Marlboro Snus Isn’t Really Snus
Swedish snus is a moist snuff product (50% water) that delivers a comparable amount of nicotine to a cigarette. However, it appears that most of the versions being test-marketed in the US have very low nicotine delivery. Marlboro snus, in particular, appears to be a quite different product from Swedish snus. It is relatively dry (12% water), has a low pH, and therefore delivers an amount of nicotine to the blood that is less than 20% of that delivered by leading brands of Swedish snus (e.g. General) or US smokeless (e.g. Copenhagen) or cigarettes. On analyzing some of the data on Marlboro snus, and trying to understand why Philip Morris have produced a product with such low nicotine delivery, Dr Helena Furberg (from University of North Carolina) and I suspect that the product may be designed to fail. If you have tried any of the new smokeless tobacco products being test-marketed in the US or other countries (e.g Taboka, Camel snus, Marlboro snus, Ariva, Exalt, Skoal Dry, Revel, etc) I’d be interested to hear what you thought of them and their marketing.
If you are thinking of switching from smoking to a safer form of nicotine delivery, then far better to miss out the tobacco products altogether and move onto a product with reasonable nicotine delivery but no carcinogens, like 4mg nicotine gum. Some of the NRT products are now being sold in much better flavors than the original. They are not intended for long-term use, but if you feel you want to keep taking nicotine in a form that won’t kill you, this is a better choice than some unregulated tobacco product with unknown ingredients and nicotine delivery.
If you’d like to read the full article on Marlboro snus, with links to other data, it can be accessed at:
http://www.harmreductionjournal.com/content/5/1/9
Labels: jonathan foulds, marlboro snus, nicotine regulation reduction smoking smokeless, tobacco





2 Comments:
At Thu Mar 06, 11:45:00 AM 2008,
Anonymous said…
Dr. Foulds,
You mentioned 4 mg nicotine gum and it not being carcinogenic. I am an ex smoker who "enjoys" two pieces of 2/mg nicotine gum each day (generic brand). I love it and I haven't smoked as a result of my chewing habit in years. I am, however, addicted to the 2/mg gum and have questioned whether I should quit chewing it. Other than it being addictive, does 2/mg nicotine gum pose any short- or long-term health complication risks?
Thanks
At Thu Mar 06, 07:40:00 PM 2008,
Jonathan Foulds, MA, MAppSci, PhD said…
Dear Anonymous of March 6th,
People who feel that they are addicted to nicotine gum typically chew more than 2 pices per day. In that case then there can occasionally be the unwanted effects of chronic chewing: jaw ache and gradual wear-and-tear.
Nicotine doesn't cause cancer of the respiratory diseases caused by smoking. There is a slight, theoretical cardiovascular risk (nicotine stimulates heart rate and causes constriction of blood vessels). However the epidemiology of long term heavy smokeless tobacco users (who absorb high doses of nicotine without smoke) suggests that these risks are very small even after decades of use. At the level you are using the gum they are negligible. The main situation where there would be a strong reason to come of the gum would be if you were pregnant as nicotine is definately not good for the unborn child. So assuming you are not pregnant or planning to be, your risks are negligible and need to be weighed against the risks of returning to smoking if you cease using the gum.
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