Furthermore, among those who had successfully quit smoking for one year, those in the e-cigarette group were significantly more likely to use their assigned product at 52 weeks than those in the NRT group (80% [63 of 79 participants] vs. 9% [4 of 44 participants], respectively).
They said staff at stop-smoking services have been too reluctant to endorse e-cigarettes, because they have been cautious about the evidence behind them.
The sample included 6,123 respondents (49.5% female, 54.1% non-Hispanic white) with a mean age of 13.4 (1.2 years) who were tobacco-naive at baseline. Quitting is notoriously hard, even with decades-old nicotine aids and newer prescription drugs. "It does not support the unlimited availability of e-cigarettes". The FDA has been aggressive in taking vaping products out of the marketplace and has even threatened to harm companies that can't "prove" they don't market or sell to kids when it's already illegal for these companies to market and sell e-cigarettes to kids.
The study monitored almost 900 middle-age smokers that were randomly selected to use e-cigarettes or nicotine replacement products such as patches, lozenges, or gum. Last year, an influential panel of USA experts concluded there was only "limited evidence" of their effectiveness.
In a randomized controlled trial, researchers randomly assigned almost 900 long-term middle-aged smokers to either use an e-cigarette kit or nicotine replacement therapy such as lozenges, sprays, patches, or gums.
A total of 886 smokers attended NHS Stop Smoking Services in London, Leicester and East Sussex. Everyone was offered weekly support with local clinicians who also monitored carbon monoxide levels in their breath (a measure of smoking) for the first 4 weeks of the trial. "Both e-cigarettes and nicotine-replacement products were perceived to be less satisfying than cigarettes", Hajek et al. write. Participants were responsible for buying follow-up supplies.
Richard Miech from the University of MI, who was not involved in the study, told Reuters, "This is great news for cigarette smokers who want to quit".
"The study was performed under medical supervision and with medical behavioural support of the smokers that tried to quit", Jordt, who is not affiliated with the research, said. They also received four weeks of anti-smoking counseling.
"We really isolated a very low-risk group of youth, and within that group experimentation with e-cigarettes had a pronounced effect on subsequent cigarette uptake", Stokes said.
Tammy Chan, managing director for Philip Morris, said she believed the products could, when regulated properly, help to reduce smoking rates in Australia. These effects were mostly mild. Gottlieb has maintained that e-cigarettes could be a valuable tool to help adult smokers quit, but tweeted Thursday that children and teens are still his priority.
There has been some opposition to the idea of vaping to quit smoking. These devices now often have more nicotine and come in a more convenient form than the first-generation vaping devices. It showed teenage use surged 78 percent between 2017 and 2018. Those devices have largely been overtaken in the U.S.by Juul and similar devices that have prefilled nicotine cartridges, or pods. In addition, some flavorings of e-cigs have been shown to be harmful.
Right now, Gottlieb and the FDA are standing in the way of millions of people switching to safer products that might actually work to help them stop a deadly habit.
Myth #3: E-cigarettes are just as unsafe as combustibles because they contain nicotine.
'Evidence of effectiveness must be balanced against the short-term and long-term safety of e-cigarettes.
"I tried it for a whole month, but it just wasn't doing it for me", said Armitage, an audio-visual technician in Washington.