Urgent Action Against Etomidate in Vapes

In a bold move, Singapore's health authorities are cracking down on the alarming rise of vapes containing etomidate, a powerful anesthetic increasingly found in e-vaporisers. In a recent directive, the Ministry of Health (MOH) and the Health Sciences Authority (HSA) mandated public healthcare institutions to meticulously document all suspected cases linked to this dangerous substance.

Healthcare Institutions on High Alert

Issued on July 9, the circular instructs medical practitioners not only to record cases but also to ensure that patients surrender their e-vaporisers. Additionally, urine testing for clients may become standard to combat the growing menace of these harmful devices.

Worrisome Statistics on Etomidate Use

The urgency in Singapore's action is underscored by alarming statistics: reported cases of etomidate-laced pods have skyrocketed, jumping from a mere 10 in 2024 to a staggering 28 cases just in the first half of 2025 alone. The United Nations Office on Drugs and Crime recently highlighted that etomidate is making its mark on illicit drug markets across East and Southeast Asia.

What is Etomidate?

Etomidate is primarily used in medical settings as an anesthetic agent, but its misuse in vaping can lead to serious health ramifications. Classified as a poison under the Poisons Act, possessing or using etomidate-laced devices carries severe penalties — up to two years in prison and fines reaching $10,000.

Reassurance for Patients Seeking Help

In a move to encourage those struggling with vaping to seek medical attention, both MOH and HSA assured patients that they will not face enforcement actions for prior use if they come forward. Medical professionals are urged to monitor warning signs linked with etomidate exposure, including seizures and respiratory distress.

Potential Policy Changes Ahead

The MOH and HSA are undertaking a comprehensive review to assess the harm and addiction potential posed by etomidate in vaping products. This data will shape future regulations, as agencies ponder whether existing laws should be fortified.

Support Systems in Place

For those seeking to quit vaping, the public can utilize the Health Promotion Board’s QuitLine. After initial treatment in emergency departments, patients may be referred back for continued support. Importantly, participants in HPB's I Quit program do not have to fear penalties as they work towards kicking the habit.

A Growing Concern,

This crackdown is part of a larger national strategy. Between January 2024 and March 2025, authorities confiscated over $41 million worth of vaping products, and a staggering 14,600 individuals were penalized in 2024 alone, compared to just under 5,000 in 2022. Singapore is clearly committed to protecting public health and eliminating this growing threat from the streets.