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Evali (E-Cigarette or Vaping-Associated Lung Injury)

Medically reviewed by Drugs.com. Last updated on Nov 3, 2024.

What is e-cigarette or vaping-associated lung injury (EVALI)?

EVALI is life-threatening lung damage from vaping. Effects can start days to weeks after you use a vaping product.

The Lungs

What causes EVALI?

The cause is not known for sure. The following may cause or increase your risk for EVALI:

What are the signs and symptoms of EVALI?

You may feel like you have the flu at first. The following can happen suddenly or get worse quickly:

How is EVALI diagnosed?

Tell your healthcare provider when your symptoms began, and if they are getting worse. No test is available to diagnose EVALI. Your provider will rule out other conditions, such as pneumonia or the flu. He or she may diagnose EVALI based on your vaping activity and results of certain tests. Tell your provider if you have a health condition, especially a lung condition such as asthma or COPD.

How is EVALI treated?

EVALI is almost always treated in the hospital. This is especially important if your condition is severe or you have other health problems. If you are a woman, tell your healthcare provider if you are or think you may be pregnant. EVALI can be more dangerous during pregnancy. Any of the following may be needed to treat your symptoms:

What do I need to do if I am not admitted to the hospital?

You must follow up with healthcare providers in 24 to 48 hours. Someone needs to stay with and care for you until your follow-up visit. The person needs to know the signs and symptoms of EVALI to watch for. Signs and symptoms can be mild at first but become severe quickly. The person will need to help you get immediate care if your symptoms get worse.

What can I do to prevent or manage EVALI?

Where can I find support and more information?

Call your local emergency number (911 in the US) if:

When should I seek immediate care?

When should I call my doctor?

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.