When vape came to the market, it was said to help quit smoking, but no solid evidence was found, Dr. Dr. Pulmonologist. Raksha Pandey argues. She says that its use has increased not only among young people but also among school students.

about vape Dr. Pande Pravina Paudel for Ekantipur :  What are the short-term and long-term effects of vape use?

When using any drug, there are symptoms like coughing and difficulty in the beginning . It can be understood that it is affecting our body. Allergies transiently, increase heart rate, increase blood pressure, chemicals and flavors cause allergic reactions . In the long term, vape-related lung problems, known as 'evali', can occur. Vape has also been shown to cause other lung diseases. It has also been seen that young people have died due to difficulty in breathing due to excessive use of vape. 

It seems that vape has come into the market as an alternative to cigarettes . What's the difference between cigarettes and vape ? What is the difference in the effect of these two ?   To see how

is different, it is necessary to know how both are addictive. Other chemicals and nicotine in cigarettes are addictive. Vape also contains nicotine . Nicotine was also found in the vape which was said to be nicotine-free abroad . Nicotine reaches the brain within 6 seconds of use. It makes you feel happy . After increasing the usage, little by little will not be enough . That's why it is necessary to increase the quantity . The same process happens in both cigarettes and vape . When vape first came on the market, it was intended to help quit smoking. There is no concrete proof of this. Now, not only the youth, but also school students have seen an increase in its use. There are many examples of vape found in school bags. 

Which effect is not bad in this . Both are bad . It's like asking which alcohol is more harmful than vape or cigarettes. The effect of the two is different. Smoking causes lung cancer, heart disease . The chemicals and fumes in it are .

Data to date has not shown that vape causes as many diseases as cigarettes. However, it is equally harmful . It also gets addictive quickly. Another thing is that whatever is known about cigarettes is a century of study and discovery. It hasn't been long since vape has been commercialized . Only in the coming decades will we know what its further effects can be . Looking at the studies so far, smoking and its effects are not the same. But this is also not a good thing. It's addictive. 

It has been found that its use is more in teenagers and young people . What are the implications for this category in particular?

Vape seems to have been targeting young people since its inception . Also, it doesn't smell . Small, like a toy . Even when seen, it is not visible . You don't even know how much vape is. I have seen even 10-year-old children using it now . They are not well developed. If chemicals like vape are used, their development will also be harmed . The younger you start, the longer you stay. Even non-smokers have started using vape a long time ago. It has been seen that 15 to 20 percent who tried vape once began to use it regularly. Adult patients come to me . It is said to switch to quit smoking . But what was seen was that they went from one addiction to another addiction . Many of them could not quit smoking but also got addicted to vape . There is no more regulation in Nepal. I don't know what kind of vapor is coming in, what's in it. If you don't know what it is, how it will affect you, you won't know . It was seen that it is sold regardless of age. 

Can it also have a second-hand effect ? I don't know about the

second-hand effect. Studies have not been too much . It will not be smoke but steam. It does not need to be burned like tobacco, so it is understood that it will not affect that much. 

Does vape help quit smoking ?

Saying that vape helps you quit smoking is just a myth .

How did the concept that vape help quit smoking come about?

When the concept of vape first came about, it was made to take medicine. Which was not commercialized . Later it was said that it will help to quit smoking . So far we have found out that smoking is 100% harmful. It has been confirmed that it was caused by thousands of chemicals. The reason for not being able to quit smoking is the addiction to nicotine in it. It seems to come from the concept that it can be left without being in the vape . What nicotine does is that it reaches the brain within 6 seconds of use, and makes you feel happy . And little by little will not reach . That's why it is necessary to increase the quantity . The same process happens in vape. In the beginning, two or three puffs were sufficient, but gradually, it is necessary to continue the whole day . Vape is easy to use, wherever and however you eat . It was found to be addicted to this. But it didn't help to quit smoking .