How do you counsel patients on vaping cessation as compared to smoking cessation?

Presently, evidence-based approaches to vaping cessation are not well-developed. Thus, one should approach nicotine vaping cessation in a similar way to tobacco smoking cessation using a stepped care approach. Motivation to quit (versus reduce) use should be assessed and motivational counselling techniques should be provided to build motivation to change vaping use; then withdrawal management and nicotine craving coping skills should be offered. Nicotine replacement therapies (e.g., patches, gum, nasal spray, inhaler, etc.) should then be offered to those unable to quit/reduce vaping with behavioral interventions. Addition of varenicline or bupropion should be reserved for those vapers unable to quit/reduce their vaping.