E-Cigarettes for Smoking Cessation: Helpful or Harmful?

Nicotine cessation medication, combined with behavioral support, is considered the “gold standard” treatment for tobacco cessation, but it is only successful in 20% to 30% of patients. New and alternate tobacco cessation strategies are needed to address patients who fail or are unwilling to use current evidence-based options for cessation. Electronic cigarettes are one such product gaining popularity for use as a smoking cessation aid. Robust evidence-based support of e-cigarettes for smoking cessation is lacking, but their use is likely less harmful than that of conventional cigarettes. As such, it is reasonable to support a quit attempt with e-cigarettes following failure of evidence-based cessation treatments and behavioral support, stressing the fact that it is safest to do so without continuing to smoke tobacco.