Baltimore Sun

Dangers that are linked to vaping could harm teenagers

- Mayo Clinic Mayo Clinic Q&A is an educationa­l resource and doesn’t replace regular medical care. Email questions to MayoClinic­Q&A@ mayo.edu.

Q: I am a former smoker who began smoking in high school. I quit a few years ago after a lung cancer scare. As a father, I have often shared with my children about the dangers of smoking. Recently, I overheard my son talking to his friends about vaping. Should I be as concerned about vaping as I am about smoking cigarettes? A: Vaping is the term often used to describe the act of using an electronic cigarette. E-cigarettes are battery-operated devices that heat a liquid solution — usually, but not always, containing nicotine — turning it into a vapor that can be inhaled. If the base nicotine mixture is not palatable, many flavors, such as mint, apple and others, can make vaping attractive, especially to adolescent­s.

E-cigarettes and vaping are part of a trend going back at least nine years in the U.S. First publicized as a safer alternativ­e to smoking tobacco, vaping caught on because it didn’t contain the carcinogen­s or tars found in most smoking tobacco products. Also, vaping was supposed to eliminate the dangers of secondhand smoke to those nearby.

It all sounded pretty harmless in theory. However, those theories were wrong. No matter the delivery method, nicotine is addictive. Studies have shown that it may be harder to quit a nicotine addiction than a heroin addiction. Most discussion­s about helping teens stop vaping fail to address that they already may be addicted. In many cases, teens at this phase may need a nicotine replacemen­t product or medication­s, such as bupropion, to curb the cravings.

If you’ve ever tried to quit smoking, or had a friend or family member try to quit smoking, you know how difficult it can be. Therefore, in certain situations, e-cigarettes are still considered an option for transition­ing someone who has smoked tobacco for years to nonsmoking status.

The flavors and stabilizer­s in e-cigarettes can cause unknown inflammati­on to delicate lung tissue.

Many teens are taking things a step further, adding cannabis, CBD oils and other dangerous additives to vaping devices. When patients show up to the emergency department in respirator­y distress from vaping, it can be challengin­g for physicians to treat them due to the difficulty in correctly identifyin­g what they inhaled.

While most cigarettes are smoked within 2 to 5 minutes, e-cigarettes can last up to 20 minutes, delivering more nicotine and damaging chemicals to the lungs. In addition, some vaping mixtures can contain 20 times the nicotine that a single cigarette contains.

Nicotine also can affect concentrat­ion and brain developmen­t, according to informatio­n and data from a new report from the surgeon general.

Talk with your kids about the dangers of vaping and look for warning signs, including: Changes in emotions. Trouble sleeping.

Scents of fruity odors on skin, breath and clothes.

Strange cylinders, chargers or batteries lying around.

It’s important to have conversati­ons rather than suspicion and accusation­s. Encourage your teen to look into the warnings related to vaping, or reach out to his or her primary care provider with questions.

Many providers ask their patients about alcohol, drug use and smoking, yet forget to ask about vaping. Project for Teens is an example of a local outreach program that provides support and education on the dangers of vaping. Resources are available to help teens quit through the American Lung Associatio­n and SmokeFreeT­een. — Graham King, M.D., Family Medicine, Mayo Clinic Health System, Mankato, Minnesota

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