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The Conversation
The Conversation
Jamie Hartmann-Boyce, Assistant Professor of Health Promotion and Policy, UMass Amherst, UMass Amherst

Oral nicotine pouches deliver lower levels of toxic substances than smoking – but that doesn’t mean they’re safe

Oral nicotine pouches and related 'snus' tobacco pouches are marketed as cigarette alternatives. Andrii Atanov/iStock via Getty Images

Oral nicotine pouches – like Zyn and Velo in the U.S. – appear to be less toxic than cigarettes and deliver comparable levels of nicotine. This makes them an alternative for people who smoke. However, people who’ve never smoked are using them, too, and youth are open to trying them. These are key findings of our recent systematic review, published in the journal Nicotine and Tobacco Research.

Oral nicotine pouches are preportioned pouches sold in various flavors and nicotine strengths. They are similar in appearance and use to traditional ‘snus’, a form of smokeless tobacco placed between the gum and lip, which is popular in Scandinavia. However, unlike snus, nicotine pouches do not contain tobacco leaf. As a result, they are often marketed as “tobacco-free.”

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