September 18, 2026, 6:01 pm | Read time: 3 minutes
They are small, discreet, and available in flavors like mint, mango, or berry: Nicotine pouches are becoming increasingly popular, especially among teenagers and young adults. These nicotine-containing pouches are placed between the upper lip and gum, releasing their active ingredient directly into the body through the oral mucosa. Health experts view this trend critically and warn of health risks and a high potential for addiction.
Nicotine Reaches the Brain Directly
Unlike cigarettes, using nicotine pouches produces neither smoke nor odor. The nicotine is absorbed through the oral mucosa, quickly entering the bloodstream and eventually reaching the brain. There, it stimulates the release of neurotransmitters like dopamine, which can temporarily create feelings of alertness, concentration, and well-being.
However, this effect carries risks. Experts point out that nicotine is among the substances with a high potential for addiction. Studies by the LMU Klinikum München and the Federal Institute for Risk Assessment (BfR) have already highlighted the significant addiction potential of nicotine pouches.1
Risks for Gums and Oral Mucosa
Dental professionals are particularly concerned about potential effects on oral health. Dr. Doris Seiz, dentist and vice president of the German Dental Association, explains: “Long-term studies are still lacking, but it is far too dangerous to wait: The nicotine pouches are always clamped in the same spot in the mouth, where they cause constant mechanical and chemical irritation. This leads to changes in the oral mucosa, which can trigger precancerous conditions and eventually oral cavity cancer.”
Additionally, the products could have other negative impacts on oral health. “The nicotine pouches alter the pH level in the mouth, constrict blood vessels, reduce saliva flow, and cause gum inflammation,” says Seiz. In the long term, this could contribute to gum recession. In severe cases, even the stability of individual teeth may be at risk.
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Sometimes More Nicotine Than in a Cigarette
Another point of criticism concerns the nicotine content. According to the DAK, many nicotine pouches contain an average of about ten milligrams of nicotine per pouch. Some products even reach levels of up to 47.5 milligrams.
A high nicotine content can further increase the risk of addiction. Additionally, nicotine can affect various bodily functions. For instance, after consumption, heart rate and blood pressure may rise. With high intake, symptoms such as nausea, dizziness, or circulatory problems are possible.
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Especially Dangerous for Children
Health experts also warn that nicotine pouches can pose a significant risk to children. If the pouches are accidentally swallowed, it can lead to severe poisoning. Due to their colorful packaging and sweet flavors, the products may be particularly appealing to children.
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- Nausea
- Dizziness
- Heart palpitations
- Headaches
- Tremors
- Concentration problems
- Circulatory issues
If these symptoms occur after using nicotine pouches, further nicotine intake should be avoided, and medical help should be sought if symptoms are severe.
Conclusion
Nicotine pouches are often considered an inconspicuous alternative to cigarettes. From a health perspective, however, they are by no means harmless. Experts point to the high potential for addiction and possible risks to oral health, the cardiovascular system, and the nervous system. Particularly with regular use and high nicotine doses, there is cause for concern.