Zyn is one of several brands selling fiber pouches about the size of a small stick of gum. Filled with nicotine salts, the pouches are designed to be placed between the gums and lips and come in a variety of flavors.

"We are seeing it from the pediatric standpoint, mostly in older adolescents," said Dr. Marcos Mestre, Clinical Operations Officer at Nicklaus Health System. "We typically see it more in what we call an outpatient basis within the clinics as we're doing our screenings."

FDA authorizes Zyn nicotine pouches, cites lower risk than cigarettes.

The Food and Drug Administration authorized the marketing of 20 Zyn products on Thursday, marking the first such move by the regulator for the fast-growing nicotine pouches segment.

Pouches Pose a Lower Risk

The authorized products pose a lower risk of cancer and other serious health conditions than cigarettes and most smokeless tobacco products, such as moist snuff and snus, due to substantially lower amounts of harmful constituents, the agency said in a statement.

FDA Nicotine Reduction Excludes Nicotine Pouches
The move comes one day after the FDA unveiled a proposed rule that would make tobacco companies cut nicotine levels to non-addictive levels in cigarettes, most cigars and other combustible tobacco products sold nationwide. The proposed rule excluded nicotine pouches such as Zyn, vaping products, hookahs and premium cigars.

The products are authorized to be sold to people 21 and older, the FDA said in a news release, but the agency did not say they were safe. "There is no safe tobacco product; youth should not use tobacco products and adults who do not use tobacco products should not start."

Is The FDA Setting a Dangerous Precedent?
The FDA's move has set a "dangerous precedent," said Yolonda Richardson, president and CEO of the Campaign for Tobacco-Free Kids, adding that the nicotine pouch products with flavors such as chill, citrus, cool mint and peppermint clearly appeal to kids.

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