In the last five years, the popularity of nicotine pouches and the cases of accidental pediatric nicotine pouch ingestions have risen significantly. From 2020-2023 there was a 763% increase in pediatric nicotine pouch exposure. Pouches usually contain between 12-15 mg of nicotine and are often not in child-resistant containers. Ingesting that level of nicotine can lead to severe toxicity in children 5 and under. The toxic effects range from nausea and vomiting to seizure, coma, and even death. Over half of children who ingest nicotine products have no reported effect or minor effects (56.4%) from the ingestion according to cases reported in the NPDS from the U.S. poison centers. Previously used nicotine pouches still contain residual nicotine and can lead to serious health effects if ingested by a child, highlighting the importance of storing the pouches out of reach or in child-resistant containers.
For help during a poison emergency call the poison help line at 1-800-222-1222.
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