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E-Cigarettes Are Effective At Helping Smokers Quit, a Study Says (nytimes.com)

An anonymous reader quotes a report from The New York Times: The study, published Wednesday in the New England Journal of Medicine, found that e-cigarettes were nearly twice as effective as conventional nicotine replacement products, like patches and gum, for quitting smoking. The success rate was still low -- 18 percent among the e-cigarette group, compared to 9.9 percent among those using traditional nicotine replacement therapy -- but many researchers who study tobacco and nicotine said it gave them the clear evidence they had been looking for. The study was conducted in Britain and funded by the National Institute for Health Research and Cancer Research UK. For a year, it followed 886 smokers assigned randomly to use either e-cigarettes or traditional nicotine replacement therapies. Both groups also participated in at least four weekly counseling sessions, an element regarded as critical for success. The findings could give some new legitimacy to e-cigarette companies like Juul, which have been under fire from the government and the public for contributing to what the Food and Drug Administration has called an epidemic of vaping among teenagers. But they could also exacerbate the difficulty of keeping the devices away from young people who have never smoked while making them available for clinical use.

21 of 143 comments (clear)

  1. Perfection is the enemy of the good by DallasTruaxxx · · Score: 5, Informative

    If all smokers switched to vape tomorrow, would there be a massive overall improvement in health? Of course there would be.

    1. Re:Perfection is the enemy of the good by fahrbot-bot · · Score: 4, Funny

      If all smokers switched to vape tomorrow, would there be a massive overall improvement in health? Of course there would be.

      Yes, but they would risk being lost in giant vape-clouds of hipster douche-baggery -- a great detriment of the rest of us. :-)

      --
      It must have been something you assimilated. . . .
    2. Re:Perfection is the enemy of the good by apoc.famine · · Score: 3, Informative

      It's not just that - you've got a lot better control over your nicotine dosage with a vape pen or e-cig. That makes it a lot easier to quit, since you can slowly wean yourself off the drug while keeping the same habits otherwise.

      --
      Velociraptor = Distiraptor / Timeraptor
    3. Re:Perfection is the enemy of the good by Ormy · · Score: 4, Informative

      Whilst I agree that e-cigs are a good way to quit, I don't agree with this. A traditional cigarette gives a handy cue when to stop (the cig is all smoked, if I want to continue I have to light another one). When I tried an e-cig this cue to stop was absent, once I started puffing and then got distracted I often found myself still puffing away an hour later, consuming many times more nicotine than I would have from a single normal cig. YMMV.

    4. Re:Perfection is the enemy of the good by swillden · · Score: 2

      Whilst I agree that e-cigs are a good way to quit, I don't agree with this. A traditional cigarette gives a handy cue when to stop (the cig is all smoked, if I want to continue I have to light another one). When I tried an e-cig this cue to stop was absent, once I started puffing and then got distracted I often found myself still puffing away an hour later, consuming many times more nicotine than I would have from a single normal cig. YMMV.

      You're comparing different things than apoc.famine is. He's comparing the difficulty of a cigarette smoker gradually weaning while smoking to the difficulty of a vaper gradually weaning while vaping. You're talking about the transition from cigarettes to vaping. Clearly, if you want to vape in order to quit entirely, you have to make that transition, but you have to do that first, and establish a new set of habits. In the short term, it's possible that will result in an increase of nicotine intake. In the longer term, once you've made that switch, you can then start reducing your nicotine intake by changing the percentage of the nicotine in the stuff you're vaping, decreasing it gradually until you get to zero. After you've been vaping without any nicotine for a while, then you can work on killing the vaping habit -- but now you're just changing a habit, not going through drug withdrawals at the same time.

      An anecdote isn't data, but it worked very well for my daughter. She switched to vaping and within a couple of months quit completely.

