Cannabis

Cannabis buds macro shot

Last published: June 05, 2020

What is cannabis?

What is cannabis? Cannabis is classified as a cannabinoid drug. The exact number of different cannabinoids in the cannabis sativa plant is still being researched, but it primarily contains the psychoactive cannabinoid THC (delta9 tetrahydrocannabinol) and the non-psychoactive cannabidiol (CBD).1

Other names

Marijuana, yarndi, pot, weed, hash, dope, gunja, joint, stick, chronic, cone, choof, mull, 420, dabs, dabbing, BHO.

How is it used?

Cannabis can be smoked, eaten or vaporized and comes in different forms. Users report that the subjective effects of cannabis vary significantly depending on the form consumed.2

  • Marijuana − the dried leaves and flowers (buds) of the cannabis plant that are smoked in a joint or a bong. This is the most common form.
  • Hashish – the dried plant resin that is usually mixed with tobacco and smoked or added to foods and baked goods; such as cookies and brownies.
  • Hash oil – liquid that is used sparingly (due to high potency) and added to the tip of a joint or cigarette and smoked.3
  • Concentrates – extracts (dabs, wax or shatter) typically using butane hash oil as a solvent, often vaporised in small quantities due to high THC content.3

Cannabis can be prepared into various foods generally called ‘edibles’. It usually takes between 1-3 hours to feel the effects after eating cannabis.4 Impatient or naïve users may believe they have not taken enough to feel the effects, and if they consume more they may find later that the psychoactive effects are unpleasantly strong. When edible products have inconsistent levels of THC even experienced users may find it difficult to regulate the amount consumed.5

When smoked or vaporised, the effects are usually felt straight away.6 There are health concerns about the impact of smoking cannabis, especially in the long term. This is particularly the case if mixed with tobacco.

Cannabis can also come in synthetic form, which may be more harmful than real cannabis.

Effects of cannabis

There is no safe level of drug use. Use of any drug always carries some risk. It’s important to be careful when taking any type of drug.

Cannabis affects every individual differently. Even the same person may have a different experience on separate occasions or over the course of their life. Some people report feelings of relaxation and euphoria while other people report experiences of anxiety and paranoia.7 Some of the factors that might influence these differences could be:

  • size, weight and health
  • whether the person is used to taking it
  • whether other drugs are taken around the same time
  • the amount taken
  • the strength of the drug
  • expectations of consuming cannabis
  • the environment of the individual
  • the individual’s personality.6, 7

The effects of cannabis might include:

  • feelings of relaxation and euphoria
  • spontaneous laughter and excitement
  • increased sociability
  • increased appetite
  • dry mouth.6, 7

If a large amount, strong batch, or concentrated form is consumed, you may be more likely to also experience:

  • memory impairment
  • slower reflexes
  • bloodshot eyes
  • increased heart rate
  • mild anxiety and paranoia.6, 7

Long-term effects

Long-term effects are dependent on how much and how often the cannabis is consumed and may also be affected by how the cannabis is consumed (e.g. vaporising a concentrate versus smoking the flower).8 Heavy, regular use of cannabis could potentially lead to:

  • tolerance to the effects of cannabis
  • dependence on cannabis
  • reduced cognitive functioning.8, 9

Smoking cannabis may also increase the likelihood of experiencing:

  • sore throat
  • asthma
  • bronchitis
  • if smoked with tobacco, cancer.10

Individuals with a family history of serious mental illnesses such as schizophrenia or bipolar disorder – or who currently experience symptoms of these conditions – should avoid using cannabis.11, 12 Cannabis use may worsen the course of bipolar disorder, and those who are predisposed to experiencing psychosis (a common symptom of schizophrenia), may be at an increased risk of cannabis-induced psychosis.11, 12 Psychosis symptoms include delusions, hallucinations and seeing or hearing things that do not exist or are distorted.

Using cannabis with other drugs

The effects of taking cannabis with other drugs − including over-the-counter or prescribed medications − can be unpredictable.

Cannabis + alcohol: nausea, vomiting.13

Cannabis is sometimes used to help with the ‘come down’ effects of stimulant drugs, such as ice, speed and ecstasy.

