What are the respiratory effects of e cigarettes? The BMJ Can E Cigarette use be Beneficial to Patients with COPD? Red Vape E cigarettes, vapes, juul, extwhatever you call them, they are not a better alternative to smoking. They still contain toxic chemicals that cause severe lung diseases. Start your quit plan today by call Tobacco Smoke, Vaping, and Asthma AAFA.org Cigarette smoke can reprogram cells in your airways, causing COPD to hang on after smoking ends