FDA to target addictive levels of nicotine in cigarettes
For the first time, the federal government is proposing cutting the nicotine level in cigarettes so they aren’t so addictive.
U.S. Food and Drug Administration chief Scott Gottlieb on Friday directed the agency’s staff to develop new regulations on nicotine. The FDA has had the power since 2009 to regulate nicotine levels but hasn’t done so. Stocks of cigarette makers plunged after the announcement.
As part of the new strategy, the FDA is giving e-cigarette makers four more years to comply with a review of products already on the market, Gottlieb said. The agency intends to write rules that balance safety with e-cigarettes’ role in helping smokers quit, he said.
“A renewed focus on nicotine can help us to achieve a world where cigarettes no longer addict future generations of our kids,” Gottlieb said in a speech to staff in Silver Spring, Maryland.
Tar and other substances inhaled through smoking make cigarettes deadly, but the nicotine in tobacco is what makes them addictive.
Tobacco use is the leading cause of preventable heart disease, cancer and death in the United States, causing more than 480,000 deaths annually. Smoking rates, though, have been falling for decades and are at about 15 percent.
Gottlieb said he has asked the FDA’S Center for Tobacco Products to explore whether lowering nicotine could create a black market for higher nicotine products and what role e-cigarettes and other products play in reducing harm from smoking. Battery-powered e-cigarettes turn liquid nicotine into an inhalable vapor. He also wants new rules to address flavored tobacco products and kids.
The FDA announcement is great news, said Eric Donny, a University of Pittsburgh researcher who has studied what happens when smokers puff on cigarettes with lower levels of nicotine. Donny and other researchers found that reducing nicotine substantially — by around 90 percent — leads to smokers being less dependent on cigarettes and smoking fewer of them.
There have been concerns that smokers might react to lower nicotine levels by smoking more. But the research shows that’s not what happens — not if enough nicotine is taken out, Donny said.
“Most of the harm associated with smoking is related not to the nicotine but everything else in the smoke. Reducing nicotine doesn’t make a cigarette safe, it just makes it less addictive,” said Donny, director of Pitt’s Center for the Evaluation of Nicotine in Cigarettes.
There’s additional research underway to see how often people who smoke lower-nicotine cigarettes switch to ecigarettes or other, less harmful tobacco products, he said.
Kenneth Warner, a retired University of Michigan public health professor who is a leading authority on smoking and health, said he was pleasantly surprised to learn of the FDA announcement.