Kidsby Molliora
Nicotine

Vapes and nicotine pouches: how do I talk to my child about nicotine?

Short answer

Vapes (e-cigarettes) and white snus, also called nicotine pouches, usually contain nicotine. Nicotine is highly addictive, and children and teenagers are especially sensitive to it. It can affect how the brain develops, and the younger someone starts, the harder it can be to stop (1177). In Sweden it is illegal to sell vapes or nicotine pouches to anyone under 18 (Folkhälsomyndigheten). Talk about it early and calmly, ask questions before giving advice, and remember that adults who stay off nicotine themselves are important role models (1177, ASH Wales).

FactWhat it meansSource
Vaped in the last month, Sweden 202514% in year 9 and 21% in the second year of upper secondary schoolCAN
Have ever tried a vape39% in year 9 and 56% in upper secondary year 2Folkhälsomyndigheten
Have ever used white snus (nicotine pouches)26% in year 9 and 40% in upper secondary year 2Folkhälsomyndigheten
Started earlyA quarter of year 9 students had used tobacco or nicotine before age 14, most often a vape (21%)CAN
Age limit in SwedenVapes, refills and nicotine pouches may not be sold or handed over to anyone under 18Folkhälsomyndigheten
Small child swallowed a pouch or e-liquidRinse the mouth and call Giftinformation. If acute, call 112 and ask for GiftinformationGiftinformationscentralen

What are vapes and white snus?

A vape heats a liquid into a vapour that is breathed in. Most vapes contain nicotine (1177). White snus, also called nicotine pouches, is put under the lip, and the nicotine is taken up through the lining of the mouth (1177). Both often contain more nicotine than brown snus and ordinary cigarettes. They are marketed as tobacco-free, but usually contain nicotine from the tobacco plant (1177).

They come in sweet, fruity or fizzy-drink flavours and colourful packs that can be especially attractive to children (1177). WHO counts at least 16,000 flavours and warns that e-cigarettes are marketed to young people through social media and influencers. Some products sold as nicotine-free have been found to contain nicotine (WHO).

Why nicotine is riskier for young people

  • Addiction: nicotine is highly addictive, and the younger you start, the harder it can be to stop (1177). The NHS says the developing brain is more sensitive to its addictive effects.
  • Brain and mood: nicotine can affect how the brain develops (1177). WHO says nicotine in children and teenagers can lead to long-term effects on brain development and possibly learning and anxiety disorders.
  • Everyday life: regular nicotine use can lead to poorer sleep, trouble concentrating, more worry, stress and anxiety, and poorer results at school (1177).
  • Body: vaping can irritate the airways and cause coughing, a dry mouth and a sore throat, and can make asthma worse. White snus can damage the gums and the lining of the mouth. Both can raise the pulse and blood pressure (1177).
  • Unknown long-term effects: the products are fairly new, so knowledge about long-term health effects is still limited (1177).
  • Towards smoking: WHO reports that among young people who do not smoke, using e-cigarettes nearly triples the chance of starting to smoke cigarettes.

The NHS says nicotine vaping is less harmful than smoking, but not harmless, and not something for children and young people to try. In Sweden, vapes are not approved as a medicine to help people stop smoking (1177).

How common is it in Sweden?

In CAN’s 2025 national school survey, 14% of students in year 9 and 21% in the second year of upper secondary school said they had vaped in the last month. 14% in year 9 and 27% in upper secondary year 2 used snus, mainly white snus. A quarter of year 9 students had used tobacco or nicotine before the age of 14, more often than they had tried alcohol (CAN). So even if your child does not use nicotine, it is likely that someone in their class does.

How to talk about it

  • Choose a calm moment. A car journey, a walk or doing something side by side can feel easier than a formal talk (ASH Wales).
  • Start with a question, such as “Vaping comes up a lot at the moment. What’s it like at school?”, and listen before you give advice (ASH Wales).
  • Keep the facts few and true. Do not exaggerate the risks to make your point. That can make your child stop listening (ASH Wales).
  • If you find a vape or a can: take a moment first. Starting while you are angry or frightened can turn the talk into an interrogation. One product does not mean your child is dependent (ASH Wales).
  • Set clear limits. Being calm does not mean anything goes. You can still set boundaries (ASH Wales).
  • Be a role model. When adults talk about the risks and stay off nicotine themselves, it lowers the risk that children start (1177).

If your child wants to stop

Stopping can bring withdrawal symptoms such as strong cravings, worry, trouble concentrating, low mood, restlessness, poor sleep, irritability and a bigger appetite. A craving usually lasts 20–30 seconds, and the symptoms usually pass within one to three weeks (1177). Cutting down gradually before stopping helps the brain get used to less nicotine (1177).

In Sweden, Sluta-röka-linjen gives free support by phone (020-84 00 00) and chat for anyone who wants to stop using tobacco or nicotine. The chat is available in Swedish and English (Sluta-röka-linjen). Youth clinics and the youth site UMO can also help (1177).

Try this week

  1. Ask one open question this week, for example what your child thinks about vaping at their school.
  2. Agree together on what happens if someone offers them a vape or a pouch, so they have an answer ready.
  3. If anyone at home uses nicotine, keep pouches, vapes and refills out of sight and reach of younger children.

When to get help

If a child has swallowed snus or a nicotine pouch, rinse their mouth, preferably with something sour like juice. Call Giftinformation if the child gets symptoms or has swallowed more than half a teaspoon of loose snus or more than one pouch. If a child has swallowed nicotine e-liquid, rinse the mouth and call Giftinformation. If they have symptoms or swallowed more than a few drops, they should go to hospital (Giftinformationscentralen). Symptoms can include vomiting, cold sweats, drowsiness and a racing heart (Giftinformationscentralen).

If it is acute, or the child is drowsy, unconscious, has seizures or trouble breathing, call 112 and ask for Giftinformation. For less urgent questions, call Giftinformation on 010-456 6700 (Giftinformationscentralen). If you are worried about your child’s nicotine use, their sleep or their mood, you can call 1177 for advice or contact a youth clinic.

Sources

  1. CAN: National school survey 2025, summary (PDF, Swedish)
  2. Folkhälsomyndigheten: How much children and young people use snus (Swedish)
  3. Folkhälsomyndigheten: E-cigarettes (vapes) among children and young people (Swedish)
  4. Folkhälsomyndigheten: 18-year age limit (Swedish)
  5. 1177: How white snus and vapes affect your health (Swedish)
  6. 1177: Help to stop using snus (Swedish)
  7. WHO: Tobacco – e-cigarettes, questions and answers
  8. NHS Better Health: Young people and vaping
  9. ASH Wales: Talking to your teen about smoking, vaping or nicotine
  10. Giftinformationscentralen: Tobacco, nicotine medicines and e-cigarettes – children (Swedish)
  11. Sluta-röka-linjen (Swedish quitline)