SNP recommendation guidelines

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Medical organizations in some countries have provided recommendations on which tobacco treatment cases might benefit from safer nicotine products as cessation pathway.


Lower-Risk Nicotine Use Guidelines (LRNUG)

Audience GPs
By CAMH, Pharmacists for a Smoke-Free Canada (NGO)
  • E-cigarettes combined with behavioural are a suitable cessation aid.
  • Complete switch should be advised.
  • No specific device type recommended.
  • Advise that there's no long-term risk quantification yet.
  • Continued use reduces relapse risk.


NICE guidelines (NG209)

Audience GPs
By Gov UK / OHID
  • E-cigarettes are applicable for nicotine substitution.
  • Devices regulated according to EU TDP, notified to MHRA, covered under GPSR.
  • Not currently licensed as medicines.
  • People who smoke but can't/won't quit. can reduce harm by smoking less or substituting temporarily.
  • Harm reduction benefits are uncertain, but may inspire full quitting.
See also Nicotine vaping in England: 2022 evidence update

Using e-cigarettes to stop smoking

Audience PWS
By National Health Service
  • Growing evidence e-cigarettes can be effective.
  • Using it as much as you need to and with the right strength of nicotine in your e-liquid.
  • Full benefit from vaping requires to stop smoking cigarettes completely.
  • Expert help from local stop smoking service advised.
  • While nicotine is the addictive substance in cigarettes, it's relatively harmless.
  • For pregnancy, licensed NRT is advised, e-cigs only as fallback option.

New Zealand

Vaping products: Information for health care workers and stop-smoking services

Audience GPs
By NZ Ministry of Health
  • Ministry of Health encourages smokers who want to use vaping products to quit smoking to seek the support of local stop smoking services.
  • Vaping products are a less harmful way of delivering nicotine than conventional tobacco cigarettes.
  • Expert opinion is that vaping products are much less harmful than smoking tobacco but not completely harmless.
  • Toxicants have been found in vapor, but in general, at levels much lower than found in cigarette smoke or at levels that are unlikely to cause harm.
  • When used as intended, vaping products pose no risk of nicotine poisoning to users. Short-term risks appear to no different than NRT, long-term quantification still unknown.
  • Combining vaping with behavioural support is likely to have comparable success rate to stop-smoking medication.
  • Stop smoking services should be ‘vaping friendly’, provide accurate information about benefits and risks, and advice about obtaining a suitable vaping product.
  • Anyone who is switching from smoking to vaping should stop smoking tobacco as soon as possible.
  • There is no international evidence that vaping products are undermining the long-term decline in cigarette smoking among adults and youth, and may in fact be contributing to it.


Audience PWS
By NZ Ministry of Health
  • No device approved as an official stop-smoking medicine.
  • Has helped many people quit smoking.
  • Addresses the sensory, behavioural and social aspects.
  • NRT and medical options still exist.
  • Vaping is almost twice as effective as NRTs.
  • Goal: reducing the strength of your nicotine.


Nicotine vaping products: Information for prescribers

Audience GPs / PWS
By Therapeutic Goods Administration
  • NVPs are Schedule 4 (prescription only) medicines, but remain 'unapproved'.
  • Their potential efficacy for smoking cessation is currently mixed.
  • RACGP guideliness apply, and NVPs are not first line treatment for smoking cessation.
  • Availability hinges on authorised prescriber, special access, or personal importation scheme.
  • TGA has a list of authorised prescribers (GPs).


PRI: Position on Vaping / Harm Reduction

Audience GPs
By Physicians Research Institute
  • Today’s cigarattes are more difficult to quit. Standard treatment has a noticeable failure rate.
  • Physicians misperceive the relative risks of nicotine in comparison to combustion.
  • NVPs are a legal alternative, 20 times less harmful than continued smoking.
  • Switching measurably reduces harm, and might even help even those not intending to quit.