Top Stories from North Macedonia
39.9% of the adult population are current smokers
There are approximately 589,000 current smokers in Macedonia
Country profile
Data sourced:
2026.
Page updated:
2026-08-10
Smoking in Macedonia
4,146
Deaths
4,146 people in Macedonia die from tobacco smoking-related diseases each year.
1.2%
e-cigarette vaping
Adult e-cigarette vaping prevalence is 1.2%.
Nicotine Vaping Devices
in Macedonia
In Macedonia, on May 2nd 2019, the President signed a decree formalising the adoption of the new Law on Tobacco which includes a separate category for Heated Tobacco Products and e-cigarettes, and requires different health warning for this category versus cigarettes. No health warnings are required on e-cigarette devices. 'Smoking' is defined as the use of a combustible tobacco product. Pre-market notification for Heated Tobacco Products and pre-market approval for e-cigarettes will be required.
Heated Tobacco Products
in Macedonia
There are no specific laws for Heated Tobacco Products (HTPs) in Macedonia. However, some industry sources state that HTPs are regulated as tobacco products and people use them. If you have any updates with credible references, please share with the GSTHR team.
Nicotine Replacement Therapy
in Macedonia
Nicotine Replacement Therapy (NRT) is allowed in Macedonia, including the sale and purchase of its products without a prescription which are available in pharmacies. However, they are not included on the country’s essential drugs list, and the government does not cover the cost of NRT.
Snus
in Macedonia
Used in Scandinavia for more than 200 years, snus is providing smokers in Sweden and Norway with an alternative to combustible cigarettes. Find out what it is, and why it is considered a safer nicotine product in our briefing paper.
Pouches
in Macedonia
Nicotine pouches are a relatively new product which can provide users of high-risk tobacco with an alternative that poses fewer risks to their health. Read more about nicotine pouches in our briefing paper
The GSTHR database is updated regularly by our team.
However, please be aware that the information we provide does not constitute legal advice.
We cannot guarantee that the information is up to date or accurate, as the regulatory status of different product
categories can change at short notice and with little publicity.
If you wish to check the legal status of use or possession of any safer nicotine product in a specific country or region,
you should verify the information independently.
If you have reason to think that the information supplied on the GSTHR is inaccurate, please contact us with details
and any references and we will rectify any errors.