/hookahs-safer-than-cigarettes-thats-a-pipe-dream?src=RSS_PUBLIC

Take home lesson…Take home lesson… Be aware of new products that may be Be aware of new products that may be

marketed to your students or your marketed to your students or your children.children.

Make sure that your school policies Make sure that your school policies adequately address these new adequately address these new products.products.

Keep any tobacco or smoking Keep any tobacco or smoking cessation products away from children cessation products away from children of any age.of any age.