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- Nicotine
- Packaging and Labelling
- Surveillance and monitoring
- Non-cigarette tobacco products
- Electronic nicotine delivery devices
Electronic cigarette (EC) users often create their own refill fluids by blending bottled nicotine/propylene glycol/glycerol mixtures with Do-it-Yourself (DIY) flavourings.1 Although a complete refill fluid usually contains nicotine, the flavouring solutions themselves are an additive and are presumed to be free of nicotine, which is a known addictive chemical and toxicant.2 To determine if DIY flavourings are nicotine free, we evaluated 30 products from one vendor, using high performance liquid chromatography (HPLC) (figure 1B–D), and confirmed the presence of nicotine via gas chromatography and mass spectrometry (GC-MS) (figure 1E, F). HPLC analysis was performed as previously described in detail.3 Nicotine was extracted from DIY flavorings4 and GC-MS analysis of the extracts was performed using a Hewlett-Packard 5890 Series II gas chromatograph equipped with a Restek Rtx-1MS, 30 m, 0.25 mm column and a Hewlett-Packard 5971A mass selective detector. Samples were analysed from 40°C to 250°C with a total run time of 32.75 min per sample. Of the 30 flavouring products evaluated via HPLC, 4 (figure 1A) had peaks with the retention time and shape characteristic of nicotine (figure 1C, D). GC-MS analysis confirmed the presence of nicotine in all four products (figure 1B, E, F). The limit of quantification for this method was 10 μg/mL. Nicotine was quantifiable in two bottles, which had concentrations of 14.2 and 95.4 mg/mL (figure 1B). Nicotine can be fatal to humans in doses of 500–1000 mg for adults5 and 10 mg for children.6 The total nicotine content in these two 5 mL bottles of DIY flavourings was 71 and 477 mg, doses that, if ingested, could be fatal to children and, possibly, to adults. Assuming a dilution factor of 1:10 (http://www.tastypuff.com/product/joosy-froot/), a solution mixed from the Joosy Froot flavour and propylene glycol alone would contain 9.5 mg/mL. These data demonstrate that DIY flavouring products, which are marketed for the purpose of flavour enhancement, may contain substantial amounts of nicotine. These DIY flavourings are named and described in terms that are attractive to children, have colourful attractive bottles and emit an aroma that may encourage ingestion. Some adult users of ECs are not addicted to nicotine and would avoid the use of these products if nicotine content were indicated on the label.
The current finding of nicotine in DIY flavouring products that are expected to be nicotine free and our prior finding that a DIY bottle of nicotine (134.7 mg/mL) was unlabelled,3 are important public health problems. These products, which are presented to the consumer as ‘nicotine free’ (http://www.tastypuff.com/product/joosy-froot/), could lead to unwanted addiction, poisoning, or even death. The simplest solution to this problem would be, at minimum, to require that any products containing nicotine be clearly labelled with the term ‘nicotine’ and an accurate concentration. Consumers who wish to use 0% nicotine products could then avoid unwanted exposure and EC users could protect their children from accidental ingestion of nicotine. The demonstration of nicotine in presumably nicotine-free DIY flavouring solutions should be valuable information for regulatory agencies, physicians, EC users and poison control centres.
Footnotes
Contributors BD planned the study, oversaw the HPLC and wrote the letter. AR performed and analysed the GC-MS data. MC performed and analysed the HPLC data. EN helped plan and design the GC-MS method, and assisted in editing the letter. PT designed the study, contributed to writing the letter and oversaw the project.
Funding This work was supported by the National Institutes of Health grant number R011DA036493 and a National Science Foundation Predoctoral Fellowship to BD.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.