E-cigarettes: What you need to know

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Commentary by Debra Balos, DO, IU Health Physicians Family Medicine – Zionsville 

Debra Balos, DO
Debra Balos, DO

If you haven’t heard about the growing popularity of electronic cigarettes (e-cigarettes), it’s likely you will. Designed to resemble a tobacco cigarette, e-cigarettes are battery-operated cartridges that turn nicotine, other chemicals (propylene glycol and glycerin) and flavorings into vapor, which is then inhaled. Some experts predict sales of e-cigarettes will surpass tobacco products within 10 years.

E-cigarettes have become popular among adults trying to quit smoking and among teenagers who may consider them a high-tech – and perhaps less risky – alternative to traditional cigarettes. Despite these perceptions, e-cigarette use – including the potential for addiction and the long-term health effects – has not been sufficiently studied. Currently, there is much discussion among doctors and others about the pros and cons of e-cigarettes. Some argue the real danger of tobacco cigarettes is the toxic smoke, but e-cigarettes don’t burn. Others caution that more research is needed to adequately identify possible risks and dangers. As the debate continues, it’s important to know:

Nicotine is addictive. Many healthcare providers view e-cigarettes as just another mechanism of nicotine use. When people stop using nicotine in any form there can be withdrawal symptoms, including irritability, anxiety and depression. Nicotine is also harmful to people with heart conditions and may damage arteries.

Effectiveness as a smoking cessation aid is not known. Until further studies on e-cigarettes and efforts to quit smoking are conducted, it’s recommended that smokers use a Food and Drug Administration (FDA)-approved method of quitting, such as the nicotine patch or nicotine gum. Smokers who want to quit should consult with their doctor about the best and safest methods.

The FDA is considering regulations. The FDA has asked for authority to regulate e-cigarettes as a tobacco product. The agency suggests oversight of the product is needed, especially since some e-cigarette brands feature fruit and candy flavors, which appeal to teenagers and even younger children. The FDA also argues that the long-term health implications of e-cigarette use are not yet known.

If you’re considering using e-cigarettes, look for current, reliable research and consult your doctor for an informed opinion on how it may impact your health.

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Debra Balos, DO, specializes in family medicine. She is a guest columnist located at IU Health Physicians Family Medicine – Zionsville, 55 Brendon Way, Ste. 800, in Zionsville. She can be reached by calling the office at 777-6400.

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