Cannabis
Cannabis

Quick facts ⏭️

Cannabis, also known as marijuana, weed, grass, hash, or ganja, is a plant-based psychoactive drug derived from the cannabis plant. Emojis like 🌿 🥦 💨 can represent cannabis.

⬇️ Cannabis is a “downer” drug that produces relaxing and euphoric effects.

🔴 Cannabis has a low to moderate risk of dependence. Long-term use can lead to psychological dependence and, in some cases, physical withdrawal symptoms such as irritability, sleep issues, and decreased appetite.

What is it?

Cannabis is a plant-based drug that contains several active compounds, including THC (tetrahydrocannabinol), which produces psychoactive effects, and cannabidiol (CBD). THC is classified as a narcotic, while CBD falls under pharmaceutical regulations.

Cannabis is used for medical purposes to alleviate pain, anxiety, and other conditions. Different medical cannabis products can have varying ratios of THC and CBD depending on their intended use. Cannabis is also used for recreational enjoyment.

What does it look like?

Cannabis can come in several forms:

  • Dried flowers (buds): Typically green or brown, these can be smoked or used to make edibles.
  • Hash: A concentrated form of cannabis that is pressed into blocks, usually dark brown or black.
  • Cannabis oil: A liquid form that can be taken orally or used in vaping.

How is it taken?

The most common way to consume cannabis is through smoking. Dried flowers or hash are rolled into paper (joints, blunts) and smoked either with or without tobacco. Cannabis can also be smoked in pipes or bongs.

Cannabis oil or flowers can be used in vapes and smoked as well.

Cannabis can also be ingested, often baked into foods like “weed brownies” or “space cakes.”

Additionally, cannabis can be made into candies. The import of cannabis-infused candies has increased, but there are warnings that some may contain synthetic cannabis, which is much stronger than regular cannabis. This raises the risk of overdose, as individuals consuming the candy may not be able to predict its potency.

How does it feel?

The effects of cannabis vary depending on the method of consumption, dosage, and individual tolerance. Today’s cannabis can contain more THC than in the past, and higher levels of THC lead to a stronger high.

  • Users may experience:
  • Euphoria and well-being
  • Relaxation and calmness
  • Enhanced sensory experiences (e.g., music and taste)
  • Increased appetite (often referred to as “the munchies”)
  • Dry mouth and red eyes

When smoked, the high is most intense after 15-30 minutes and gradually fades. When cannabis is ingested, the effects can last between four and twelve hours.

Cannabis and sex

Cannabis is sometimes used to enhance sexual pleasure and relaxation. Users may experience a deeper sense of sexual freedom and intimacy. Using cannabis in sexual contexts can help people feel less anxiety, fear, or shame. Some report increased sexual sensations and longer, more enjoyable sessions.

However, excessive use can lead to difficulties in achieving or maintaining an erection, as well as challenges in reaching orgasm. Users might also feel fatigued and have lower energy, which can decrease sexual desire.

Safer sex with cannabis:

  • Excessive cannabis use can impair judgment and lead to decisions one might not otherwise make. It’s important to communicate with your partner(s) beforehand to ensure you’re on the same page. Always have protection like condoms, lubricants, gloves, and cleaning supplies for sex toys on hand
  • Condom use can be challenging if an erection is lost, as the condom may slip off more easily. If this happens, it’s okay to wait and try again if the erection returns
  • Consider adopting other safer sex strategies, such as regular testing for STIs with your partner(s)
  • Since cannabis can cause dry mouth, it’s also a good idea to take breaks and remember to stay hydrated

Side effects and long-term consequences

Cannabis kan ha både kortsiktiga och långsiktiga biverkningar:

På kort sikt kan man uppleva nedsatt minne och koncentration, ångest, paranoia, förhöjd hjärtfrekvens, och försämrad reaktionsförmåga

Långsiktiga biverkningar kan vara försämrad kognitiv funktion som sämre minne och koncentration, försämrad mental hälsa med problem som ångest och depression, beroende, och kronisk bronkit (inflammation i de nedre luftvägarna som kännetecknas av hosta)

Managing an overdose

Overdosing on cannabis is rare but can be unpleasant. Signs that someone may have taken too much cannabis include:

  • Extreme anxiety and paranoia
  • Rapid heart rate
  • Nausea and vomiting
  • Confusion and disorientation
  • Hallucinations

If an overdose is suspected:

  • Try to keep the person calm and safe
  • Offer them water and let them rest. It can be soothing to relax in a cool, quiet room with fresh air, especially if they feel nauseous
  • If symptoms are severe or persistent, seek medical help. If you’re unsure what to do or where to seek care, you can call 1177 for guidance
  • If the person stops breathing or is unconscious, call 112 immediately

⛓️ Risk of addiction

Cannabis has a low to moderate risk of dependency. Long-term use can lead to psychological dependence and, in some cases, physical withdrawal symptoms such as irritability, sleep problems, and reduced appetite.

Cannabis and other drugs

Combining cannabis with other drugs can enhance their effects and increase the risk of negative side effects:

  • Alcohol can amplify the feeling of intoxication, leading to dizziness and nausea
  • Stimulants ⬆️ (such as methamphetamine, amphetamine, cocaine, MDMA, as well as nicotine and caffeine) can increase heart rate and anxiety
  • Depressants ⬇️ like benzodiazepines, GHB/GBL, sleep medications, or alcohol can enhance the sedative effects, leading to excessive drowsiness

Cannabis and HIV-treatment (ART)

Cannabis can affect the immune system, which is especially important for people with HIV. It can also impact adherence to HIV medication.

🕐 Take your HIV medications regularly. Set an alarm or reminder on your phone if needed. Use substances and HIV medications at different times to reduce the risk of side effects. Always use low doses of substances when taking medications simultaneously.

🗣️ Talk to your doctor or a knowledgeable person about interactions between HIV medications and cannabis.