Oklahoma doctor shares signs and symptoms of child nicotine poisonings as cases rise

A new study from the American Academy of Pediatrics reveals a dangerous rise in nicotine poisonings among young children, especially from flavored nicotine pouches. Pediatricians across Oklahoma say the spike—more than 700% over the study period—is being driven by easy access, candy-like packaging, and low awareness among parents and teens.

>>> Number of kids accidentally swallowing nicotine pouches increased 763% in recent years, study finds

Dr. Teresa Horton with Utica Park Clinic in Owasso joined News On 6 to discuss what parents need to know and how to keep kids safe.

This study shows a 700% increase in poisonings. How serious is this issue in Oklahoma?

Dr. Horton: "Toddlers will put anything in their mouth. The packaging looks like candy, the little pouches are sweet, and toddlers are small—so they’re getting a significantly higher nicotine ingestion for their size."

What are the symptoms or dangers of nicotine poisoning in toddlers?

Dr. Horton: "They can have mild side effects like nausea, vomiting, and irritability. But with a high enough dose, especially if they swallow the pouch, they can have life-threatening heart arrhythmias, seizures, or even end up in a coma."

If a parent suspects their child ingested nicotine, what should they do?

Dr. Horton: "The best thing to do is to call Poison Control first. Every parent should have that number on hand. But if your child is acting sick, go to the emergency room. If you use nicotine products—like vape cartridges or pouches—let doctors know, even if you’re unsure if the child ingested anything."

How can parents prevent this from happening?

Dr. Horton:

1. "Keep nicotine products locked up like medications."
2. "Store them in unmarked or secure containers—many packages look like candy."
3. "Don’t use these products in front of toddlers. If they see you put it in your mouth, they’ll try to copy you."
4. "Parents with teenagers should talk to them, too. If teens use nicotine, they may leave it out where toddlers can find it."