Assessing consumer use and behaviour patterns of oral nicotine pouches in a multi-country study


  • Krishna Prasad BAT, MRTP Science, Southampton, Hampshire, UK
  • Mandara Shetty BAT, MRTP Science, Southampton, Hampshire, UK
  • Claudia Kanitscheider Cerner Enviza RWE, Regulatory and Safety, (Diamond (KH) Germany HoldCo GmbH) Munich, Bavaria, Germany
  • Boglárka Szentes Cerner Enviza RWE, Regulatory and Safety, (Diamond (KH) Germany HoldCo GmbH) Munich, Bavaria, Germany
  • Rokaya Nassar Cerner Enviza RWE, Regulatory and Safety, (Diamond (KH) Germany HoldCo GmbH) Munich, Bavaria, Germany
  • Lauren Edward BAT, MRTP Science, Southampton, Hampshire, UK



Oral nicotine pouches, Use behaviour, Average daily consumption, Mouth hold time


Due to the novel nature of oral nicotine pouches, limited studies have been conducted on the usage of these products in real-world settings. Consumption patterns and use behaviour of current nicotine pouch users need to be investigated to monitor the use and support the assessment of reduced risk products. Here we report the findings of an online survey completed by 550 participants across Sweden, Denmark, Germany and Switzerland who were current nicotine pouch users. The key areas of research were oral nicotine use history, mouth hold duration, nicotine strength, average daily consumption (ADC) and flavour preferences. Across all countries, most participants used oral nicotine pouches for 12 months or less. Longer use of nicotine pouches was reported in Sweden. Pouches containing 6‒15 mg nicotine were used most frequently in all countries, and particularly 11‒15 mg pouches in Sweden and Denmark. Average ADC across all countries was 1-5 pouches, closely followed by 6-10 pouches in Sweden and Denmark. Menthol was the most preferred flavour in all countries, followed by fruity and other food flavours. These findings reflect the differing product use patterns across nascent and mature markets as well as the need to investigate how different experience of product types can affect the use of new categories. Further research is required with a larger sample over time to understand product use patterns more clearly, including transition from and into other product categories.


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Centers for Disease Control and Prevention. Annual smoking—attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. MMWR. 2008;57(45):1226-8.

Robichaud MO, Seidenberg AB, Byron MJ. Tobacco companies introduce ‘tobacco-free’ nicotine pouches. Tob Control. 2019;1-2.

Fowler CD, Gipson CD, Kleykamp BA, Rupprecht LE, Harrell PT, Rees VW, et al. Basic Science and Public Policy: Informed Regulation for Nicotine and Tobacco Products. Nicotine & Tobacco Research. 2018;20(7):789-99.

European Commission. Product regulation, Public Health. 2014. Available at: health/tobacco/products_en. Accessed on 27 May 2021.

Eurostat. Smoking prevalence by sex. Available at: Accessed on 17 February 2022.

Digard H, Errington G, Richter A, McAdam K. Patterns and behaviors of snus consumption in Sweden. Nicotine Tob Res. 2009;11:1175-82.

Li L, Borland R, Cummings KM, Fong GT, Gravely S, Smith DM, et al. How Does the Use of Flavored Nicotine Vaping Products Relate to Progression Toward Quitting Smoking? Findings From the 2016 and 2018 ITC 4CV Surveys. Nicotine & Tobacco Research. 2021;1490-7.