Cannabis

Cannabis

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Overview

Cannabis (also known as marijuana, pot or weed) comes from the Cannabis sativa plant. The plant contains hundreds of chemicals called cannabinoids that affect the brain and other parts of the body. The two most well-known cannabinoids are: 

  • THC (delta-9- and 11-hydroxy tetrahydrocannabinol) – causes a “high” feeling and has both therapeutic and harmful effects
  • CBD (cannabidiol) – does not produce a high or intoxication and has possible therapeutic uses 

All cannabis use has potential health risks. Cannabis products come in a variety of forms and can be consumed using different methods (Health Canada). 


Medical and non-medical cannabis: What’s the difference?

People use cannabis for different reasons. Some people may use medical cannabis for health-related needs. Others use it for personal, social or recreational reasons. Some people use cannabis for both purposes. Cannabis has the same health and safety risks whether you’re using it for medical or non-medical purposes. 

Medical cannabis 

Medical cannabis is used to help manage symptoms, such as pain, nausea (for example, for chemotherapy patients) or anxiety.  

In Canada, medical cannabis is regulated under the federal Cannabis Act. To access cannabis under the federal system, a health care provider must authorize its use. 

With this authorization, you can: 

  • Get cannabis from a federally licensed producer/seller
  • Apply to Health Canada to grow your own cannabis
  • Designate someone else to grow cannabis for you
  • Access cannabis legally if you are a patient under 19 years of age 

Learn how to access cannabis for medical purposes from a licensed producer.   

If you are planning to use cannabis for a medical purpose, talk to your health care provider. Discuss the pros and cons of using cannabis to treat your medical condition. Ask about possible interactions between cannabis and other treatments you are taking.  

For more information: 

Non-medical cannabis 

Non-medical cannabis is legal in Canada. In B.C., people over the age of 19 can legally buy non-medical cannabis from:  

  • Licensed private retailers
  • Government-run BC Cannabis Stores (online and in-person) 

Learn more about cannabis in B.C. (Government of B.C.), including laws and regulations. 


Effects of cannabis use

Cannabis can affect your brain, body, mood and perception in positive ways and negative ways.  

Some of the short-term effects include: 

  • Feelings high (euphoria or intoxication)
  • Relaxed
  • Heightened sensory experiences (sight, taste, smell, sound)
  • Lessen chronic or nerve (neuropathic) pain
  • Reduced nausea
  • Increased appetite 

Cannabis can also cause unwanted or unpleasant side effects, such as: 

  • Confusion
  • Sleepiness (fatigue)
  • Impaired short-term memory and ability to concentrate
  • Poor judgement, coordination and reaction time
  • Anxiety, fear or panic
  • Increased heart rate
  • Red eyes and dry mouth
  • Dizziness
  • Drowsiness
  • Nausea and vomiting
  • Changes in blood pressure
  • Psychosis (characterized by paranoia, delusions and hallucinations)
  • Cannabis hyperemesis syndrome 

Long-term use of cannabis can harm your: 

  • Memory
  • Concentration
  • Intelligence
  • Ability to think and make decisions
  • Lungs (if you smoke cannabis) 

The long-term harmful effects appear worse for people who begin consuming cannabis during adolescence.  

Cannabis hyperemesis syndrome (CHS) is a health concern associated with long-term, frequent use of cannabis. It may also be associated with the use of high-THC products. Symptoms include repeated episodes of severe nausea, vomiting and stomach pain. 

Learn more about the health effects of cannabis (Health Canada) 

Duration 

Cannabis affects people differently and depends on a variety of factors. Impairment can last for more than 24 hours after cannabis use, well after other effects may have faded. 

If you take cannabis by smoking, vaporizing or dabbing: 

  • You will feel the effects from seconds to a few minutes
  • Full effects can peak within 30 minutes
  • Effects can last up to 6 hours with some residual effects lasting up to 24 hours 

If you eat or drink cannabis: 

  • You will feel effects within 30 minutes to 4 hours
  • Full effects can peak within 4 hours
  • Effects can last up to 12 hours with some residual effects lasting up to 24 hours 

Be extra cautious if you are not used to eating or drinking cannabis products that contain THC. Start with a low dose (such as 2.5 mg THC) and wait until you feel the effect before deciding if you want to take more. This could mean waiting 2 hours or more before increasing the dose.  

Call 9-1-1 or Poison Control at 1-800-567-8911 if you or someone else is experiencing unpleasant effects from too much cannabis. 


