What are nicotine pouches?

Image of a nicotine pouch package open with some pouches out of the package all in white

Nicotine pouches are small, white bags that contain nicotine, plant fibres, sweeteners, and flavours. They sit against the gum, under the lip, and slowly release nicotine into the body. The amount of nicotine in pouches varies widely by product. Health Canada-authorized nicotine pouches contain no more than 4 mg of nicotine per pouch.

You may know nicotine pouches as "nic pouches", "lip pillows", or "upper deckies." Common brands include Zonnic, Zyn, VELO, and on!.

Intended use

Health Canada has currently authorized only two brands of nicotine pouches (Zonnic and NEÖ) to help people aged 18 years and older to quit smoking. Approved pouches have a maximum nicotine strength of 4mg and are only available in mint and menthol flavours.1,2

In BC, nicotine pouches are not available for general retail sales. Authorized pouches must be sold by a pharmacist or under pharmacist supervision and kept behind the pharmacy counter. They may also be sold through pharmacy websites where a pharmacist is involved in the sale.3

Health risks

Due to the risk of nicotine's toxic effects, nicotine pouches should not be used recreationally (for fun), by people who do not smoke, or by anyone under the age of 18. Nicotine is addictive in any form. Using nicotine pouches regularly can lead to dependence and withdrawal symptoms when you stop.

How is nicotine harmful to children and youth?

  • Nicotine is highly addictive. Children and youth have a higher risk of building nicotine dependence more quickly. Nicotine dependence can lead to withdrawal symptoms including headaches, fatigue, dizziness, sleep troubles, anxiety, and irritability.
  • Brain development continues into the mid-20s. Exposure to nicotine during this critical period can have lasting effects on areas of the brain involved in attention, memory, learning, and impulse control, and are linked to cognitive and behavioural issues.4 
  • Nicotine use among young people has been associated with symptoms of anxiety and depression and with challenges related to mental well-being and learning.5,6
  • Nicotine raises your heart rate and blood pressure and may increase your risk of developing heart disease and stroke.7
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Should I use pouches for biohacking (cognitive enhancement)?

No. Social media and advertising often promote nicotine pouches as a way to boost focus, energy, or performance. However, there isn’t strong evidence that nicotine pouches improve cognitive or athletic performance, and regular use can lead to dependence.

What does science say? Nicotine is a stimulant. When it enters your body, it signals the release of brain chemicals that can make you feel temporarily alert or focused. This may create a sense of improved mental or athletic performance, but it is only short-term. Over repeated use, you could build a dependence on nicotine, which means you'll need more nicotine to feel your normal baseline.

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I thought pouches were tobacco-free, healthy alternatives?

Nicotine pouches do not contain tobacco, but they still contain nicotine, which is highly addictive. Some brands use nicotine extracted from tobacco plants, while others use synthetic nicotine made in a laboratory.

Adults looking to quit smoking should only use approved products and consult a health care provider for proper usage. They should not be used for leisure, or by anyone under the age of 18.

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What should I do if I feel “nic sick” (nicotine poisoning)?

The most common signs of nicotine poisoning are nausea and vomiting. Other symptoms may include upset stomach, fatigue, headache, dizziness, heartburn, cold sweats, blurred vision, weakness, fainting, mental confusion, irregular heartbeat, palpitations, and chest pain.

If you suspect nicotine poisoning, immediately stop using nicotine and seek medical attention. Call Poison Control at 1-800-567-8911 for help in identifying signs of nicotine poisoning, or in an emergency call 9-1-1.

Support to Quit Nicotine

Whether you are curious about quitting nicotine, ready to make a change, or looking for support to stay on track, QuitNow is here to help you along the way.

Get free, personalized guidance from an experienced Quit Coach.

Looking for extra motivation and encouragement? Explore our digital services and connect with a welcoming community people who are also working towards quitting or reducing tobacco and nicotine products. You don't have to do it alone. Share tips and strategies, hear about other's experiences, and celebrate your progress along the way. 

References
  1. HealthLink BC. (2025, May 28). Nicotine pouches. Government of British Columbia. https://www.healthlinkbc.ca/mental-health-and-substance-use/tobacco-and-nicotine-use/nicotine-pouches 

  2. Health Canada. (2025, August 21). Only use authorized nicotine pouches as directed, and do not use unauthorized nicotine pouches. Government of Canada. https://recalls-rappels.canada.ca/en/alert-recall/only-use-authorized-nicotine-pouches-directed-and-do-not-use-unauthorized-nicotine 

  3. Health Canada. (2024, September 5). Guide to the Supplementary Rules Respecting Nicotine Replacement Therapies Order: Place of Sale. Government of Canada. https://www.canada.ca/en/health-canada/services/drugs-health-products/natural-non-prescription/legislation-guidelines/guidance-documents/supplementary-rules-respecting-nicotine-replacement-therapies-order/place-of-sale.html 

  4. Castro, E. M., Lotfipour, S., & Leslie, F. M. (2023). Nicotine on the developing brain. Pharmacological Research, 190, 106716. https://doi.org/10.1016/j.phrs.2023.106716 

  5. Oliver, B. G., Wang, Q., Yarak, R. A., Hikasem, T., Gorrie, C. A., Yi, C., & Chen, H. (2025). Memory under siege: The cognitive costs of smoking and vaping.  Brain, Behavior, & Immunity - Health, 49, 101102. https://doi.org/10.1016/j.bbih.2025.101102 

  6. Andersson, J., Hansson, M., Ericson, M., & Adermark, L. (2026). Gender-specific associations between tobacco and tobacco-free nicotine use and symptoms of anxiety and depression in Swedish adolescents. Tobacco Use Insights, 19, 1179173X261455075. https://doi.org/10.1177/1179173X261455075 

  7. Münzel, T., Crea, F., Rajagopalan, S., & Lüscher, T. (2025). Nicotine and the cardiovascular system: unmasking a global public health threat. European Heart Journal. https://doi.org/10.1093/eurheartj/ehaf1010 

  8. Rungraungrayabkul, D., Gaewkhiew, P., Vichayanrat, T., Shrestha, B., & Buajeeb, W. (2024). What is the impact of nicotine pouches on oral health: Asystematic review. BMC Oral Health, 24(1), 889. https://doi.org/10.1186/s12903-024-04598-8 

  9. Miluna-Meldere, S., Vanka, S. A., Skadins, I., Kroica, J., Sperga, M., & Rostoka, D. (2024). Oral mucosal changes caused by nicotine pouches: Case series. Diagnostic Pathology, 19(1), 127. https://doi.org/10.1186/s13000-024-01549-3 

  10. Miluna-Meldere, S., Rostoka, D., Broks, R., Viksne, K., Ciematnieks, R., Skadins, I., & Kroica, J. (2024). The effects of nicotine pouches and e-cigarettes on oral microbes: A pilot study. Microorganisms, 12(8), 1514. https://doi.org/10.3390/microorganisms12081514