Electronic cigarettes for smoking cessation

  title={Electronic cigarettes for smoking cessation},
  author={Jamie Hartmann-Boyce and Rachna Begh and Paul N Aveyard},
  journal={British Medical Journal},
### What you need to know A 42 year old electrician has tried to stop smoking several times, including with the aid of pharmacotherapy and behavioural support. He asks you about using electronic cigarettes (e-cigarettes). His work partner stopped smoking a year ago and is still using e-cigarettes now. He has heard that e-cigarettes are as damaging as the real things and worries that if he ends up addicted to e-cigarettes he’ll not have gained anything. About 60% of current adult smokers in… 
Smoking Cessation and Vaping Cessation Attempts among Cigarette Smokers and E-Cigarette Users in Central and Eastern Europe
The results indicate that while most university students have some desire to quit conventional smoking, those who use e-cigarettes do not have the same desire.
Substance Use among Exclusive Electronic Cigarette Users and Dual Combustible Cigarette Users: Extending Work to Adult Users
It is suggested that adults who use both combustible and e-cigarettes may constitute a group more vulnerable to experiencing problematic substance use and more severe e- cigarette dependence than exclusive e-cigarette users.
Is dual use of nicotine products and cigarettes associated with smoking reduction and cessation behaviours? A prospective study in England
Dual use of e-cigarettes is associated with a greater reduction in cigarette consumption than dual use of OTC NRT, and this may discourage a small proportion of users from making a quit attempt compared with dual O TC NRT use, but it does not appear to undermine use of evidence-based cessation aids.
Association of Electronic Cigarette Regulations With Electronic Cigarette Use Among Adults in the United States
Several state regulations regarding e-cigarettes may be associated with reduced current e-cigarette use among US adults, according to a cross-sectional study used from national data from the 2016 and 2017 Behavioral Risk Factor Surveillance System surveys.
A pre-post pilot study of electronic cigarettes to reduce smoking in people with severe mental illness
The provision of e-cigarettes is a potentially useful harm reduction intervention in smokers with a psychotic disorder and is verified by significant carbon monoxide reductions between these time points.
A Randomized Trial of E‐Cigarettes versus Nicotine‐Replacement Therapy
E‐cigarettes were more effective for smoking cessation than nicotine‐replacement therapy, when both products were accompanied by behavioral support.
Electronic cigarettes: a task force report from the European Respiratory Society
There is not enough scientific evidence to support ECIGs as an aid to smoking cessation due to a lack of controlled trials, including those that compareECIGs with licenced stop-smoking treatments and the long-term effects of ECIG use are unknown.


Electronic Cigarettes for Smoking Cessation
  • C. Bullen
  • Medicine
    Current Cardiology Reports
  • 2014
If patients who smoke are unwilling to quit or cannot succeed using evidence-based approaches, e-cigarettes may be an option to be considered after discussing the limitations of current knowledge.
Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues
E-cigarettes may have some potential as smoking cessation aids and, in the researchers’ view, should therefore be subject to further research and regulation similar to other nicotine replacement therapies.
EffiCiency and Safety of an eLectronic cigAreTte (ECLAT) as Tobacco Cigarettes Substitute: A Prospective 12-Month Randomized Control Design Study
In smokers not intending to quit, the use of e-cigarettes, with or without nicotine, decreased cigarette consumption and elicited enduring tobacco abstinence without causing significant side effects.
Electronic cigarettes, quit attempts and smoking cessation: a 6‐month follow‐up
Among people who smoke, those also using an e-cigarette regularly are more likely to try to quit smoking and reduce their cigarette consumption during the next 6 months.
Nicotine Replacement, Topography, and Smoking Phenotypes of E-cigarettes.
E-cigarettes are not liked as much as cigarettes, provide significantly lower nicotine replacement, reduce CO exposure, and mitigate withdrawal and craving, compared to cigarette smoking.
Electronic cigarette: users profile, utilization, satisfaction and perceived efficacy.
E-cigarettes were used much as people would use nicotine replacement medications: by former smokers to avoid relapse or as an aid to cut down or quit smoking, and for quitting and relapse prevention.
Tobacco Consumption and Toxicant Exposure of Cigarette Smokers Using Electronic Cigarettes
The findings support the idea of harm reduction, however some levels of toxicant exposure are still of clinical concern, particularly for dual users, and not to equate harm reduction with the idea that using ECs is harmless.
Does reduced smoking if you can’t stop make any difference?
The combined data imply that smoking reduction is a promising intervention, particularly when supported by clean nicotine; however, the benefits are only observed when it leads to permanent cessation.