{"id":1773,"date":"2017-12-31T00:23:52","date_gmt":"2017-12-31T00:23:52","guid":{"rendered":"https:\/\/weedmaps.com\/learn\/cbd\/cannabis-as-an-alternative-to-opioids"},"modified":"2026-02-22T14:52:04","modified_gmt":"2026-02-22T14:52:04","slug":"cannabis-alternative-to-opioids","status":"publish","type":"post","link":"https:\/\/weedmaps.com\/learn\/cannabis-and-your-body\/cannabis-alternative-to-opioids","title":{"rendered":"Cannabis as an alternative to opioids"},"content":{"rendered":"<div id=\"bsf_rt_marker\"><\/div>\n<h2 class=\"wm-article-table-of-contents-header\" id=\"how-cannabis-can-combat-addiction\">\n\tHow cannabis can combat addiction<\/h2>\n\n\n\n<p><span style=\"font-weight: 400\">The opioid epidemic is arguably the greatest health-care crisis of the 21st century. In 2015 alone, its economic cost in the United States was estimated at more than<\/span><a href=\"https:\/\/www.cnbc.com\/2017\/11\/20\/the-true-cost-of-opioid-epidemic-tops-500-billion-white-house-says.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\"> $500 billion<\/span><\/a><span style=\"font-weight: 400\">, largely driven by health-care costs, criminal justice expenses, and lost productivity. This crisis has brought more attention to the growing collection of research examining the relationship between <\/span><span style=\"font-weight: 400\">cannabis and opiates<\/span><span style=\"font-weight: 400\">, particularly when it comes to reducing opioid dependence in patients.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">The magnitude and indiscriminately mortal nature of this crisis are unprecedented. For the first time in U.S. history, drug overdoses are killing more people than gun violence or motor vehicle accidents. In fact, <\/span><a href=\"https:\/\/www.cdc.gov\/drugoverdose\/epidemic\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\">91 Americans die<\/span><\/a><span style=\"font-weight: 400\"> from an opioid overdose each day, according to the Centers for Disease Control and Prevention (CDC). These fatalities are tragic enough, but the residual effects on surviving children, family members, and communities are no less devastating.<\/span><\/p>\n\n\n\t\t\t<figure class=\"wp-block-image size-large\">\t\t\t<a href=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09.jpg\" data-modal-open=\"lightbox_346\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09-768x432.jpg\" srcset=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09.jpg 1600w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09-300x169.jpg 300w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09-768x432.jpg 768w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09-1024x576.jpg 1024w\" sizes=\"(min-width: 768px) 476px, (min-width: 1218px) 772px, 100vw\" alt=\"pill bottles\" title=\"Click to see a larger version of the image\">\n\t\t\t<\/a><cite>Photo by: Gina Coleman\/Weedmaps<\/cite><figcaption>The opioid crisis has brought more attention to the growing collection of research examining the relationship between cannabis and opiates, particularly when it comes to reducing opioid dependence in patients.<\/figcaption><\/figure>\t\t\t<div id=\"lightbox_346\" data-modal data-modal-hide-heading data-modal-manual-close hidden>\n\t\t\t\t<h2>Image lightbox<\/h2>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09-768x432.jpg\" srcset=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09.jpg 1600w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09-300x169.jpg 300w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09-768x432.jpg 768w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2019\/10\/180416_MJDC_RxBottles_09-1024x576.jpg 1024w\" sizes=\"100vw\" alt=\"pill bottles\">\n\t\t\t\t<button role=\"button\" class=\"a11y-modal__close-btn\" data-modal-close-btn>\n\t\t\t\t\t<svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M13.414 12l4.293 4.293a1 1 0 01-1.414 1.414L12 13.414l-4.293 4.293a1 1 0 11-1.414-1.414L10.586 12 6.293 7.707a1 1 0 011.414-1.414L12 10.586l4.293-4.293a1 1 0 011.414 1.414L13.414 12z\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\n\n<p><span style=\"font-weight: 400\">A major contributor to the overdose crisis is the doctor's prescription pad. Overprescription of narcotic pills or refills, and \u201cdoctor shopping\u201d (finding another doctor when one won't refill a prescription) are common.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">Recently, an extensive <\/span><a href=\"https:\/\/www.washingtonpost.com\/investigations\/76-billion-opioid-pills-newly-released-federal-data-unmasks-the-epidemic\/2019\/07\/16\/5f29fd62-a73e-11e9-86dd-d7f0e60391e9_story.html?noredirect=on&amp;source=post_page---------------------------&amp;utm_term=.31778c7c8752\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\">database of stats<\/span><\/a><span style=\"font-weight: 400\"> related to opioid sales and distribution was made public. These numbers showed that, among other potentially troubling trends, pharmaceutical companies in the U.S. distributed 76 billion oxycodone and hydrocodone pills between 2006 and 2012. During that same time period, almost 100,000 people died of complications related to opioid use, especially issues connected to addiction.