Table of Contents
- Key Takeaways
- Common Side Effects of Elf Bars
- Potential Long-Term Health Risks
- Adverse Reactions to Nicotine
- Allergic Reactions to E-Liquids
- Impact on Respiratory System
- Comparing Elf Bars to Other Vaping Devices
- Are Elf Bars Safer Than Smoking?
- Tips for Minimising Side Effects
- When to Seek Medical Attention
- Summary
- Frequently Asked Questions
- Are Elf Bars safer than traditional cigarettes?
- What are the common side effects of using Elf Bars?
- Can using Elf Bars lead to nicotine addiction?
- What should I do if I experience severe side effects from Elf Bars?
- Are there long-term health risks associated with using Elf Bars?
- REFERENCES
Curious about Elf Bar side effects? This article dives into the common and potential health risks of using Elf Bars and whether this applies to all electronic cigarettes. Learn about immediate issues like headaches and throat irritation and the more serious long-term risks linked to vaping with Elf Bars.
Key Takeaways
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Elf Bars can cause immediate side effects such as coughing, throat irritation, and headaches, which may diminish over time but require vigilance for persistent symptoms.
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Elf Bars are made in China and their products in the UK, such as the Elf Bar 600 were found to be in breach of UK regulations, raising serious issues of trust.
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At SMOKO we have experienced vapers switching to our UK-made vapes - like the SMOKO VAPE MAX - after contracting pneumonia from disposable vapes.
Common Side Effects of Elf Bars
Elf Bars can cause immediate side effects such as coughing, dry mouth, throat irritation, headaches, and nausea. These symptoms can be particularly frustrating for new users who may not have anticipated such adverse effects from a product marketed as a safer alternative to smoking. Headaches, in particular, are among the most frequently reported issues, often disrupting daily activities.
Throat and mouth irritation are also common, though these symptoms typically lessen with ongoing use. The adaptation period varies from person to person, but initial discomfort can be quite off-putting. Knowing these effects tend to diminish over time can help manage expectations and promote cautious use. The sweet flavours of Elf Bars are particularly attractive to younger users, which has raised concerns about youth vaping.
The e-liquid used in Elf Bars, also known as vape juice, is primarily composed of vegetable glycerin (VG), propylene glycol (PG), and nicotine. Elf Bars, along with most disposable vapes, utilise nic salt in their e-liquid. Nicotine salt is the natural form of nicotine found in the tobacco plant, where products like the SMOKO VAPE MAX use freebase nicotine, the purest form of nicotine.
The fundamental difference between the two types of nicotine is that nic salt is not absorbed in the lining of the throat, which explains the smooth inhale, and freebase nicotine is absorbed in the throat, providing the signature ‘throat hit‘. Elf Bars typically contain a nicotine content of 20mg/ml, which is the standard concentration for many disposable vapes and is comparable to the nicotine levels found in a pack of traditional cigarettes, raising concerns about addiction risk and health considerations.
Vigilance is crucial. Persistent or worsening symptoms might indicate a severe reaction to components of the e-liquid or the device itself. Consult a healthcare provider to ensure your health remains uncompromised.
Potential Long-Term Health Risks
Immediate effects of using Elf Bars can be bothersome, but potential long-term health risks are more concerning. Nicotine, the primary addictive substance in Elf Bars, can lead to addiction, especially in adolescents with developing brains. This addiction can lead to withdrawal symptoms such as irritability, anxiety, sleep disturbances, and cravings.
The long-term effects of vaping on lung health remain unclear and are still under research. However, some health professionals suggest that vaping can cause respiratory symptoms similar to those experienced by cigarette smokers. This includes airway damage and inflammatory responses, even in users of nicotine-free e-cigarettes.
The reality is that many of these health professionals include instances of EVALI (E-Cigarette and Vaping Associated Lung Injury) in the United States. This is bordering on 'misinformation' as these instances of EVALI have largely been associated with the chemical vitamin E acetate that is used to mix in illicit substances like THC (the psychoactive component in cannabis) to e-liquids. The complete lack of coherent regulation in the U.S when E-Cigarettes and vaping were developing allowed the inclusion of harmful chemicals like diacetyl, and a flourishing 'black market' for drug-infused e-liquids. Severe or repeated lung injury from vaping harmful chemicals can result in permanent lung scarring, which is an irreversible condition and can have lasting impacts on respiratory health.
Disposable vapes like Elf Bars also contain high levels of potentially harmful substances. Investigations have found unsafe levels of lead and nickel in confiscated vapes used by children (1). Doctors have also raised concerns about oral health issues, including gum disease and tooth decay, linked to both Elf and Geek Bars. The long-term health implications of vaping remain uncertain and require further research.
