In reply: We thank Mendelsohn and Beaumont1 for their commitment to tobacco harm reduction and we agree that a personalised approach is likely to be most beneficial. However, nicotine prescriptions have been thrust upon Australian medical professionals with effectively no guidance, especially as to how a personalised approach should and could be implemented. Our approach takes into account current evidence to provide a foundation for prescribing e‐cigarettes until the necessary data become available.2 Our intent was to provide information for all clinicians, including general practitioners and pharmacists, especially for those with minimal experience implementing smoking cessation who may be approached to prescribe e‐cigarettes.
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- 1. Mendelsohn CP, Beaumont C. What doctors should consider before prescribing e‐liquids for e‐cigarettes [letter]. Med J Aust 2022; 217: 547‐548.
- 2. Ween MP, Chapman DG, Larcombe AN. What doctors should consider before prescribing e‐liquids for e‐cigarettes. Med J Aust 2022; 216: 14‐16. https://www.mja.com.au/journal/2022/216/1/what‐doctors‐should‐consider‐prescribing‐e‐liquids‐e‐cigarettes
- 3. Hajek P, Phillips‐Waller A, Przulj D, et al. A randomized trial of e‐cigarettes versus nicotine‐replacement therapy. N Engl J Med 2019; 380: 629‐637.
- 4. Bozier J, Chivers EK, Chapman DG, et al. The evolving landscape of e‐cigarettes: a systematic review of recent evidence. Chest 2020; 157: 1362‐1390.
- 5. Seo AD, Kim DC, Yu HJ, Kang MJ. Accidental ingestion of e‐cigarette liquid nicotine in a 15‐month‐old child: an infant mortality case of nicotine intoxication. Korean J Pediatr 2016; 59: 490.
- 6. Royal Australian College of General Practitioners. Supporting smoking cessation: a guide for health professionals; 2nd ed. RACGP, 2021. https://www.racgp.org.au/clinical‐resources/clinical‐guidelines/key‐racgp‐guidelines/view‐all‐racgp‐guidelines/supporting‐smoking‐cessation/pharmacotherapy‐for‐smoking‐cessation (viewed Oct 2022).
- 7. Sahr M, Kelsh SE, Blower N. Pharmacist assisted vape taper and behavioral support for cessation of electronic nicotine delivery system use. Clin Case Rep 2020; 8: 100‐103.
All authors have received funding from funding bodies that are not associated with the tobacco, e‐cigarette, or smoking cessation industry.