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Nicotine Poisoning: Symptoms, Risks, and Prevention

Woman holding vape pen and cigarettes
iStock.com/AndreyPopov

Utah Poison Control Center (UPCC) has seen an increase of more than 150% in nicotine‑related calls since e‑cigarettes entered the U.S. market two decades ago. Today’s nicotine products are more varied and often packaged in ways that put children at risk.

Nicotine products

Nicotine is in products such as:

  • Electronic cigarettes (E‑cigarettes) and the liquid (e-liquid) used to fill them
  • Nicotine pouches and chewing tobacco
  • Cigarettes and cigars
  • Nicotine patches, gum, and lozenges (smoking cessation tools)

Kids and Nicotine

Children under age six account for nearly 90% of all nicotine exposure calls to UPCC each year. And the danger to young children is great. Less than a teaspoon of e-liquid can cause extreme harm or even death to a toddler. 

Some reasons young kids are at greater risk of nicotine poisoning than other ages are that products such as e-cigarettes and pouches are often designed or packaged in ways that may entice or confuse them. Sweet and fruity flavors such as watermelon, bubblegum, grape, strawberry, blueberry, and mint/menthol can look and smell like treats. Also, devices may be disguised as everyday items such as USB drives, pens, handheld games, or may even be hidden inside clothing as part of the design. 

Symptoms of Nicotine Poisoning

Common symptoms of exposure may include:

  • Nausea or vomiting
  • Dizziness or shaking
  • Extreme sweating
  • Fast heartbeat

Severe symptoms may include difficulty breathing, seizures and even death.

Safety Tips

  • Help prevent nicotine exposures with these simple steps:
  • Store Safely: Keep nicotine products up high, out of sight and reach, and in their original containers. Check bags, purses, coat pockets, and car consoles—these are places kids may explore.
  • Dispose Safely: Used products can still contain enough nicotine to cause harm and should not be tossed away where kids can easily get them.
  • Avoid using nicotine products around children.
  • Don’t forget that products used to stop smoking such as lozenges, patches and gum should also be kept up and out of reach. 

Need Help or Have Questions?

The Poison Help line is available 24/7, is free and confidential, and staffed by caring pharmacists and nurses. Call 1‑800‑222‑1222. Save the number on your phone today!

Author: Sherrie Pace, MS, MCHES®, Outreach Education Manager, Utah Poison Control Center

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