2. Precisely coincident with the rise in electronic cigarette use in the UK has been a significant increase in quit smoking attempts.

According to the Surgeon General's report:

It is certainly not medical malpractice to advise patients not to use electronic cigarettes, because these products are not yet the standard of care in medical treatment for smoking dependence. However, to tell patients not to use electronic cigarettes because they may be more dangerous than cigarettes is clearly negligent, and in my opinion it rises to the level of malpractice if it ends up causing medical harm (i.e., a smoker who is misled by this advice and decides not to quit smoking because of the advice).

The requirement by the FDA that this black box warning be placed on Chantix is based on the agency's assessment of hundreds of cases of suicides that occurred in patients who had recently been treated with the drug, as well as thousands of cases of other serious adverse neuropsychiatric symptoms associated with the use of Chantix. In making a decision to require a black box warning, the agency takes into consideration the likelihood that the observed association between the drug and the adverse effects is a causal one.

Some further speculation on why I did not feel that jolt of energy throughout the day is due to the fact infusing caffeine with E-Juice can’t be done without destroying the taste of E-Juice. A cup of coffee is roughly 100mg of caffeine. To get the same effects as a single cup of coffee, the E-Juice mixologist would have to mix a very high concentration of caffeine in each bottle of E-Juice. No one is going to use an entire of bottle of E-Juice in one sitting, so 100mg of caffeine would have to be ingested in just a few short puffs for the user to feel the effects without chain vaping.

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