Labeling Information on Electronic Nicotine Delivery Systems.

Objectives: Recently, the United States (US) Food and Drug Administration (FDA) announced its intention to start requiring nicotine exposure labels for nicotine-containing liquid products. The purpose of this study was to examine the safety labels, messages, and packaging from a broad range of Electronic Nicotine Delivery Systems (ENDS) products manufactured prior to the announcement of this new requirement. Methods: We purchased 105 ENDS products and e-liquids from across the US as well as from online shops. Products were analyzed for the presence of health warnings (eg, do not drink), instructions for use related messages (eg, keep upright), legal disclaimers (eg, not FDA approved), and nicotine content related messages (eg, contains nicotine). Results: The majority of analyzed products had messages regarding instructions for use of the products (84.8%) and legal disclaimers (81.9%). Most of the products studied had nicotine content related warnings (72.4%). Only slightly more than half of the products had some sort of health warning (63.8%). All analyzed e-liquids had child-resistant packaging. Conclusions: Prior to the establishment of these new requirements by FDA, the majority of ENDS products examined had exposure labels and child-resistant packaging as product constituents. [ABSTRACT FROM AUTHOR]