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      Note to ACs: I usually delete AC replies without reading them. If you want to talk to me, log in.
    5. Re:Perfection is the enemy of the good by DCFusor · · Score: 2

      The opposite approach is what worked for me after 3 packs a day for ~ 45 years. I got a really good mech and tank (tried several) with very good temp control, as we know what happens in destructive distillation (I do science for a living).
      I got the purest available raw liquids - nicotine, menthol, glycerin, and made my own juice - stronger in nicotine than you can normally buy (> 36 mg).
      Basically a couple hits would handle the jones with that stuff, no huge clouds - my lungs were already pretty shot and I had no reason to act silly and show off.
      My health improved at first, maybe a few months, then started to go down again - I HAD to quit.
      So I went back to high school habits - can only smoke at the top of the hour (remember between classes in the bathroom?) for 5 minutes, and if I missed one - tough crap, wait an hour.
      It was hard for awhile. But I'd succeeded in dropping the physical "play with it" part of the habit, and meanwhile, you can only smoke so much in 5 min, while the juice was strong enough to wipe out the jones - I'd sometimes put the thing down and forget.
      I discovered that the longer I waited each morning for that first smoke, the better the day went.
      After awhile, I was making it till the afternoon, and one day ended the day with...wow, didn't smoke today.
      Must be time. I put all that crap in a box which hasn't been opened since.
      Does it still bother me now and then? Yeah. At first it would shake me like a leaf for half an hour, maybe once a day, but that became less and less frequent and less powerful to the point of maybe once a month after a year. 3 years clean now and it at most I get a little twinge now and then. But remembering what it was like not to be able to cruise up a flight of stairs or walk to my own mailbox and back without a rest is a powerful motivation. Wish it'd taken less and I had more lungs left, but...I'm alive at 65 and no cancer, just COPD and that not super bad. I'd tried the weaker cigs when those were popular and it only made things worse as I smoked more of them to kill the jones, and when I went back, I smoked just as many of the stronger ones. I also found out that the lung damage was the other stuff - not the nicotine - in regular cigs - the hard way. I had similar results trying that with vapes....nope, for me the thing that worked was super strong, take 1-2 hits and put the thing down, zooming. Lose the habit...the physical addiction is the easier part.

      --
      Why guess when you can know? Measure!
  2. Re: How bad for you is vaping? by hairyfeet · · Score: 5, Informative

    That was already disproven (including one of the researchers involved in the study actually condemning it) as the way they got those results was by taking a discontinued $3 4w ecig top (the kind you used to find in gas stations around 2012 which nobody has used in ages) and slapping it on a mech mod (something that on average costs over $100 and is used by the kind of hardcore vapers that would never use a $3 top) so they could pump over 80w into a 4w tank.

    Did they detect formaldehyde? Sure when you pump 80w into a 4w device you are gonna detect all kinds of things as it literally melts, in fact several YouTubers tried to recreate the "experiment" but couldn't even get the device to hit as it was burning up too quick. BTW do you know who funded the study? Your good friends at RJ Reynolds.

    But feel free to look up "ecig formaldehyde" on YouTube as you will find many trying to recreate the results and you can watch exactly what happens when you pump 80w+ into a 4w piece of plastic with a wire as small as a human hair, what comes out certainly isn't vapor. Luckily its pretty much physically impossible to do unless you use exotic hardware like a mech mod because all devices that have been made in the last 5 years or so have automatic detection of wattage so they simply will not let you run too much power into a low power tank, it just won't fire and will give you an error code.

    --
    ACs don't waste your time replying, your posts are never seen by me.
  3. Re:Or you could just QUIT, using will power. by SirSlud · · Score: 2

    I strongly believe the crutches will greatly increase the probability that a person won't quit smoking.

    Yes, lots of people strongly believe stupid shit despite all available evidence to the contrary that makes them feel better about themselves. See SUVs and anti-vaxxers.

    --
    "Old man yells at systemd"
  4. old-school by Tablizer · · Score: 2

    E-Cigarettes are obsolete. F-Cigarettes and G-Cigarettes are already shipping. Get with the times or be outsourced to cheap hungry countries.

  5. Less Positive News by PseudoAnon · · Score: 3, Insightful

    In other news, this story was posted today:
    https://www.webmd.com/smoking-...

    I haven't read further to see if they controlled for latent effects of prior smoking (which would presumably explain most of the increased risk for the subset of vapers who had switched from smoking to vaping), but researchers recently found that people who vape (but don't smoke) had a 71% higher risk of stroke, 59% higher risk of heart attack or angina, and 40 percent higher risk of heart disease.

