this post was submitted on 13 Jul 2023
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No Stupid Questions

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Do e-cigarettes actually work? (self.nostupidquestions)
submitted 1 year ago* (last edited 1 year ago) by CaspianXI to c/nostupidquestions
 

I have a friend who has been using an e-cigarette for 10+ years. He doesn't seem any less addicted to smoking as back when he was using old-fashioned cigarettes.

I understand e-cigarettes are supposed to help you quit... but has anyone actually had success with them? Or, is it more like trading one vice for another?

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[–] scarabic 14 points 1 year ago (11 children)

I found this question surprising. “Do they work?” At first I didn’t understand - work at what? Then I realized that you’re thinking of them as quitting smoking devices. They’re not that. It’s an alternative to smoking. You inhale fewer particulates but often more nicotine, and there have been some health questions about the oils that serve as a medium for the nicotine and how healthy they are to inhale. It’s not thoroughly understood yet and there’s a big range of products out there.

The companies that sell them will swear up and down that they are to help you quit. And some users of them will tell you how much healthier it is and how they’re halfway to quitting. This is all, essentially, lies that they are telling themselves and you.

If you want to see a nicotine abatement product, check out nicotine gum or patches. There is nothing enjoyable about them. They allow the user to divide quitting into two stages: first, getting the habit out of their system, and second, phasing out their nicotine addiction. They do not deliver any enjoyment or rush, and are designed to be clinical and dull. The gum is hard and has a medicine flavor and plain grey color.

E-cigs on the other hand, enhance smoking. They allow you to smoke in more places. They add fruity flavors. The gadgets are cool and the different things you fill them with are stylishly presented. You still go through most of the motions of smoking and you’re getting more nicotine than before.

Why would anyone consider that a quitting tool? It absolutely is not.

[–] Sendbeer 7 points 1 year ago (1 children)

People HAVE used them to quit successfully though. You can keep lowering the nicotine levels on them slowly in a similar manner as the nicotine gum and patches and it tends to be cheaper.

[–] scarabic 1 points 1 year ago (1 children)

What I see are anecdotes about people who vaped and then quit. FDA has said they find no evidence that vaping improves outcomes for people trying to quit. There are other proven therapies, too, that don’t have all the health risks.

I also see a lot of anecdotes right here from people who switched to vaping and then did not quit.

The bottom line is that vaping may or may not have played a part in this or that person’s story, but there is no firm basis to hold it up as a quitting aid. So we should stop doing that.

[–] [email protected] 2 points 1 year ago* (last edited 1 year ago) (1 children)

No offense, but as someone from outside of the US, the FDA is not the sole speaker of what is safe or what helps addiction. You guys have a LOT of commonly consumed things that are outright banned in other countries.

While vaping specifically isn't mentioned as a cessation-aid, my country states that "nicotine is approved for use in nicotine replacement therapies, (e.g. the patch, inhaler or nicotine gum) to ease withdrawal symptoms and help people quit smoking." Research is ongoing, of course.

I'll listen to mine, you listen to yours.

[–] scarabic 3 points 1 year ago

I happen to agree with you. I don’t consider the FDA perfect, just several degrees more reliable than internet anecdotes.

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