What You Need to Know

Introduction

Nicotine pouches are a smoke-free and tobacco-free way to deliver nicotine. They are commonly used by people who are reducing or quitting smoking or vaping, helping to manage cravings and withdrawal symptoms.

Nicotine pouches offer a discreet and convenient option to use nicotine without smoke or vapour and without inhaling harmful substances produced by burning tobacco.  This document provides general information only and should not be used as a substitute for professional medical advice. Consultation with a qualified healthcare professional is recommended.

 

What Are Nicotine Pouches?

Nicotine pouches are small, white, pre-portioned pouches that contain:

• Nicotine
  

• Flavourings
  

• Plant-based fillers
  

They do not contain tobacco leaf and do not produce smoke.
The pouch is placed between the gum and upper lip, where nicotine is absorbed through the lining of the mouth.

 

How to Use Nicotine Pouches

1. Place the pouch between your upper lip and gum, on either side of the mouth.
   

2. Leave it in place and allow the nicotine to absorb. Do not chew, bite, or swallow the pouch.
   

3. Tingling is normal when first using a pouch and usually settles after a short time.
   

4. Use for up to 30–60 minutes, or as advised by a healthcare professional.
   

5. Dispose of properly in a bin after use. Do not swallow or flush.
   
   

Choosing the Right Strength

Nicotine pouches come in different strengths. The right strength depends on your current nicotine use.

• Low strength (2–4 mg): Light smokers or those reducing nicotine
  

• Medium strength (6–8 mg): Moderate smokers or vapers
  

• High strength (10 mg or more): Heavy smokers with strong cravings
  

If unsure, start with a lower strength and adjust as needed.

 

Dosage and Usage Guidelines

• Use one pouch at a time only
  

• Do not exceed 10 pouches per day, unless advised otherwise
  

• Aim to reduce use gradually to decrease nicotine dependence

 

Potential Benefits of Nicotine Pouches

• Tobacco-free
  

• No smoke or vapour
  

• Discreet with no strong odour
  

• Convenient for use in smoke-free environments
  

• May be less harmful than smoking or vaping due to no inhalation of toxins
  
  

Possible Side Effects

Some users may experience:

• Mild tingling or burning sensation
  

• Dry mouth or gum irritation
  

• Nausea (from too much nicotine)
  

• Dizziness or increased heart rate (if overused)
  

If side effects persist or worsen, stop using nicotine pouches and seek medical advice.

 

Who Should Avoid Nicotine Pouches?

Nicotine pouches are not recommended for:

• People under 18 years of age
  

• Pregnant or breastfeeding women
  

• People with heart conditions or high blood pressure
  

• Non-smokers or those not already dependent on nicotine
  
  

Frequently Asked Questions

Can nicotine pouches help me quit smoking?
Yes. They may help reduce cravings as part of a quit-smoking plan. For best results, combine them with other smoking cessation support.

Can I eat or drink while using a pouch?
It is best to avoid eating or drinking, as this may reduce nicotine absorption.

Are nicotine pouches legal in Australia?
Nicotine pouches containing nicotine are regulated in Australia. Legal access is through personal importation only and they are not available for retail sale. Always check current regulations and consult a healthcare professional.

How should nicotine pouches be stored?
Store in a cool, dry place, out of reach of children and pets.

 

Dental Care Plan

Routine Dental Visits & Oral Health Advice for Nicotine Pouch Users

Purpose

This dental care plan provides guidance on maintaining good oral health, the importance of regular dental attendance, and specific advice for individuals using nicotine pouches.

1. Dental Attendance

• Patients are advised to visit a dentist every 6 months for a routine check-up and professional cleaning.
  

• Regular dental visits help identify:
  

• Tooth decay
  

• Gum disease
  

• Oral soft tissue changes
  

• Early detection allows for timely treatment and prevention of more serious oral health problems.
  
  

2. Daily Oral Hygiene

Patients should be encouraged to maintain good daily oral hygiene by following these steps:

• Brush teeth twice daily using fluoride toothpaste.
  

• Use a soft-bristled toothbrush to prevent damage to gums.
  

• Brush for a minimum of 2 minutes, ensuring all tooth surfaces and the gum line are cleaned.
  

• Clean between teeth daily using dental floss or interdental brushes.
  

• Replace toothbrushes or brush heads every 3 months, or sooner if worn.
  
  

3. Gum Health

Good gum care is essential to prevent gum disease.

 

Patients should:

• Brush gently along the gum line to remove plaque.
  

• Monitor for signs of gum disease, including:
  

• Bleeding gums
  

• Redness or swelling
  

• Gum tenderness or recession
  

• Persistent bad breath
  

Any concerns should be reported to a dentist promptly.

 

4. Oral Health Advice for Nicotine Pouch Use

Although nicotine pouches are smokeless, they may still impact oral health.

 

Potential risks include:

• Gum irritation or inflammation
  

• Localised gum recession
  

• Dry mouth
  

• Increased plaque build-up
  
  

Recommendations:

• Rotate the placement of nicotine pouches to avoid repeated irritation in one area.
  

• Avoid placing pouches against sore, inflamed, or receding gums.
  

• Rinse the mouth with water after pouch use.
  

• Maintain excellent oral hygiene to reduce plaque and gum inflammation.
  

• Drink plenty of water to reduce dry mouth.
  

• Inform your dentist of nicotine pouch use so gum health can be monitored appropriately.

5. Diet and Lifestyle Advice

• Limit sugary foods and drinks, particularly between meals.
  

• Drink water regularly throughout the day.
  

• Avoid brushing teeth for 30 minutes after acidic foods or drinks.
  

• Patients should be advised that reducing or stopping nicotine use will benefit both oral and general health. Support services are available if required.
  
  

6. When to Seek Dental Advice

Patients should seek dental advice if they experience:

• Mouth ulcers lasting longer than two weeks
  

• Persistent gum pain, swelling, or recession
  

• Toothache or sensitivity
  

• Any unusual lumps, patches, or colour changes in the mouth

 

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