A Profile of Electronic Cigarettes, by Weinberg and Segelnick (US Pharm. 2011;36(7):37-41) is missing some critical information. Table 2 lists “Common Adverse Effects of E-Cigarettes.” The rest of the story is that these minor effects are quite similar to the adverse effects seen with use of pharmaceutical nicotine products. The authors fail to note that the products have been in use world-wide since 2004 with no serious adverse events reported. To present a report that is fair and balanced, the article needs to include a table listing the beneficial effects of using E-Cigarettes. Also, including a table listing the characteristics of E-cigarette consumers would help to explain the target market for the products (older folks who have smoked for decades and tried repeatedly to quit without success—until switching to the E-cigarette as a reduced risk alternative to smoking.)
Some of this information is available in two of the references cited by the authors (18 and 19). Three additional references are provided below, with numbering continued from the author’s references list.
Table 3: Common Beneficial Effects of E-Cigarettes
31% to 79% of users stop smoking tobacco cigarettes. (30, 31, 32)
An additional 17% to 66% report a large reduction in smoking (30, 31, 32)
Dual users who smoke the same amount comprise only 3% to 4% (30, 31)
49% of switchers reduce their nicotine intake (30)
97% report their health has improved (31)
Relief of craving to smoke (19, 32)
>80% report relief of restlessness, anger, and anxiety (32)
>70% report relief of difficulty concentrating and depressed mood (32)
79% use e-cigarettes to avoid relapse to smoking (32)
No increase in heart rate, blood pressure, or CO levels (18, 19)
Table 4. E-Cigarette User Profile
About half are between ages 31 and 50 (31, 32)
One-third are older than 50 (31, 32)
All previously smoked (31, 32)
86% previously failed to quit by using pharmaceutical products (31)
21% had tried previously to quit 10 or more times (31)
30. Siegel MB, Tanwar KL, Wood KS. Electronic cigarettes as smoking cessation tool: Results from an Online Survey. American Journal of Preventive Medicine 2011 Apr; 40(4):472-5.
http://www.ajpm-online.net/webfiles/images/journals/amepre/AMEPRE3013.pdf (accessed July 2011)
31. Heavner K, Dunworth J, Bergen P, Nissen C, Phillips CV. Electronic cigarettes (e-cigarettes) as potential tobacco harm reduction products: Results of an online survey of e-cigarette users. Tobacco Harm Reduction 2010: a yearbook of recent research and analysis. A production of TobaccoHarmReduction.org.
http://tobaccoharmreduction.org/wpapers/011v1.pdf (accessed July 2011)
32. Etter JF, Bullen C. Electronic cigarette : users profile, utilization, satisfaction and perceived efficacy. Addiction 2011 DOI: 10.1111/j.1360-0443.2011.03505.x.
Electronic cigarette: users profile, utilization, satisfaction and perceived efficacy - Etter - 2011 - Addiction - Wiley Online Library