    The sample size is impressive: "The researchers included nearly 66,800 people who said they had ever regularly used e-cigarettes, comparing them with about 344,000 people who'd never tried the devices."

    And they controlled for some major factors: "The increased health risks linked to e-cigarette use held strong even after Ndunda and his colleagues accounted for other potential risk factors, such as age, excess weight, diabetes and smoking."

    But this study would be far more compelling if it compared people who vape but have not smoked to people who do neither. I hope you found it interesting anyway.

    1. Re:Less Positive News by PseudoAnon · · Score: 3, Interesting

      I can understand the sentiment, but that's not how science works. Many of the smokers and former smokers with COPD and lung cancer that I helped treat in hospitals and nursing homes thought the same as you. There are few situations more depressing than being reliant on supplemental oxygen to be able to breathe at rest and still not being able to get enough air to walk 10 feet to the bathroom without being terrified of passing out. The sound of people desperately struggling to get air really stuck with me...

      But I sincerely wish you the best with avoiding issues like that in the future. They're life-changing :(
      Hopefully genetic testing will help give people more accurate personal risk assessments in the next few decades.

  6. Patches are usually tapered too fast. by Ungrounded+Lightning · · Score: 2

    As my wife was instructed by a doc after several tries with patches: Following the instructions tapers you too fast - like by a factor of two to three. You get withdrawal and give up.

    So she followed the doctor's instructions and went through more than one box of step one - until she wasn't feeling withdrawal symptoms - then went to step 2, etc. (There may have been a scheduling tweak in there, with partial overlap and staggered timing of two lower dose tabs to achieve an additional intermediate step.)

    She's been smoke free now for several years.

    --
    Bantam Dominique roosters crow a four-note song. Once you've heard it as "Happy BIRTHday" you can't NOT hear it that way
    1. Re:Patches are usually tapered too fast. by drinkypoo · · Score: 2

      I just stopped. It was easy once I got my lady to quit. Sort of an interesting conditional since I started because I had a girlfriend who smoked. I only stopped smoking tobacco though, which is how I got through withdrawal.

      I've been tobacco-free for some years now myself. I'm back to thinking it's disgusting.

      --
      "You're right," Fisheye says. "I should have set it on 'whip' or 'chop.'"
  7. Juul... by VeryFluffyBunny · · Score: 5, Informative

    ...is 35% owned by Altria, AKA Philip Morris, acquired for $13 billion late last year. Expect a lot more reporting of how wonderful vaping is from now on. Meanwhile, we have a vaping epidemic hitting schools. Are we going to do this all over again?

    --
    Debate is a form of harassment. Do not question my truth.
  8. It worked for me.. by hairyfeet · · Score: 2

    After losing both my father and mother to COPD from smoking in less than a year my youngest gifted me with an ecig kit, saying "We've had enough funerals in this family, I don't want to have to bury you too", that was 6 years ago and to this day I've been cigarette free which for a pack and a half a day smoker? Is saying something.

    I still vape but I went from 20mg all the way down to 3mg and I feel a hell of a lot better. I don't get winded like I used to, I don't wake up every morning hacking my brains out, the closest thing I have to a "downside" these days is the wife using me as an air freshener, telling me something like "My SUV is kinda stuffy so you are driving...and bring the one that smells like blueberries" LOL. Hell of a lot nicer than that nasty dingy smell of old cigarette smoke.

    --
    ACs don't waste your time replying, your posts are never seen by me.
    1. Re:It worked for me.. by hairyfeet · · Score: 2

      Yeah growing up with a whole family of smokers (and I can't even blame them as when they started doctors were selling smokes on TV) made it pretty much inevitable that I would pick it up, and I've lost relatives to cancer and to COPD...I'd take cancer any day of the week, watching them fight for every breath as they feel like they are drowning? Not a good way o go.

      I'm sorry to hear about your mom, being there for the passing of both my parents I know how bad those last days can be. I'm glad to hear that most of your family has given it up and I can only say keep at your dad, he probably just hasn't found the right device. I'd say give him an eLeaf Pico Kit with a bottle of Cowboy which tastes like a Marlboro with a high nic level (I started at 20, 20-24 is recommended for a pack a day or heavier smoker) and a couple of spare batteries.

