Safer nicotine wiki
Tobacco Harm Reduction
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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.
Canada
Lower-Risk Nicotine Use Guidelines (LRNUG)
UK
NICE guidelines (NG209)
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Link
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https://www.nice.org.uk/guidance/ng209
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Audience
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GPs
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By
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Gov UK / OHID
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Considerations
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- 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.
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See also
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Nicotine vaping in England: 2022 evidence update
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Using e-cigarettes to stop smoking
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Link
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https://www.nhs.uk/live-well/quit-smoking/using-e-cigarettes-to-stop-smoking/
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Audience
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PWS
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By
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National Health Service
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Considerations
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- 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.
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New Zealand
Vaping products: Information for health care workers and stop-smoking services
VapingFacts
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Link
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https://vapingfacts.health.nz/vaping-to-quit-smoking/
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Audience
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PWS
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By
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NZ Ministry of Health
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Considerations
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- 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.
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Australia
Nicotine vaping products: Information for prescribers
US
PRI: Position on Vaping / Harm Reduction
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Link
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https://www.physiciansresearchinstitute.org/harm-reduction/
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Audience
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GPs
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By
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Physicians Research Institute
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Considerations
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- 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.
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