Withdrawal

Giving up cannabis after regular, heavy use over a long time is challenging, because the body has to get used to functioning without it. Withdrawal symptoms may last for only a week, but sleep may be affected for longer. Symptoms include:

  • anxiety
  • irritability
  • loss of appetite and upset stomach
  • sweating, chills and tremors
  • restless sleep and nightmares.14

Help and support

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Medicinal cannabis

Medicinal cannabis is cannabis prescribed to relieve the symptoms of a medical condition, such as epilepsy. It is quality-controlled product with labelled levels of cannabinoids such as THC and CBD. Recently legislation has been passed in Australia to facilitate access to medicinal cannabis for certain medical conditions.

Federal and state laws provide penalties for possessing, using, making or selling cannabis, or driving under the influence.

There are also laws that prevent the sale and possession of bongs and other smoking equipment in some states and territories.

Certain states in Australia have passed laws to allow access to medicinal cannabis for very specific conditions.

See also, drugs and the law.

National

35% of Australians aged 14 years and over have used cannabis one or more times in their life.15

10.4% of Australians aged 14 years and over have used cannabis in the previous 12 months.15

Young people

Most young people do not use cannabis – 68.7% of 12-17 year olds have never tried it.14, 16

  1. Lambert Initiative for Cannabinoid Therapeutics. Phytocannabinoids: University of Sydney;  [cited 2020 May 27].
  2. Meacham MC, Paul MJ, Ramo DE. Understanding emerging forms of cannabis use through an online cannabis community: An analysis of relative post volume and subjective highness ratings. Drug and Alcohol Dependence. 2018;188:364-9.
  3. Chan GCK, Hall W, Freeman TP, Ferris J, Kelly AB, Winstock A. User characteristics and effect profile of Butane Hash Oil: An extremely high-potency cannabis concentrate. Drug and Alcohol Dependence. 2017;178:32-8.
  4. MacCallum CA, Russo EB. Practical considerations in medical cannabis administration and dosing. European Journal of Internal Medicine. 2018;49:12-9.
  5. Barrus D, Capogrossi K, Cates S, Gourdet C, Peiper N, Lefever T, et al. Tasty THC: Promises and Challenges of Cannabis Edibles. Methods Rep RTI Press. 2016;2016.
  6. Parrott A, Morinana A, Moss, M, Scholey, A. Understanding drugs and behaviour. West Sussex: John Wiley & Sons, Ltd.; 2004.
  7. Green BOB, Kavanagh D, Young R. Being stoned: a review of self-reported cannabis effects. Drug and Alcohol Review. 2003;22(4):453-60.
  8. Colizzi M, Bhattacharyya S. Cannabis use and the development of tolerance: a systematic review of human evidence. Neuroscience & Biobehavioral Reviews. 2018;93:1-25.
  9. Scott JC, Slomiak ST, Jones JD, Rosen AFG, Moore TM, Gur RC. Association of Cannabis With Cognitive Functioning in Adolescents and Young Adults: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2018;75(6):585-95.
  10. Lee MHS, Hancox RJ. Effects of smoking cannabis on lung function. Expert Review of Respiratory Medicine. 2011;5(4):537-47.
  11. National Academies of Sciences E, Medicine. The health effects of cannabis and cannabinoids: The current state of evidence and recommendations for research: National Academies Press; 2017.
  12. Wilkinson ST, Radhakrishnan R, D’Souza DC. Impact of Cannabis Use on the Development of Psychotic Disorders. Current Addiction Reports. 2014;1(2):115-28.
  13. Cannabis information & support. Mixing weed with other drugs: What's the deal? 2019 [cited 2020 June 1]. Available from:
  14. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association; 2013.
  15. Australian Institute of Health and Welfare. National Drug Strategy Household Survey 2016: detailed findings. Canberra: AIHW; 2017.
  16. White V, Williams T,. Australian secondary school students’ use of tobacco, alcohol, and over-the-counter and illicit substances in 2014. Centre for Behavioural Research in Cancer: Cancer Council Victoria; 2016.

Explore cannabinoids on the Drug Wheel

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Effects

anxiety, blurred vision, clumsiness, dry mouth, excitement, fast heart rate, feeling sleepy, increased appetite, low blood pressure, paranoia, quite mood, reflective mood, relaxation, slower reflexes, spontaneous laughter

AKA

420, choof, cone, dabs, dope, gunja, hash, joint, marijuana, mull, pot, stick, weed, yarndi