Levy said she saw vape-addicted children in her program who appear to have psychiatric symptoms that are rare in traditional cigarettes or adults. Some are afraid and can not concentrate, for example.
On Friday, the agency will hold a public hearing to discuss the role of smoking cessation medications for children to get them out of control. There are currently no FDA-approved nicotine decommissioning products for e-cigarette users under the age of 18 years.
Your long-term health effects are still unclear.
"We release this Frankenstein without knowing what would happen," Levy said.
Teen Vaping was a "predictable problem" [1
9659007] Experts say that a Juul capsule – a nicotine-rich liquid cartridge that puts users in the dominant e-cig brand – contains the same amount of nicotine like a pack of cigarettes.
"That may be true, but that's not the only consideration here," Levy said, adding that it was still unclear "how high these spikes are and how fast they get into the bloodstream and into the brain."
Levy said that it is not uncommon for children to report symptoms "that sounds very much like nicotine toxicity," including headaches and abdominal pain. She suspects that these devices cause the nicotine content in the blood to rise higher than conventional cigarettes – but experts say more research is needed to better understand how vapes affect the body and brain.
According to Goniewicz, vap manufacturers may be able to incorporate more nicotine into their products, "nicotine salts," which can mask the naturally unpleasant taste of nicotine and cause it to be absorbed more quickly by the body.
Leading The e-cigarette company Juul, which holds about 75% of the market in the United States, has also claimed flavors are a useful tool to help adult smokers switch from flammable cigarettes.
But Levy describes Vapes & # 39; Popularity among teenagers as a "completely predictable problem".
Teen Brains May Be More Prone to Nicotine
Levy said the effects of vapes on teens would change people's thinking about nicotine products.
Smoking has been widely regarded as a "medical problem" that can lead to cancer and other physical ailments, she said. Vaping is now increasingly viewed as a psychiatric problem that worries that nicotine cures addictive behaviors in children and disturbs the brain's development.
"The underlying circuits of pleasure and the pursuit of new, enjoyable experiences are evolving much faster than the circuits that drive decision-making, impulse control, and rational thinking," Leventhal said.
We know from cigarette consumers that those who start smoking nicotine products Try to develop greater dependence on the drug, Leventhal said. This could also lead to the disruption of cerebral circuits that underlie attention and cognitive abilities, he added.
What makes children vulnerable to Vaps is not just biological. According to Leventhal, it is also psychosocial. This can be in the form of peer pressure or stress, which increases the likelihood of addictive behavior, he said.
More generally speaking, the cultural and political changes that keep many children from taking cigarettes – including the FDA Regulation and another "long history of prevention programs" – have simply not kept pace with the vaping boom ,
Children and adults also tend to vape for a variety of reasons, Goniewicz said. Adults are usually former smokers who can handle a high nicotine dose and avoid withdrawal symptoms, such as the inability to sleep or concentrate on work.
"You do not need nicotine to feel good," he said. "They need nicotine to not feel bad – because they are already addicted."
But e-cigarettes are perhaps the first experiences of children with nicotine. "Nicotine hits the brain," he said, tinkering with molecules that affect mood and other pathways. And they are not used to it, he said.
"Nicotine is a powerful chemical that alters our brain."
It's hard to get kids involved
Levy said. "Almost all" teens in their program have some experience with e-cigarettes, but "What's new is that we now see patients in the substance use program whose only substance is nicotine."
Health experts worry that they are addicted to nicotine At a young age, maybe a gateway to cigarette smoking and other drugs, and for teenagers, there are few proven resources.
"Children often have problems with that and there are not many resources for them," Levy said, adding that many addiction programs could not cope with some of the younger nicotine addicted children she sees. It would be much better to ensure that GPs are able to work with children in their own communities.
Some parents have used nicotine gum and other smoking cessation aids under the guidance of doctors. Levy said it could be difficult because some children could use these products as a "bridge" between vapages and tobacco.
Medications may be important in some advanced cases, but they are not enough, she said; Children also need a "good, solid advice."
"In the end, we need to teach children how to deal with food cravings, how to identify high-risk situations, and how they can actually deal with being surrounded by people who use those things," Levy said , "Because the reality is that for most children we treat them and bring them back to school, and then they go to the bathroom and everyone makes Juuling."
Yet she said that children and their parents are largely unaware of potential dangers.
"I still have kids saying," Well, I thought it was safe "or" I know it's safer than cigarettes, "Levy said.
"And" safer than cigarettes "is a very low beam."