This guide is intended to be a clinical resource for the treatment of the dual use of cigarettes and e-cigarettes*.
The guide can support professionals working across behavioral health, public health, and tobacco control systems in addressing dual use among the patients and individuals they serve, which refers to the regular use of both combustible cigarettes and e-cigarettes. It provides practical guidance to help providers and program leaders better understand, assess, and treat dual use.
Research on dual use remains in its early stages, and ongoing studies may lead to changes in some of the findings presented in this report.
This guide includes:
- A definition of dual use and a summary of current use patterns
- Health implications and associated risks
- Recommendations for treatment goals based on motivation and readiness
- Evidence-based guidance on pharmacotherapy and counseling approaches
- Clinical insights on the role of e-cigarettes in smoking cessation
- An overview of current FDA regulations related to e-cigarette products
*E-cigarettes are sometimes called e-cigs, vapes, vape pens, and electronic nicotine delivery systems (ENDS).
