Tobacco-free nicotine pouches represent a novel product that the tobacco industry has launched to expand its nicotine product portfolio. Small white pouches contain cellulose fibres impregnated with a mixture of pure nicotine with additives, sweeteners, and flavours.
The nicotine content per pouch ranges between 2 and 7 mg. However, products containing tens of milligrams in a pouch are also available on the market.
The pouches are applied to the mouth, where the nicotine is absorbed gradually through the buccal mucosa. Epidemiological data indicates that nicotine pouches are predominantly used among adolescents.
However, these products are marketed and promoted using elements (such as colourful packaging designs and flavours) that appeal to children and teenagers. The phenomenon of nicotine pouches is associated with several public health challenges, including the ways of regulating these products and addressing them in prevention and the drug policy.
The aim of this article is to present a comprehensive overview of the use of nicotine pouches, their content, composition, and patterns of use, and the related marketing communication strategies and legislative framework.