Considering electronic cigarettes? Understand key facts before deciding.
Health Risks
E-cigarettes are not safe. While likely less harmful than combustible cigarettes, aerosol contains harmful substances:

- Ultrafine particles deep in lung tissue
- Nicotine (highly addictive, harms brain development in youth)
- Flavorants linked to respiratory disease (e.g., diacetyl)
- Trace heavy metals (lead, nickel)
Long-term health effects remain under study. Cases of severe lung injury (EVALI) have been associated with certain additives.
Nicotine Addiction
Most e-liquids contain addictive nicotine, often at concentrations equal to or exceeding traditional cigarettes. Youth and non-smokers face significant addiction risk. Withdrawal symptoms include irritability, anxiety, and cravings.
Not FDA-Approved for Quitting
E-cigarettes lack FDA approval as smoking cessation devices. Evidence on their effectiveness for quitting is mixed. Proven cessation methods include:
- Counseling combined with medication
- Nicotine patches/gum (FDA-approved)
- Prescription non-nicotine drugs
Youth Vulnerability
E-cigarettes are the most used tobacco product among youth. Flavors, marketing, and discreet devices contribute to appeal. Nicotine exposure harms adolescent brain development impacting attention and learning.
Key Considerations
- Not risk-free: Avoid use, especially youth and pregnant individuals.
- Not a safe alternative: Complete cessation is best.
- Unknown long-term effects: Research is ongoing.
- Potential gateway: May lead youth to traditional cigarettes.
- Regulatory status: Varies significantly by region.
Consult healthcare providers for cessation support. Understand the risks thoroughly before use.