The Failure of Nicotine Vaping Prescription Policy in Australia

Oct.02.2022
The Failure of Nicotine Vaping Prescription Policy in Australia
Colin Mendelsohn is a smoking cessation expert who helped develop Australia's national smoking cessation guidelines.

Dr. Colin Mendelsohn is a member of the expert advisory group responsible for developing the Australian national smoking cessation guidelines for the RACGP. He is also the founding chairman of the Australian Tobacco Harm Reduction Association, a registered health promotion charitable organization that works to increase awareness of low-risk nicotine products as a smoking alternative for those who are unable to quit smoking.


Dr. Mendelsohn previously served as an Associate Professor at the School of Public Health and Community Medicine at the University of New South Wales from 2016-2020, and as the former Vice Chair of the Australian Association of Smoking Cessation Professionals, the leading body of smoking cessation experts in Australia. According to Dr. Mendelsohn, "The review found that the policy did not achieve its objectives and instead made the situation worse. It created a thriving black market, led to a sharp increase in youth drug use, and made it harder for adult smokers to access legal smoking products.


The use of drugs among young people is increasing rapidly. Illegal and disposable drug products can be easily purchased from tobacco shops, convenience stores, and social media, with law enforcement and prosecution rates being negligible. Instead, teachers are bearing the burden of this policy, with some schools removing bathroom doors and installing e-cigarette detectors to prevent students from using drugs.


Government-funded propaganda campaigns have only disseminated erroneous information about the dangers of electronic cigarette products, and are therefore ineffective in preventing youth from using them.


At the same time, less than 1% of Australian general practitioners are willing to prescribe nicotine, and very few pharmacies distribute electronic cigarette products. Currently, 88-97% of adult electronic cigarette users are using them illegally because they have not obtained a prescription for nicotine.


Australia is the only western country that regulates nicotine consumption products in this way. In countries such as the United States, the United Kingdom, and New Zealand, nicotine inhalers are sold as consumer products to aid adult smokers in quitting and are subject to strict age verification to restrict usage among young people. These laws have proven successful and have greatly contributed to a decrease in smoking rates.


Recently conducted simulation research estimated that by 2080, relaxing current policies would save the lives of 104,000 Australians and prevent over 2 million life years lost. The TGA announced in September 2021 that they would conduct their own review of regulations six months after implementation. However, the review has been postponed with no suggestion of when it will begin.


The main findings of the 12-month pure prescription model review are as follows: 1. A thriving black market has emerged, selling illegal, unregulated, high-nicotine disposable e-cigarette products. 2. Teen drug use has skyrocketed, becoming a crisis for schools and parents nationwide. 3. Access to legal smoking products has become increasingly difficult and expensive for adult smokers, forcing many into the black market or illegal imports without prescriptions. 4. This model has faced opposition from smokers and drug users, causing a catastrophic loss of confidence and trust in public health. 5. Currently, almost all e-cigarette products are purchased on the black market or from overseas, meaning they do not need to pay taxes to the Australian government.


Based on the failure of this policy, the following suggestions have been made: 1. exempt liquid nicotine with a concentration of ≤6% from poison standards and allow it to be used as a harm reduction measure for smoking tobacco. 2. Allow licensed retailers to sell these products and strictly verify the age of buyers. 3. Allow the ACCC to supervise and regulate the industry. Dr. Mendelsohn summarizes, "The Australian government's prescription model for nicotine e-cigarettes is a clear and foreseeable public health policy failure. The black market is expanding at an alarming rate nationwide, and young people are taking up harmful drugs quickly. Meanwhile, adult smokers who could live longer and healthier lives by switching to vaping products are forced to compete with the same black market or continue to smoke more harmful traditional cigarettes sold on every street corner.


Australia urgently needs to catch up with other Western countries by allowing adult smokers access to nicotine vaping products while implementing strict restrictions on their use by minors. Without immediate action, the black market will continue to grow leading to more smoking-related deaths and a continued increase in youth vaping rates.


Statement:


This article is compiled from third-party information and is intended for industry communication and learning purposes only.


This article does not represent the views of 2FIRSTS and 2FIRSTS cannot confirm the truthfulness and accuracy of the article's content. The translation of this article is solely for industry communication and research.


Due to limitations in the level of translation, the translated article may not fully reflect the original text. Please refer to the original text for accuracy.


2FIRSTS fully aligns with the Chinese government on all domestic, Hong Kong, Macau, Taiwan, and foreign issues and positions.


Information compiled in this article belongs to the original media and authors. If there is any infringement, please contact us for removal.



Disclaimer

This article is provided solely for professional research, industry discussion, and informational purposes. Any references to brands, companies, products, technologies, or policies are made for factual reporting and analytical purposes only, and do not constitute endorsement, recommendation, promotion, or advertising by 2Firsts.

Nicotine-containing products, including but not limited to cigarettes, e-cigarettes, heated tobacco products, and nicotine pouches, carry significant health risks. Readers are responsible for complying with all applicable laws and regulations in their respective jurisdictions, including age restrictions and access limitations.

The information contained in this article should not be regarded as investment, legal, medical, regulatory, or commercial advice. While 2Firsts strives to ensure the accuracy and reliability of its content, it does not assume liability for any direct or indirect loss arising from errors, omissions, inaccuracies, or reliance on the information contained herein.

This article is not intended for individuals below the legal age for accessing tobacco or nicotine-related information in their jurisdiction.

 

Copyright Notice

This article is either original content produced by 2Firsts or content reproduced, translated, summarized, or adapted from third-party sources with attribution where applicable. The intellectual property rights of the original content remain with 2Firsts or the respective original rights holders.

No individual or organization may copy, reproduce, distribute, republish, modify, translate, or otherwise use this content without prior authorization. Any unauthorized use may result in legal action.