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">In 2016, the CDC issued a <\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/65\/rr\/rr6501e1.htm\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\">new set of opioid prescription guidelines for physicians<\/span><\/a><span style=\"font-weight: 400\"> to try to remedy these issues. A recommendation to treat most cases of chronic pain with non-opioid drugs was included. Notably,&nbsp; warnings were issued for opioids, which are least effective and most dangerous when taken long term.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">In January 2017, the National Academies of Sciences, Engineering, and Medicine (NASEM) <\/span><a href=\"https:\/\/nationalacademies.org\/hmd\/Reports\/2017\/health-effects-of-cannabis-and-cannabinoids.aspx\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\">reviewed more than 10,000 studies in humans<\/span><\/a><span style=\"font-weight: 400\"> to evaluate the safety and efficacy of cannabis for dozens of different diseases and symptoms. <\/span><b>The NASEM provided an interesting look at the relationship between <\/b><b>cannabis and opiates<\/b><b>, definitively concluding that <\/b><b>medical cannabis<\/b><b>, a non-opioid pain-relieving drug, is indeed safe and effective for the treatment of chronic pain and other medical conditions.<\/b><\/p>\n\n\n\t\t\t<figure class=\"wp-block-image size-large\">\t\t\t<a href=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote.png\" data-modal-open=\"lightbox_1775\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-768x432.png\" srcset=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote.png 2560w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-300x169.png 300w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-1024x576.png 1024w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-768x432.png 768w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-1536x864.png 1536w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-2048x1152.png 2048w\" sizes=\"(min-width: 768px) 476px, (min-width: 1218px) 772px, 100vw\" alt=\"\" title=\"Click to see a larger version of the image\">\n\t\t\t<\/a><figcaption><strong>Source:<\/strong> National Academies of Science and Medicine - The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research<\/figcaption><\/figure>\t\t\t<div id=\"lightbox_1775\" data-modal data-modal-hide-heading data-modal-manual-close hidden>\n\t\t\t\t<h2>Image lightbox<\/h2>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-768x432.png\" srcset=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote.png 2560w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-300x169.png 300w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-1024x576.png 1024w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-768x432.png 768w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-1536x864.png 1536w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/Exit_quote-2048x1152.png 2048w\" sizes=\"100vw\" alt=\"\">\n\t\t\t\t<button role=\"button\" class=\"a11y-modal__close-btn\" data-modal-close-btn>\n\t\t\t\t\t<svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M13.414 12l4.293 4.293a1 1 0 01-1.414 1.414L12 13.414l-4.293 4.293a1 1 0 11-1.414-1.414L10.586 12 6.293 7.707a1 1 0 011.414-1.414L12 10.586l4.293-4.293a1 1 0 011.414 1.414L13.414 12z\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\n\n<p><span style=\"font-weight: 400\">What's more, in additional investigations of <\/span><span style=\"font-weight: 400\">cannabis and opiates<\/span><span style=\"font-weight: 400\">, scientists have studied the combined administration of opioids and <\/span><a href=\"https:\/\/weedmaps.com\/learn\/dictionary\/cannabinoid\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\">cannabinoids<\/span><\/a><span style=\"font-weight: 400\">, or active molecules from the cannabis plant. This research has been ongoing for decades. Across all species, all routes of administration, and nearly every specific opioid and cannabinoid molecule studied, these drugs produce synergistic pain relief when taken together.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">In other words,<\/span><span style=\"font-weight: 400\"> cannabis and opiates<\/span><span style=\"font-weight: 400\"> work together, with cannabis enhancing the pain relief provided by opioids. That means patients should need lower doses of opioid-based medicines to relieve their pain.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">In fact, studies have found this is exactly what happens when chronic pain patients are given access to <\/span><a href=\"https:\/\/weedmaps.com\/learn\/dictionary\/cannabis\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\">cannabis<\/span><\/a><span style=\"font-weight: 400\">. All over the world, time and time again, experts have found that cannabis <\/span><span style=\"font-weight: 400\">reduces opioid <\/span><span style=\"font-weight: 400\">use by half. Patients also reported a huge improvement in their day-to-day lives due to cannabis' ability to minimize the mental fog and other unpleasant side effects of opioids.<\/span><\/p>\n\n\n\n<p><a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/article-abstract\/1898878\" target=\"_blank\" rel=\"noopener noreferrer\"><b>And when a U.S. state enacts a <\/b><b>medical marijuana<\/b><b> law, the opioid mortality rate drops by 24.8%<\/b><\/a><b> \u2014 and that percentage goes up the longer cannabis has been legal in a state. <\/b><span style=\"font-weight: 400\">Furthermore, non-fatal opioid hospitalizations also go down by 23%. And that's true regardless of whether people are using prescription opioids or illicit drugs such as heroin and fentanyl.