Given these risks, while Elf Bars might be a less harmful alternative to smoking, they still pose health risks. Importantly, Elf Bars do not contain cancer causing tobacco, which is a major source of toxic chemicals in traditional cigarettes. Despite ongoing research and regulatory changes, vaping remains a significant harm reduction tool for many smokers.
Users should remain cautious and stay informed about ongoing research in this area, and instead choose e-liquid made in the UK and EU as these markets ensure high standards of safety and the exclusion of harmful chemicals is regulated by law.
Adverse Reactions to Nicotine
Nicotine, the active ingredient in Elf Bars, can cause several adverse reactions. Acute exposure can lead to toxicity, with incidents reported in both adults and children. Symptoms of nicotine toxicity can include increased heart rate, nausea, and, in severe cases, vomiting and dizziness.
The addictive nature of nicotine is particularly concerning, especially among young users. Addiction from vaping can develop rapidly, leading to dependence and making it challenging to quit. This is particularly troubling for adolescents who might turn to vaping, thinking it’s a safer alternative to smoking, only to find themselves struggling with addiction. As they become addicted to nicotine, this encourages addictive behaviour in future. This concern over the rise in youth vaping and the health impact this has on developing teens is a primary reason for the disposable vapes ban due to take effect in June 2025.
For those looking to quit smoking or vaping, nicotine replacement therapy is a proven, safer method for smoking cessation and can help reduce dependence on nicotine. SMOKO now has a range of Sugar-free Nicotine Gum that can help curb cravings, with enjoyable flavours including Mint, Blueberry and Watermelon. Boasting 70% more volume than other well-known brands, SMOKO Nicotine Gum provides a robust chewing experience that is sure to keep your mouth occupied!
Adverse reactions to nicotine are not limited to toxicity and addiction. Users might also experience increased heart rate and nausea, which can be quite unsettling. Recognising these symptoms early and taking appropriate action, such as stopping vaping for a few hours or seeking medical advice, can prevent long-term health consequences. In most cases, users will feel too nauseated to continue vaping to cause serious harm from nicotine, however nicotine overdose will have you feeling sick for an hour or two. If you have ingested too much nicotine then stop vaping for as long as you need and refrain from overdoing it as severe nicotine exposure symptoms can last 18 to 24 hours. (2)
Given that E-Cigarettes are marketed as a harm reduction tool for smokers, it is worth pointing out that e-liquids containing nic salt typically contain 3 to 4 times the amount of flavouring agents used in freebase nicotine liquids (3). As the flavourings are responsible for some of the volatile compounds made in the vaporisation process, this indicates that nic salt liquids could be more harmful than freebase nicotine liquids in a significantly statistical way.
Allergic Reactions to E-Liquids
Allergic reactions to the components of e-liquids in Elf Bars are relatively uncommon but can occur. Propylene glycol (PG), a common ingredient in e-liquids, can cause allergies in about 3.5% of the population. Symptoms of a propylene glycol allergy can include skin irritation and respiratory issues, such as difficulty breathing and wheezing (4). In the case of an allergy to PG, vapers should seek e-liquids that have a higher vegetable glycerine (VG) content - or are entirely VG based. Vegetable glycerin is a plant-based, food-grade ingredient commonly used in vape juice to produce vapor and add sweetness, making it a popular and safer alternative for those sensitive to PG.
Ingesting propylene glycol can also lead to digestive symptoms like nausea and abdominal pain. Minimising the risk of allergic reactions involves using e-liquids from reputable suppliers. This ensures product safety and reduces the likelihood of adverse reactions from potentially harmful chemicals in low-quality e-liquids.
Impact on Respiratory System
Vaping’s impact on the respiratory system is a significant concern for Elf Bar users. Studies indicate that inhaling vape aerosol can cause lung inflammation, potentially leading to chronic respiratory issues with long-term use.
Moreover, vaping has been linked to increased airway resistance which could be a problem for sufferers of asthma (5). This can manifest as symptoms like shortness of breath, cough, and chest pain, which may indicate a serious lung condition. Individuals allergic to propylene glycol may also experience symptoms similar to asthma, including wheezing and coughing.
It is worth noting that nic salt particles are larger than freebase nicotine particles, which could mean the immune system has a harder time dealing with nic salt than freebase nicotine. The immune response in the lungs leads to increased fluid in the lungs, and excess fluid in the lungs leads to pneumonia. We are currently unaware of any situation where freebase nicotine has lead to cases of pneumonia, but at SMOKO we have had customers who switched to our vaping products after developing pneumonia using disposable vapes, so have been vaping nic salt liquids.
