E-cigarettes (vapes)

​This fact sheet contains information about vapes, including health harms, their legal status and their role in smoking cessation. 

Last updated: 07 January 2025

​​​​​​​​What are e-cigarettes (vapes)?

Vapes are battery operated devices that heat a liquid to produce an aerosol that users inhale (often called vaping).

Vapes come in many shapes and sizes and can be made to look like everyday items including highlighters, pens or USB memory sticks. Aerosol from vapes do not usually have a strong odour but may have a sweet smell depending on the flavour. 

What are the health harms of vapes?

  • E-cigarettes may expose users to chemicals and toxins that are harmful to health. 
  • Health authorities should act to minimise harm to ​users and bystan​​​ders until evidence of safety, quality and efficacy can be produced. 

Evidence demonstrates that vapes are harmful including for non-smokers, and especially for young people (1). When someone uses an vapes, the substance they inhale can contain over 200 chemicals, including formaldehyde, arsenic, mercury, heavy metals, solvents and volatile organic compounds. These chemicals have been shown to be harmful to health and can cause cancer, heart disease and lung damage. 

Health harms associated with vape use include nicotine addiction, nicotine poisoning, throat irritation, breathlessness, cough, dizziness, headaches, nausea and lung damage. Rechargeable vapes can also explode causing serious burns and trauma. In rare cases, vaping may cause a life-threatening lung condition known as E-cigarette or Vaping Associated Lung Injury (EVALI).  ​

Most vapes contain nicotine which is highly addictive

Laboratory testing of seized illegal nicotine vaping products has shown that even vapes labelled 'nicotine-free' can have high nicotine levels. 

Nicotine addiction (also known as nicotine dependence) can develop quickly. The more a person vapes (or smokes), the more their brain and body gets used to nicotine and the harder it is to stop. 

For young people, nicotine can cause changes to brain development, impaired attention, learning and memory, and may worsen stress, depression and anxiety.

The  NSW Health Vaping Toolkit provides resources and information for young people, parents and carers, and school staff on vaping harms, nicotine addiction and support to quit vaping. 

Keep young children safe around vapes

A young child can die from very small amounts of nicotine.  Vape packaging is not child-proof, and is often colourful with images of cartoons, food, or drinks. Children can easily activate vapes, particularly if they have watched a family member use them.

  • Do not vape around young children.   
  • Keep vapes out of reach of children.  
  • Keep your home and car smoke and vape free.  
  • Dispose of vapes and vape liquids safely where they cannot be found by children.  

If you think a child may have been exposed to the contents of an vape, or has inhaled, swallowed or spilled vape liquid on their skin, call the Poisons Information Centre on 13 11 26.

If a child has collapsed or are not breathing, immediately call 000 for an ambulance. 

For more information on keeping children safe around vapes, please refer to the E-cigarette Child Safety Pamphlet.

Is it legal to sell vapes in NSW?

Therapeutic vapes remain accessible for smoking cessation or the management of nicotine dependence under appropriate healthcare guidance. 

In NSW, vapes can only be purchased from pharmacies. It is illegal for
tobacconists, vape shops, and convenience store retailers to sell any type of vaping good, regardless of its nicotine content.

Some restrictions apply to the therapeutic vapes. This includes that vapes for
patients under 18 years and/or with a nicotine concentration of more than 20 mg/mL  require a prescription from a medical or nurse practitioner. 

For information on therapeutic vaping goods available through community pharmacies please see Pharmaceutical Services - Vaping Goods

If you think a retailer other than a pharmacy is selling vaping products, please report it to NSW Health or call the Tobacco Information Line on 1800 357 412. Information collected will help to guide the enforcement of tobacco retailing laws and vaping product laws by NSW Health Inspectors. 

For more information please refer to Tobacco retailing laws in NSW​.
​​​​​​​​

Do smoke-free environment laws apply to vaping?

Yes, the Smoke-free Environment Act 2000​ and  Smoke-free Environment Regulation 2016 state that vaping is banned in all areas where smoking is banned. This includes all enclosed public areas and certain outdoor public areas. 


Fo
r more information on smoke-free environment laws please refer to Smoke-free laws in NSW. Smoke-free signage and resources to reinforce that 'No Smoking means No Vaping' can be ordered from NSW Health at Smoke-free environment resources.

NSW Health Inspectors conduct regular compliance monitoring and enforcement activity. Inspectors enforce the ban on vaping where smoking is not permitted. To report a breach of the smoking/vaping ban, please complete the online reporting form or contact the Tobacco Information Line on 1800 357 412.

Using vapes to quit smoking 

Restrictions on where vapes can be sold were introduced to prevent young people from vaping. However, therapeutic vapes remain accessible for smoking cessation or the management of nicotine dependence under appropriate healthcare guidance. 

Therapeutic vapes are not a first line of treatment for smoking cessation or the management of nicotine dependence. Vapes are 'unapproved' therapeutic goods. This means that the Therapeutic Goods Administration (TGA) has not assessed any vape products for quality, safety or effectiveness as a smoking cessation aid. 

There are other proven safe and effective options to help people to quit smoking such as behavioural support, nicotine replacement therapy (NRT) such as patches, gums, lozenges, mouth spray, and other TGA-approved prescription medicines.  NSW Health recommends people seek advice and support from their GP or call the NSW Quitline on 13 78 48 to seek tailored support to quit smoking. 

Short-term use of vapes to support smoking cessation may be appropriate for some people who have exhausted other evidence-based interventions such as behavioural support, NRT and other TGA-approved medicines. 

The decision to proceed with this treatment must be part of an evidence informed shared decision-making process. The patient must be made aware of the risks, advised that dual use (smoking and vaping) should be avoided, and the duration of vaping should be minimised.

For information on therapeutic vaping goods available through community pharmacies please see Pharmaceutical Services - Vaping Goods

More information

References

To ensure you have access to the latest information, we recommend you visit this page regularly.

Current as at: Tuesday 7 January 2025
Contact page owner: Centre for Population Health