[7][11] Common Side Effects: Nausea (which is the most common, affecting about 30% of users) Trouble sleeping or unusual, vivid dreams Constipation, gas, and vomiting [11] Rare but serious risks: Mental health symptoms, like mood swings, feeling depressed, or having thoughts of harming yourself (seek help right away if you feel like hurting yourself) Heart problems, especially in people with pre-existing conditions Serious allergic reactions (anaphylaxis), like swelling of the face, lips, or throat, or severe skin rashes, like Stevens-Johnson syndrome and erythema multiforme Sleepwalking, which sometimes leads to harmful behaviors Seizures, particularly in people with a history of seizures [11] Varenicline interactions Alcohol: Varenicline may increase the effects of alcohol, potentially causing unusual or aggressive behavior

Donna Shelley, professor and vice dean for research at the New York University School of Global Public Health, said that while nicotine pouches don't cause the same health problems as products containing tobacco, she wouldn't call them "safe." "Some of the negative health effects of the nicotine pouches include gastrointestinal symptoms, like nausea, gum soreness and ulcers, and also some cardiovascular risks like elevated heart rate," said Shelley, who researches tobacco control, adding, "We don't know the full safety profile yet." A 2023 study that compared Zyn pouches to smokeless tobacco and nicotine replacement products found that while Zyn doesn't contain "nitrosamines or some of those real known cancer-causing agents, it does contain some chemicals like formaldehyde that the FDA has said are potentially harmful," she said
The experience can be so overwhelmingly awful that it can lead to suicide
The United States tried the same thing after the voting age was set at 18 years, with the same result, and that is what led to the current federal law that incentivizes the states to have a minimum legal drinking age of 21
I had only minor withdrawal symptoms
Thailand is adopting measures set out by the WHO's Framework Convention on Tobacco Control which supports the use of health warnings on packaging to deter smokers