However, the possibility of long-term respiratory harm from disposable vapes cannot be ignored. Afterall, the e-liquids contained in disposable vapes made in Asia are not held to the same high standards set out by the Tobacco and Related Products Regulation (TRPR) and the Tobacco Products Directive (TPD) that govern UK-made e-liquid. Users should be aware of these risks and, if you value your respiratory health, make the switch to a vaping with UK-made e-liquids like that contained in our great Elf Bar alternative: the SMOKO VAPE MAX.
Comparing Elf Bars to Other Vaping Devices
Vaping, including the use of Elf Bars and similar devices, is not entirely risk-free. The lack of regulation on e-liquid ingredients for vaping products in the U.S. can impact both safety and health risks. However, the health risks from vaping are believed to be only a small fraction of those associated with smoking cigarettes. It is worth noting that in most studies regarding harms from E-Cigarette use, the UK really doesn't get mentioned!
Elf Bars, like other disposable vapes, offer convenience and ease of use but come with their own set of potential health risks. Users should carefully consider these factors when choosing between different types of vaping devices, including Elf Bar vapes. Vape pens are also a popular option, offering a rechargeable alternative to disposable vapes like Elf Bars, and are available in both refillable and disposable forms.
Compare this to the SMOKO E-Cigarette Cigalike vape - this device is designed to look like a cigarette has a track record of over 10 years, helping customers make the switch from smoking to vaping seamlessly. The SMOKO cigalike refills contain our UK-made e-liquid and are submitted to the MHRA in every flavour at every strength for approval, as are all SMOKO refills and devices, including the SMOKO VAPE POD.
A more appropriate comparison might be with the SMOKO VAPE MAX. This device is designed to look like a typical cylindrical disposable vape but uses a rechargeable vape battery and prefilled refills and, as a UK vape manufacturer, the VAPE MAX refills are filled here in the UK with our UK-made e-liquid.
Are Elf Bars Safer Than Smoking?
Whether Elf Bars are safer than smoking is a common question. Vaping is considered a less harmful considered a significantly safer alternative to smoking, with Public Health England stating that vaping is approximately 95% safer than smoking traditional cigarettes (6). However, it is important to note that Elf Bars are not completely risk free. The safety of Elf Bars depends on factors like regulation, responsible use, and product quality.
It is unclear whether the evidence included in Public Health England's evidence reviews includes testing of the vapour produced by these Chinese-made disposable vapes, but with UK made vaping products (that aren't allowed to contain diacetyl, vitamin E acetate, acrolein and pentanedione) you can be sure that UK vaping products are likely the safest around!
Using a whole 2ml Geek or Elf bar is roughly equivalent to smoking 48 to 50 traditional tobacco cigarettes in terms of nicotine intake. Many users who previously smoked have switched to Elf Bars as a less harmful alternative. While most smoking-related harms come from toxic substances in tobacco itself, as well as harmful substances formed in the combustion process, nicotine remains the main addictive element in both e-cigarettes and cigarettes, though nicotine on it's own is considered safe at low levels.
Vaping doesn’t produce tar and carbon monoxide as it eliminates the need for combustion. Elf Bars do not burn tobacco, which is the process responsible for producing most of the harmful chemicals in cigarette smoke. Studies show that the levels of harmful chemicals produced are orders of magnitude lower than the levels found in tobacco smoke. Cigarette smoke contains toxic substances like tar and carbon monoxide, while vapour from Elf Bars contains much lower levels of these harmful chemicals, making them significantly safer than smoking cigarettes. Thus, Elf Bars might be a safer alternative to smoking, however the lack of regulation in their production means they still carry risks users should be aware of. While Elf Bars are safe for adult smokers looking to quit, they are not completely risk free.
If you are looking to quit smoking tobacco then check out the SMOKO E-Cig and Vapes starter kit range. Our fantastic devices use e-liquids made in the UK for the safest, highest quality vaping experience, avoiding harmful chemicals found in vaping devices and e-liquids made elsewhere. Vaping can help people stop smoking cigarettes and reduce their exposure to harmful substances that are present when tobacco is smoked.
Tips for Minimising Elf Bar Side Effects
Minimising the side effects of using Elf Bars can lead to a more positive experience. Common side effects like throat irritation, dry mouth, and headaches tend to dissipate over time as users adjust to the product. However, there are practical steps users can take to minimise these adverse effects.
