Adult smokers: discuss e-cigarettes as evidence-based cessation option + NRT. Recent review: nicotine e-cigarettes ↑ 6-mo abstinence by ~7% vs other methods. Complete switch to vapes may ↓ toxicant exposure up to 90%. Guidance applies to adults only; not intended for youth. FDA-authorized products preferred; none FDA-approved for smoking cessation.
Developed by researchers from the Society for Research on Nicotine & Tobacco’s Treatment Research Network, an international professional organization focused on nicotine and tobacco science, the guidance advises clinicians to discuss e-cigarettes as one evidence-based treatment option alongside nicotine replacement therapy during shared decision-making conversations with patients who smoke.
In 2021, the US Preventive Services Task Force concluded that evidence was insufficient to recommend e-cigarettes for smoking cessation. According to Rigotti, those recommendations predated much of the evidence now available.
https://www.medscape.com/viewarticle/beat-cigarette-addiction-experts-embrace-vapes-2026a1000qb3
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