      Its what I've been using for a couple years now and its the closest I've come to "just pull a cig out of the pack". The coils last for up to a month of heavy vaping (and are dirt cheap, you can buy a dozen for like $20 on eBay) and all I have to do is fill it up once a day and swap out the battery for a fresh one and thats it. No muss, no futzing, and its small enough he can just pop it in a shirt pocket like he does his smokes.

      I just hope you can get him to give it up, maybe if I could have gotten my dad to give his up a few years earlier he would still be here.

      --
      ACs don't waste your time replying, your posts are never seen by me.
  9. Riiiiight by longbot · · Score: 2

    No one actually quits, they just switch from smoking to vaping. And sometimes back and forth as money permits (or doesn't).

    --
    I don't suffer from insanity, I enjoy every minute of it! --Longbottle
  10. Harm Reduction in America by cordovaCon83 · · Score: 3, Insightful

    A lot of these comments put in perspective the general mentality towards harm reduction in America. Many people are benefiting from using e-cigs to reduce the harm caused by nicotine products. People using them to manage a problem they have are being called gross and douchey. The 'Just Say No' mentality that worked so well for the D.A.R.E. generation is being applied here. Many Americans share the same sentiments when they speak on the opioid epidemic in America. Even knowing that opioids were being over-prescribed for most of the late 90's and early 2000's, there's still a huge number of Americans blaming the users, telling users to go cold turkey even knowing that could potentially prove fatal to opioid addicts, fighting methadone clinics and safe injection sites because property values, providing no reasonable alternative to handling an epidemic that is killing a record number of Americans. Harm reduction needs some real support in Congress if America is ever going to start conquering its real problems, and hopefully not in the same way that alcohol prohibition changed the cultural values that Americans held about alcohol. Just imagine, people used to drink whiskey with their breakfast in the 1800's.

  11. Re:also even better at gettng people to start smok by sjames · · Score: 3, Insightful

    Actually, no. Vaping is not smoking. Would you rather the teens vape or smoke? I ask because history has long proven that your preferred option of neither one just doesn't happen in the real world.

  12. Re:Or you could just QUIT, using will power. by sjames · · Score: 2

    Do you get an irritated red spot when you thump your chest that much?

  13. Re:Also effective at making their users look like by LostMyBeaver · · Score: 2

    I'll play along.

    I still have a pack of Marlboro on the dinner table that I tap into... more often than I should. And I have a pack in the car which ... well it shouldn't be there. I was a 30 a day smoker until early December 2018. I'm sucking so hard on a nicotine free e-cig these days begging for something to come out of it that I could probably make an excellent career as a male prostitute now.

    You're probably right that the massive decrease in smoking has been financially damaging to many people around the world. But companies and shareholders are two different things and there are too many people who don't get that.

    You seem to think that there's some sort of major money making machine out there that if a company doesn't perform well, the owners are going to lose their asses and such. This could be medical research for cancer. It can be a tobacco company... pretty much any company capable of profiting from tobacco taxes.

    This is not how it works.

    The owners of the companies are the shareholders. The shareholders can generally move their investments from one company to another. If they want to get some extra cash from the company, they can force it to deplete its cash by paying dividends. They can even get the company to take a loan and use that money to pay dividends leaving the company bankrupt, in debt and ready to collapse, but it takes an amazing accountant to make that work cleanly.

    Every company making money from big Tobacco is covered. The shareholders of those companies have already left the companies. They've moved onto whatever Forbes or Gartner is interested in these days. Instead, what's left is investors who specialize in profiting as companies shrink. There is such a thing. It's possible for the owners of a company to find ways to profit from writing off losses for example.

    Let's say you're Emma Watson and you've had a great year and tax time is coming. One option for Hollywood actors in the past has been to buy into producing a film guaranteed to fail at the box office. This would let you take a loss in a possibly fun way. The alternative is to invest in a company that will lose money on a steady schedule so the loses can be written off. Creative accountants can find ways to make a million in losses come back as 10 million in non-taxable income or better.

    So those companies are amazing targets for people in need of write-offs right now and there's a ton of money to be made that way.