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The term “smokeless tobacco” may sound harmless to some teens, but it’s not. Nicotine pouches are the newest smokeless tobacco products on the market, meaning they do not contain material from tobacco leaves.
But that doesn’t mean they’re safe to use. Read on for facts about nicotine pouches and the conversation you need to have with your kids about them.
What Are Nicotine Pouches?
Oral nicotine pouches are small, white pouches that contain nicotine, flavorings and other ingredients. They are placed between the lip and gum. As they slightly dissolve, nicotine is released into the bloodstream. The user experiences a nicotine “hit” without having to smoke or spit.
Current common slang terms for nicotine pouches are “upper decky” and “lip pillow.”
What Risks Come With Nicotine Pouches?
Nicotine is a highly addictive chemical that has some serious risks, especially for children and teens.
Young children are at the greatest risk for accidental poisoning from nicotine pouches.
More than 73% of nicotine exposures occur in kids under age 6, according to America’s Poison Centers.
Swallowing even part of a pouch with a high nicotine content can be life-threatening to a child.
Teens can easily become addicted to nicotine pouches due to the high nicotine content.
Youth who use any nicotine products have a higher risk of developing habits that may lead to future substance use or addiction.
Accidental poisoning and addiction are not the only risks of nicotine use, however. Use this list of topics below to talk to your kids about the dangers of nicotine and nicotine pouches.
6 Nicotine Pouch Facts to Discuss With Your Teen
Appealing flavors are one of the main reasons that youth start using nicotine pouches at an early age. Helping them understand the downsides is crucial. Use these facts to help make them aware of nicotine’s effects on the body and brain:
Nicotine pouches contain chemicals that may cause cancer.
Nicotine exposure during youth can disrupt brain development, attention, learning and memory.
Using nicotine products affects the heart. They cause an immediate increase in heart rate and blood pressure, and a decrease in blood flow. Long-term use can cause high blood pressure, heart disease and/or stroke. Youth may be more at risk for long-term effects because their cardiovascular and nervous systems are still developing.
Nicotine is absorbed rapidly into the body from nicotine pouches. This may raise the chances of addiction.
Nicotine can be poisonous in large amounts. That means even a small amount can be dangerous to young kids.
Using nicotine pouches may be associated with poor mental health outcomes. Users may experience:
Reduced ability to control impulses
Decreased cognitive ability, meaning your mental skills don’t work as well
Increased risk of attention-deficit/hyperactivity disorder (ADHD), anxiety and depression
How to Start the Conversation With Your Kids
The most important thing you can do as a parent is to talk to your kids about the dangers of nicotine and nicotine pouches. Here are some tips for getting the conversation started:
Lead with empathy. Avoid making accusations.
Encourage your kids to be open with you about any substance use conversations. Provide a safe space for honesty.
Emphasize that these products may seem safe, but they have hidden risks.
Nicotine pouch use is still low. However, it’s important to start the conversation early to prevent future substance use or misuse.
The bottom line is that using any tobacco product during youth is unsafe.
Safely Store Nicotine Pouches for Adult Use
If you keep nicotine pouches in your home for adult use, follow these guidelines for storing them safely.
Store products up and away. Keep nicotine pouches out of reach of children and pets. A locked cabinet is the safest place.
Keep products in their original containers. Unmarked containers can lead to accidental exposure.
Don’t use products in front of children. Kids love to imitate. Teach your children that these products are for adults only.
What Are Symptoms of Nicotine Poisoning?
Symptoms of nicotine poisoning may include:
Stomach pain
Nausea
Vomiting
Pale skin
Sweating
Agitation
Rapid heart rate
Tremors
If you are concerned that your child has swallowed a nicotine pouch, call the Drug and Poison Information Center at 1-800-222-1222 for assistance, 24/7/365. If your child is experiencing severe symptoms such as trouble breathing, loss of consciousness, or a seizure, call 911 immediately.

