The association issued 1,300 warning letters and fines to companies illegally selling e-cigarette products to minors.
Gottlieb said if the five e-cigarette manufacturers that received FDA letters do not come up with plans to address youth use of their products, the agency might "reconsider" its decision to delay the date at which e-cigarettes will need agency approval to remain on the market.
UPI contacted two other manufacturers by phone or email but did not receive replies: Altria's MarkTen XL and Imperial Brands' Blu.
"Adolescents' brains are not fully developed and nicotine can affect things like cognitive abilities, things like concentration and memory and problem solving, which are important to educational and occupational success later in life", she said.
The FDA also targeted Juul retailers this spring, issuing 56 warning letters and six civil monetary penalties.
Congress gave the FDA the authority to regulate tobacco products in 2009.
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The press released called on the FDA to immediately begin "requiring all e-cigarettes and other newly deemed tobacco products to go through the premarket review process required in the Tobacco Control Act, and removing all flavored tobacco products from the marketplace". That is not true of the doses in e-cigarettes, she said.
CBC News attempted to contact several stores selling e-cigarettes and related products but did not receive comment by publication time.
[The FDA's approach] calls to mind the predictably lazy federal approach to firearms regulation: Rather than do the hard work of running down street dealers and straw buyers, the ATF and the anti-gun lobby concentrate their efforts on firearms makers and licensed gun dealers, because it is easier to police the law-abiding than it is to police criminals. You know, the FDA's been going after e-cigarette use among young people for a while now, but it says it's taking that to a whole new level.
Of the 3.6 million middle- and high-school students who said in 2017 they are current tobacco-product users, 2.1 million used e-cigarettes, according to the Centers for Disease Control and Prevention. "The FDA may perchance perchance no longer tolerate an complete generation of children changing into hooked on nicotine as a tradeoff for enabling adults to non-public unfettered access to these same merchandise", Gottlieb said.
The agency said it allowed the extra time to strike an appropriate steadiness between law and encouraging the pattern of revolutionary tobacco merchandise that can support older people who smoke quit.
If the companies refuse to revise their marketing practices or prove they are willing to cut off retailers that sell their products to children, then the will knock them out of the market until they make reforms. "And they [teens] have adopted it", Gould said.
"I believe certain flavors are one of the principal drivers of the youth appeal of these products", Gottlieb said. The truth about tobacco and the tobacco industry are at the heart of our proven-effective and nationally recognized truth public-education campaign, our rigorous and scientific research and policy studies, and our innovative community and youth engagement programs supporting populations at high risk of using tobacco. British American, which produces Camel cigarettes, climbed as much as 6.4 percent in London, the biggest intraday increase in 10 years.
The commissioner said flavors play a key role in peaking teen interest.