Cigars and cigarillos: why not inhaling does not mean it is harmless for your health
You do not inhale cigar smoke? That changes nothing: nicotine and carcinogens are absorbed by the mouth. Risk of head-and-neck cancers multiplied.
The scientific basis on quitting smoking was reviewed on a voluntary basis by Pr. Bertrand Dautzenberg , a tobacco specialist, in order to rule out gross, potentially dangerous errors. It reflects positions commonly shared by health professionals and health agencies, without always corresponding exactly to his thinking or his practice. He is not the author of this text; he has only carried out a vigilance review of it.
You do not smoke every day. Just a cigar at the weekend, a cigarillo after a good meal, sometimes at a party. You do not inhale. So — according to the common belief — you are not really at risk.
Except the science disagrees.
Cigar ≠ cigarette, really?
Real differences:
The tobacco is fermented and rolled (rather than chemically processed like the factory cigarette).
The diameter is wider, the burn slower.
Many smokers do not inhale the smoke — it stays in the mouth.
False or marginal differences:
❌ "Cigars don’t cause cancer" — they cause several.
❌ "If I don’t inhale, I’m not at risk" — your mucous membranes absorb everything.
American Cancer Society, 2024
Your mouth lining, the default filter
When you do not inhale, the smoke sits in your mouth, throat and nasal passages for several seconds. During that time:
nicotine is absorbed through the mouth lining (very efficiently, at the alkaline pH of cigar smoke),
carcinogens (nitrosamines, polycyclic aromatic hydrocarbons) deposit on the lining,
carbon monoxide is absorbed through the upper airways.
That is why cigar smokers get more cancers in the head-and-neck area (mouth, tongue, lips, gums, throat), even without inhaling.
What about nicotine? A lot, really a lot
An average cigar contains 100 to 200 mg of nicotine, against 8 to 20 mg in a cigarette. You do not absorb all of it, but the intake stays clearly higher than a single cigarette.
Nicotine, carcinogens and other toxins in cigars are absorbed through the lining of the mouth, even without inhalation — leading to health problems comparable to those of cigarettes for organs in direct contact with the smoke.
American Cancer Society
Cigarillos: the disguised trap
Cigarillos are sold as 'little cigars' and often benefit from looser regulation than cigarettes:
lower prices (different taxes in some countries),
flavours (vanilla, fruit) often allowed, while banned in cigarettes,
marketing targeted at young adults.
Cigars and the heart
Cardiovascular risk stays raised in regular cigar smokers, even non-inhalers:
cardiovascular effect of nicotine absorbed through the mouth,
carbon monoxide absorbed while breathing the smoke,
chronic systemic inflammation.
The risk is lower than for a daily cigarette smoker, but it exists — and rises fast in those who smoke several cigars a day.
And dependence?
What about passive smoking?
Cigar smoke contains more carcinogens per minute than cigarette smoke (longer burn, more tobacco). If you smoke indoors or near loved ones, the passive smoking exposure you create is higher than that of a cigarette smoker.
In United Kingdom
Your questions
-
One cigar a month, is that dangerous?
At that frequency the risk is low — nothing like a daily smoker. Danger rises with frequency. -
Does someone who ONLY smokes occasional cigars have the same risks as a cigarette smoker?
No. Occasional smokers (1-2 cigars/week maximum) carry a much lower risk than a daily cigarette smoker. Regularity is what changes everything. -
What if I switch from cigars to vaping?
Vaping greatly cuts carcinogens vs cigar smoke. It is a harm-reduction option for regular smokers. -
Is a Cuban cigar 'purer'?
Marginally — fewer industrial additives. But the main carcinogens come from the combustion of tobacco and wrapper paper, not from additives. So no, not significantly less risky.
sources
American Cancer Society, Is Any Type of Tobacco Product Safe? — Cigars, updated 2024.
National Cancer Institute, Cigar Smoking and Cancer, NCI Fact Sheet.
Chang CM et al., Systematic review of cigar smoking and all cause and smoking related mortality, BMC Public Health, 2015.
Henley SJ et al., Tobacco-related disease mortality among men who switched from cigarettes to spit tobacco, Tob Control.
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