Who should avoid cannabis or take extra caution

Using cannabis has higher risks if you: 

  • Are under age 25 (your brain is still developing)
  • Are over age 55
  • Are pregnant or breastfeeding
  • Have a personal or family history of psychosis or substance use disorders
  • Have a history of certain heart conditions (for example, cardiac eschemia or cardiac artery disease)
  • Have an infectious disease
  • Are taking certain medications that interact with cannabis 

For more information: 


Cannabis use during pregnancy and breastfeeding

No amount of cannabis is safe during pregnancy and breastfeeding. Cannabis use during pregnancy can affect a developing baby (fetus). The chemicals in cannabis can cross the placenta. Cannabis use during pregnancy is associated with low birth weight.  

The chemicals can also pass from the mother's breast milk to the baby during breastfeeding. This can cause problems including drowsiness and poor suckling. It may be harder for your baby to get enough milk.  

Exposure to cannabis during pregnancy and breastfeeding may affect a child’s brain development, learning and behaviour. Talk to your health care provider if you have questions about cannabis use during pregnancy and breastfeeding. 

For more information: 


Tips for lower risk cannabis use

The only way to avoid risk is not to use cannabis. If you choose to use cannabis, these tips may help reduce harm: 

  • Delay age of initial use
  • Choose lower-THC products
  • Avoid smoking cannabis; consider non-smoking options
  • If you choose to smoke, avoid deep inhalation or breath-holding
  • Avoid frequent or intensive (daily or near-daily) use
  • Start with a small amount and wait to feel the effects before using more
  • Don’t use synthetic cannabis products unless prescribed by a health care provider
  • Avoid combining cannabis with alcohol or other substances
  • Use cannabis from legal sources
  • Do not drive a motor vehicle or operate machinery 

For more information, read Canada's Lower-Risk Cannabis Use Guidelines (PDF 734KB, Centre for Addiction and Mental Health). 

Second-hand cannabis smoke 

If you're around someone who is smoking cannabis, you may feel some effects of the drug. People who are allergic to cannabis may be more sensitive to second-hand cannabis smoke.  

To protect others from second-hand smoke, smoke cannabis outside or choose a room where you can open a window or use a fan to get the smoke outside. 

Safe storage of cannabis 

It is important to store cannabis products responsibly to keep others safe. Take care to prevent accidental cannabis poisonings in children and pets. 

Always store cannabis products: 

  • Locked away in a secure cupboard or lock box
  • Out of reach and sight of children and pets
  • Separately from regular food and drinks
  • In secure, child-resistant packaging that’s properly labelled 

If you think a child may have consumed anything with cannabis, call Poison Control at 1-800-567-8911 or 9-1-1 immediately. 

For more information: 

Driving after cannabis use 

Do not drive if you have used cannabis. Driving while impaired by drugs is dangerous and illegal. Cannabis impairs your judgement and ability to react and increases your chance of being in a crash. 

Cannabis affects every person differently. There is no standard or safe time to wait before driving after using cannabis. Instead, stay over, call a taxi, share a ride, use public transit or have a designated driver. 

For more information: 


Addictiveness and dependency

Cannabis use can lead to dependency. Avoid cannabis if you have a personal or family history of psychosis, addiction, issues with substance use. 

People with continued, frequent and heavy use of cannabis can develop psychological and/or mild physical dependence. People with psychological dependence may be preoccupied with using cannabis. 

Cannabis dependence is medically known as cannabis use disorder. It can range from mild to severe. Signs of cannabis use disorder include: 

  • Using more cannabis than planned
  • Trying unsuccessfully to control use
  • Spending a significant amount of time getting and using cannabis or recovering from its effects
  • Experiencing a strong desire or urge to use cannabis
  • Failing to meet major obligations at work, home or school because of cannabis use
  • Giving up or reducing important social, work or recreational activities because of cannabis use
  • Continuing use despite recurring physical or psychological problems caused by cannabis
  • Continuing to use cannabis despite it causing problems in relationships
  • Using cannabis in physically dangerous situations
  • Increasing tolerance to cannabis’ effects
  • Developing withdrawal symptoms such as irritability, sleep disorders, anxiety, aggression, decreased appetite, weight loss and restlessness
  • Other withdrawal symptoms include sweating, stomach pain, chills, shakiness and depression 

For more information, please visit: 

If you are experiencing cannabis dependency, help is available:


Health authority resources

Find further information about cannabis from your local health authority: