health

As FDA approves new marketing for nicotine pouches, some doctors sound alarms

Updated on: August 5, 2026 / 5:49 PM EDT / CBS News

As FDA approves new marketing for nicotine pouches, some doctors sound alarms

TL;DR

  • The FDA has authorized marketing for four new flavored nicotine pouch products, part of a trend of approving such products after considering public health impact.
  • Brands like "on!" and ZYN, manufactured by subsidiaries of Philip Morris International and Altria Group, are among those approved.
  • ZYN received the first "Modified Risk Tobacco Product" designation for a nicotine pouch brand, claiming lower risk of certain diseases compared to cigarettes.
  • Health advocates raise concerns about flavored nicotine pouches appealing to children and leading to nicotine addiction.
  • Manufacturers state that flavors help adults transition away from cigarettes and that ZYN is intended for legal-age nicotine consumers.
  • Nicotine pouches are the fastest-growing segment of the U.S. tobacco market, with significant sales increases.
  • Critics fear a new generation could become addicted to nicotine, and more research is urged.
  • About 460,000 middle and high school students reported using nicotine pouches last year, making them the second most common tobacco product for youth.
  • Potential health risks include nicotine addiction, cardiovascular issues (elevated heart rate, blood pressure, constricted blood vessels), and oral health problems like gum recession.
  • The FDA's "modified risk" authorization does not mean products are safe, but it was based on evidence that the product helps smokers quit cigarettes.
  • The FDA requires postmarket surveillance and studies, and the "Modified Risk Tobacco Product" status for ZYN will expire in five years, with potential withdrawal if youth uptake increases significantly.