JAMA Medical News

Are Nicotine Pouches a Safer Alternative to Cigarettes?

Jan 2, 2026
Samantha Anderer, a staff writer for JAMA Medical News, dives into the world of nicotine pouches, exploring their rise in popularity since 2016 and their potential role in smoking cessation. She highlights the FDA’s pilot program for faster reviews and discusses the balance between benefits and risks, including the risk of nicotine dependence. Samantha also addresses concerns about youth attraction due to flavors and discreet use methods, providing insight into who is using these pouches and the ongoing regulatory landscape.
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INSIGHT

Nicotine Pouches Are Tobacco-Free, Oral Nicotine

  • Nicotine pouches deliver nicotine through the oral mucosa without containing tobacco or requiring inhalation.
  • Experts see them as potentially lower-risk alternatives to cigarettes due to fewer carcinogens.
INSIGHT

FDA Weighs Benefits Versus Youth Risks

  • The FDA is piloting an expedited premarket review to authorize more nicotine pouch options for adult smokers.
  • The agency will weigh benefits for smokers against risks like attracting non-users, including youth.
INSIGHT

Users Often Are Former Smokers or Vapers

  • Surveys show pouches are most popular with former smokers and vapers, suggesting use for quitting or staying quit.
  • Dependence remains a health concern because pouches still deliver nicotine.
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