Electronic Cigarette (eCig) companies are aware that the desire to cut down or quit tobacco smoking motivates a large fraction of their customers. As a cessation tool, eCigs appear to be marginally better than patches and other quitting methods, but still have limited effectiveness of less than 10%.1 A recent Lancet study found that 7.3% of tobacco users quit smoking on eCigs compared with 5.8% with nicotine patches. 2A cross sectional population study also showed superiority of eCigs over other forms of nicotine replacement. By contrast, a study from UCSF study showed no cessation effectiveness for eCigs.3
The FDA does not permit eCig companies to market their products as a smoking cessation device until the product is proven as “safe and effective,” much like nicotine patches that make such therapeutic claims. Nevertheless, eCig brands falsely advertise as smoking cessation aids. An eCig vapor juice company marketed from China even falsely bears the FDA label.
Companies skirt the edges of these limits with slogans that are proxies for quitting such as “smoking alternative,” “switch,” “change,” “it works!”, “kiss tobacco goodbye,” and “kick some ash.” A number of brand names imply that eCigs are an alternative to combustible tobacco product. Examples range from the more direct AlternaCig and AltStick to the less obvious Smokeless Image, which suggests that it is a smokeless replica of a traditional cigarette.
Some eCig companies also use slogans that emphasize the their product is a “healthier” alternative to smoking. Smoke Stik, which brands itself as an “alternative to smoking” advertises itself as a “clean alternative to traditional cigarette smoking.” eCig Wizard suggests its an alternative by using the slogan, “fresh start.”
It must be brought to people’s notice that eCig company claims of being “healthy”, “safe” or an “effective cessation tool” are disingenuous and have not been proved by scientific rigor. Deeming regulations proposed by the FDA in the early part of 2014 will regulate overt and implied claims made by eCig companies “reduced risk” of their product. Unfortunately, it is expected that eCig companies much like tobacco companies have for over a century will find new and creative ways to circumvent these regulations and continue to market their product as healthy and safe.
1. Bullen C, Howe C, Laugesen M, et al. Electronic cigarettes for smoking cessation: A randomised controlled trial. Lancet. 2013;382(9905):1629-37. PMID:24029165
2. Brown J, Beard E, Kotz D, Michie S, West R. Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction. 2014. PMID: 24846453
3. Grana RA, Popova L, Ling PM. A longitudinal analysis of electronic cigarette use and smoking cessation. JAMA Intern Med. 2014;174(5):812-3. PMID:24664434