Electronic Cigarettes (E-Cigs)

Views of Aficionados and Clinical/Public Health Perspectives

J. Foulds; S. Veldheer; A. Berg

Disclosures

Int J Clin Pract. 2011;65(10):1037-1042. 

In This Article

Clinical Perspective

It is likely that before such research evidence is available, practising clinicians will begin to see patients who are either already using e-cigs or are considering using them for smoking cessation and may ask for advice. Current smokers who are interested in quitting smoking should be strongly directed towards evidence-based treatments (counselling, and approved medicines like nicotine replacement, bupropion or varenicline), rather than to e-cigs.[19] Patients who have already switched to e-cigs should be informed that although it is highly likely that e-cigs are much less harmful to health than cigarettes, we do not know enough about e-cigs to recommend them to patients. However, if the patient perceives that the e-cig is helping them to stay off cigarettes and is not reporting any health problems likely attributable to the e-cig, then the focus should be on staying smoke-free rather than e-cig free. The health risks from smoking are large and are known with certainty. Comparatively, the health risks from e-cig use are likely much smaller (if any) and temporarily switching to e-cigs will likely yield a large health benefit. Even in this scenario, however, it would be prudent to make clear that the effects of e-cigs are largely unknown and that the most important thing for the patient's health is complete abstinence from tobacco smoking.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.

processing....