For copyright-related inquiries, corrections, or removal requests, please contact: info@2firsts.com.

 

AI-Assisted Translation and Editing Notice

Portions of this article may have been translated, edited, or reviewed with the assistance of artificial intelligence tools to improve efficiency and readability. Due to the limitations of AI-assisted translation and editing, discrepancies, omissions, or inaccuracies may exist when compared with the original source.

Where applicable, readers are advised to refer to the original source for the most complete and accurate information. If you identify any errors or believe that any content infringes upon your rights, please contact us at info@2firsts.com, and we will review and address the matter promptly.

EU Tobacco Tax Reform Stalls as Malta Withholds Support Despite Backing From 26 States
EU Tobacco Tax Reform Stalls as Malta Withholds Support Despite Backing From 26 States
EU finance ministers failed to reach agreement on tobacco excise reform at the November 9, 2026 Economic and Financial Affairs Council (ECOFIN) meeting in Brussels. The Irish Council presidency's compromise secured support from 26 of the EU's 27 member states, but Malta withheld consent, preventing the Council from reaching a general approach requiring unanimity. The reform would raise minimum taxes on conventional tobacco and bring e-cigarette liquids, heated tobacco and nicotine pouches into a common EU minimum excise framework. Finland and Estonia accepted further concessions during the meeting, while the presidency proposed separating the inclusion of nicotine pouches in the framework from setting their precise minimum tax rates. Another compromise would allow ten qualifying member states until 2036 to meet certain tobacco excise requirements. Ireland intends to continue negotiations in December.
Regulations
Nov.11
Product | PMI Launches ZYN Melts in UK, Extending ZYN Beyond Nicotine Pouches Into Dissolvable Tablets
Product | PMI Launches ZYN Melts in UK, Extending ZYN Beyond Nicotine Pouches Into Dissolvable Tablets
Philip Morris International (PMI) has launched ZYN Melts in the UK, introducing a fully dissolvable oral nicotine tablet format alongside the brand's existing nicotine pouches. The range includes Cool Mint and Peppermint, each offered at 1mg and 2mg of nicotine per tablet, creating four SKUs. Each can contains 20 tablets and is priced at £6.50 in the UK. Unlike ZYN nicotine pouches, Melts are placed between the upper lip and gum and dissolve completely during use.
News
Sep.29 by 2Firsts Perspectives
South Korea Extends Vape Rules to Unmanned Stores After Bringing Synthetic Nicotine Under Tobacco Law
South Korea Extends Vape Rules to Unmanned Stores After Bringing Synthetic Nicotine Under Tobacco Law
South Korea's Ministry of Gender Equality and Family said on September 14 that it plans to designate unmanned e-cigarette stores as businesses where minors are prohibited from entering or working. Operators would be required to verify customers' ages and display notices restricting access by minors. The proposal is open for public comment through October 6. The move follows an April expansion of South Korea's statutory tobacco definition that brought products made with natural or synthetic nicotine under the Tobacco Business Act. Nicotine-free liquids and products using nicotine analogues such as 6-methylnicotine, however, remain an emerging regulatory issue.
Sep.21
Reynolds Showcases Vuse Pro Flavors and VELO Nicotine Pouches at NACS Show 2026
Reynolds Showcases Vuse Pro Flavors and VELO Nicotine Pouches at NACS Show 2026
Reynolds American, a BAT subsidiary, showcased four Vuse Pro flavored e-cigarette pods and its VELO nicotine pouch portfolio at NACS Show 2026. Booth staff confirmed to 2Firsts that the Vuse Pro flavors are sold in the U.S., although they have not received FDA marketing authorization. BAT outlined plans to expand Vuse retail distribution and reported that VELO held a 30.5% year-to-date volume share of the U.S. modern oral nicotine category through August 2026. The booth also featured the newly launched VELO MAX range and merchandising displays combining cigarettes, vaping products and oral nicotine brands.
EXPO
Oct.09
South Korea's Tobacco Plan Excludes 6-Methyl Nicotine as Customs Tightens Import Controls and Analog Liquid Imports Fall 83%
South Korea's Tobacco Plan Excludes 6-Methyl Nicotine as Customs Tightens Import Controls and Analog Liquid Imports Fall 83%
South Korea's government unveiled its first Tobacco Harm Management Basic Plan for 2027–2031 on October 29, 2026, proposing broader testing of vaping and heated tobacco products while excluding nicotine analogs such as 6-methyl nicotine. Synthetic nicotine came under tobacco regulation on April 24, and a June investigation found 6-methyl nicotine in 12 liquid inhalation products marketed as nicotine-free. Customs data released in September showed that imports of nicotine analog solutions fell 83.3%, from 12 metric tons in January–April to 2 metric tons in May–August. By September 20, imports had reached approximately 15 metric tons for the year, with 99.99% originating from China. Customs authorities have tightened pre-clearance testing and supply-chain documentation requirements, while the MFDS expects to complete its assessment of nicotine analog hazards by the end of 2026.
Regulations
Nov.04
As Regulators Focus on Nicotine Pouch Child Safety, Safeguard Pursues an External Packaging Route
As Regulators Focus on Nicotine Pouch Child Safety, Safeguard Pursues an External Packaging Route
As regulators pay closer attention to child safety in nicotine pouches, manufacturers face a practical challenge: how to strengthen child-resistant packaging without unnecessarily reworking products, production lines and regulatory submissions already in place. In a written interview with 2Firsts, Chemular detailed Safeguard’s external packaging approach, its customer-specific testing requirements and possible PMTA pathways. The model remains early-stage, but it offers a new way to think about an increasingly important regulatory and manufacturing issue.
Industry Insight
Sep.19