- Regular breaks from vaping can reduce the intensity of side effects.
- Staying hydrated can alleviate dry mouth and throat irritation.
- Monitoring usage and being mindful of frequency can prevent overexposure to nicotine and other chemicals, further reducing adverse health effects.
Alternatively, users can make a more positive health choice and enjoy their vaping experience with UK-made E Cigarettes - like SMOKO!
When to Seek Medical Attention
Recognising when to seek medical attention due to adverse effects from using Elf Bars is crucial. In severe cases, exposure to propylene glycol can lead to anaphylaxis, a life-threatening allergic reaction. Individuals experiencing fever, chills, or gastrointestinal issues such as diarrhoea or nausea after vaping should consider medical evaluation.
Rapid breathing or an increased heart rate also warrant immediate medical attention, indicating early stage nicotine poisoning. Awareness, prompt action and ceasing nicotine intake can prevent complications and ensure timely medical intervention if necessary, however the likelihood of suffering severe nicotine poisoning through vaping is incredibly low. Be sure to avoid drinking any e-liquid and you should be fine!
With nicotine products such as Elf Bars and other disposable vapes, it is still important to recognise these signs early and seek medical help when necessary.
Summary
In summary, while Elf Bars present a potentially safer alternative to smoking, they are not without their own set of health risks and side effects. Users should be aware of the common side effects, potential long-term health risks, and adverse reactions to nicotine and ingredients in e-liquids. Comparing Elf Bars to other vaping devices and understanding when to seek medical attention can help users make informed decisions. Always prioritise your health and stay informed about the latest research and guidelines.
The issues surrounding disposable vapes including Elf Bars are sadly lost in the avalanche of anti-vaping sentiment. There is huge variation in the levels of quality and regulation at play across the world regarding E Cigarettes, so any outlook should be informed by such nuance.
The straight and fast rule is: buy e-liquid made in the UK, if you can. If not the UK, then the EU is also governed by the Tobacco Products Directive so e-liquid bought in these areas should be well regulated.
If you are looking for the best Elf Bar alternative then check out the SMOKO VAPE MAX. Not only do the VAPE MAX refills contain UK-made e-liquid and have been granted approval by the MHRA, but the rechargeable batteries help to contribute to a more sustainable way to vape, instead of the huge amounts of waste caused by disposable vapes.
Time you put your Elf on the shelf - make the switch with SMOKO today!
Frequently Asked Questions
Are Elf Bars safer than traditional cigarettes?
Elf Bars are incorporated in the stance that vaping is approximately 95% safer than traditional cigarettes, according to Public Health England, although they still entail some health risks and have been found to be in breach of UK regulations. Therefore, while they may be a less harmful alternative, caution is still advised, and switching to a product with UK-made e liquids is a great idea.
What are the common side effects of using Elf Bars?
The common side effects of using Elf Bars include coughing, dry mouth, throat irritation, headaches, and nausea. If you don't already have one, then a nicotine addiction is also another common side effect. It is advisable to monitor these symptoms closely while using the product.
Can using Elf Bars lead to nicotine addiction?
Yes, using Elf Bars can lead to nicotine addiction, particularly in young users, as nicotine intake increases the number nicotine receptors in the brain this is particularly worrisome while a brain is still developing.
What should I do if I experience severe side effects from Elf Bars?
If you experience severe side effects from Elf Bars, you should seek immediate medical attention for symptoms such as rapid breathing, increased heart rate, or serious allergic reactions. Your health is a priority, and timely intervention is crucial.
Are there long-term health risks associated with using Elf Bars?
Indeed, there are potential long-term health risks associated with Elf Bars, including respiratory issues, reduced lung function, and exposure to harmful chemicals. It is important to remain informed and cautious about such products, but switching to a UK-made products may help to reduce these risks further.
REFERENCES
(1) High levels of heavy metals found in illegal vapes confiscated from school children
(4) Contact allergy to propylene glycol
(5) Vaping and e-cigarette use. Mysterious lung manifestations and an epidemic
(6) E-cigarettes around 95% less harmful than tobacco estimates landmark review
ABOUT THE AUTHOR
Written by Dan Overgage
Dan Overgage is a former smoker of 10 years until he became a client of SMOKO E-Cigarettes. Dan started working with SMOKO 5 years ago after successfully quitting using our e-cigarettes and works across our Customer Service and heads up our content creation and research with a strong focus on all things quitting smoking. During his tenure with SMOKO, Dan has written countless blogs and consults with countless clients every day to help them to stay smoke-free.
Last updated 30/07/2025
