Oral nicotine pouches

Oral nicotine pouches have become a rapidly growing category of nicotine products. Available in a variety of flavors and often promoted with themes that appeal to young people, these products can contain high concentrations of nicotine that can increase the risk of addiction. Although current use among middle and high school students remains low, preferences for flavored products raise concerns about youth appeal and nicotine dependence. Oral nicotine pouches are small pouches filled with nicotine powder that is placed between the gum and upper lip. 

• Nicotine pouch strength varies across brands, ranging from 2 mg to 50 mg. 
• 1.7% of middle and high school students reported current oral nicotine pouch use in 2025. 
• Among students who reported current use: 
• 26.3% used pouches frequently (20 of the past 30 days) 
• 17.6% used pouches daily 
• 90.8% used flavored pouches 
• Flavors, discreet use and peer influence are all common factors impacting young adult use of nicotine pouches. 
• The long-term health effects of oral nicotine pouch use are still not completely understood.