However I have had patients return to smoking because they become so addicted to their vapes they can’t keep it out of their mouths…..so if you are a smoker, consider moving to eg. Patches or other nicotine delivery devices if you wish to become nicotine free
Yes, quitting smoking is tough and most smokers make numerous failed attempts before they finally quit. However your advice is wrong - patches and other forms of NRT have a very poor success rate compared with vaping.
https://www.cochrane.org/about-us/news/latest-cochrane-review-finds-high-certainty-evidence-nicotine-e-cigarettes-are-more-effective
Of course Nicorette are plugging their products to vapers! Their profits have taken an absolute hammering thanks to the much greater popularity and effectiveness of vapes.
I see you have linked to a page from the US full of unreferenced bobbins on the risks of vaping. Without knowing what their assertions are based on they are difficult to comment on, however there are a couple of points that can be instantly challenged:
The effects of nicotine on developing brains
All the data we have on this comes from smoking studies:
No data were available on direct effects of nicotine exposure in human adolescents, so the evidence in the literature was drawn from data on CC, which expose the user to a range of potentially toxic substances in addition to nicotine, such as particulates, carbon monoxide and other vasoactive substances, which may not be present in ENDS aerosol, or are present at lower levels.
https://cot.food.gov.uk/sites/default/files/2020-09/COT%20E%28N%29NDS%20statement%202020-04.pdf
People who vape are more likely to start smoking
This is true, but it's also true that people who smoke are more likely to start vaping. There is a genetic component to nicotine addiction, as there is to other addictive and risky behaviour. Additionally there are many complex sociological and environmental factors which influence the likelihood that a young person will begin smoking, vaping or other risky behaviour.
To take one tiny aspect of this complex picture and use it to try and claim a gateway effect from vaping to smoking is asinine.
At a population level, evidence is mixed, but on balance suggests an inverse relationship between EC use or availability and smoking in young people—in other words, as ECs become more available and their use in young people increases, smoking rates decrease more than would have been expected otherwise. Similarly, as ECs become less available and their use in young people declines, smoking rates are higher than would have been expected otherwise. This evidence is consistent with more young people never starting to smoke to begin with, or quitting smoking, as a result of ECs rather than initiating via a gateway-style relationship, at this point in time.
https://discovery.ucl.ac.uk/id/eprint/10210378/1/Published.pdf
lung damage that can be life-threatening
I can only assume that this is a reference to EVALI. Here is what Public Health England had to say about that:
Postscript on ‘E-cigarette, or vaping, product use-associated lung injury' (EVALI) outbreak
The ‘EVALI’ outbreak was discussed in detail in our 2020 and 2021 reports (3, 5). The US Centers for Disease Control and Prevention (CDC) concluded that: ‘tetrahydrocannabinol (THC)-containing e-cigarette, or vaping products, particularly from informal sources like friends, family, or in-person or online dealers, are linked to most EVALI cases and play a major role in the outbreak” and “Vitamin E acetate is strongly linked to the EVALI outbreak’, and this was endorsed in a subsequent published paper (53). While the advent of vaping as a novel and less harmful drug delivery device provided the conditions for EVALI, it is now clear that EVALI was not caused by nicotine vaping. Unfortunately, as discussed in chapter 15 (harm perceptions and communications), studies have shown that perceptions of the absolute harm, relative harm of vaping compared to smoking, and perceived addictiveness of vaping all increased after EVALI. This included one study carried out in the UK (54)
https://assets.publishing.service.gov.uk/media/633469fc8fa8f5066d28e1a2/Nicotine-vaping-in-England-2022-report.pdf (page 99)
Inaccurate perceptions of the relative harms of smoking and vaping discourage smokers from switching. Please don't add to the problem by sharing rubbishy articles.