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">These findings aren't entirely surprising to the addiction recovery community, in which anecdotal reports about the connections between <\/span><span style=\"font-weight: 400\">weed and opiates<\/span><span style=\"font-weight: 400\"> are fairly common. Specifically, these reports consistently suggest that using cannabis to wean off of opioids is both quite common and effective. Cannabis is said to have a number of <\/span><span style=\"font-weight: 400\">therapeutic effects<\/span><span style=\"font-weight: 400\">, minimizing the chills, nausea, excruciating pain, and mental anguish commonly associated with opioid withdrawal. This makes the first few days of opioid detox far more tolerable, boosting the likelihood of staying sober.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">We also know that one of the biggest relapse triggers is negative mood or anxiety, and that <\/span><a href=\"https:\/\/weedmaps.com\/learn\/dictionary\/cbd\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400\">cannabidiol (CBD)<\/span><\/a><span style=\"font-weight: 400\"> alone has powerful anti-anxiety effects. In preliminary studies at Mt. Sinai hospital in New York, researcher Yasmin Hurd has shown that even a single dose of CBD can inhibit the anxiety that leads to drug craving and relapse in opioid users.<\/span><\/p>\n\n\n\t\t\t<figure class=\"wp-block-image size-large\">\t\t\t<a href=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4.jpg\" data-modal-open=\"lightbox_1776\">\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-768x432.jpg\" srcset=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4.jpg 1600w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-300x169.jpg 300w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-1024x576.jpg 1024w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-768x432.jpg 768w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-1536x864.jpg 1536w\" sizes=\"(min-width: 768px) 476px, (min-width: 1218px) 772px, 100vw\" alt=\"weed and medication\" title=\"Click to see a larger version of the image\">\n\t\t\t<\/a><cite>Photo by: Gina Coleman\/Weedmaps<\/cite><figcaption>Cannabis is said to have a number of therapeutic effects, minimizing the chills, nausea, excruciating pain, and mental anguish commonly associated with opioid withdrawal.<\/figcaption><\/figure>\t\t\t<div id=\"lightbox_1776\" data-modal data-modal-hide-heading data-modal-manual-close hidden>\n\t\t\t\t<h2>Image lightbox<\/h2>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-768x432.jpg\" srcset=\"https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4.jpg 1600w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-300x169.jpg 300w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-1024x576.jpg 1024w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-768x432.jpg 768w, https:\/\/weedmaps.com\/learn\/wp-content\/uploads\/2020\/07\/180416_MJDC_RxBottles_33-4-1536x864.jpg 1536w\" sizes=\"100vw\" alt=\"weed and medication\">\n\t\t\t\t<button role=\"button\" class=\"a11y-modal__close-btn\" data-modal-close-btn>\n\t\t\t\t\t<svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" fill=\"currentColor\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M13.414 12l4.293 4.293a1 1 0 01-1.414 1.414L12 13.414l-4.293 4.293a1 1 0 11-1.414-1.414L10.586 12 6.293 7.707a1 1 0 011.414-1.414L12 10.586l4.293-4.293a1 1 0 011.414 1.414L13.414 12z\"\/><\/svg>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\n\n<p><span style=\"font-weight: 400\">In our daily lives, we all experience fluctuations in our mood \u2014 sometimes a bit higher than usual, sometimes a bit lower. But with chronic drug use, that \u201cbaseline\u201d continually drifts downward, and despite attempts to restore it with drugs, it never gets back to normal. Cannabis is \u201crewarding\u201d in that it produces euphoria and promotes a positive mood, so it could be a critical tool that helps return mood to a more normal baseline. This means fewer days of heightened anxiety that would normally trigger a relapse.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">It's really in the long-term phase of addiction recovery that cannabis has the greatest potential to improve quality of life. Although decades of addiction research have accurately correlated cannabis use with the use of \u201charder\u201d drugs including heroin, correlation is not causation. In fact, recent research is revealing a number of important new truths about cannabis, many of which undermine earlier assumptions about cannabis being a \u201cgateway drug.\u201d<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">Such research lays to rest much of the confusion surrounding<\/span><span style=\"font-weight: 400\"> cannabis and opiates<\/span><span style=\"font-weight: 400\">, starting with the common question, <\/span><span style=\"font-weight: 400\">is weed an opiate<\/span><span style=\"font-weight: 400\">? On this, the science is clear: No, far from it.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400\">Research has now shifted the conversation away from basic questions to more complex ones, most notably, \u201cdoes weed help with opiate withdrawal?\u201d Researchers are seeing encouraging indicators that weed can actually help people wean off of highly addictive substances. Recent and ongoing research now suggests that<\/span><b> cannabis is not the \u201cgateway drug\u201d it's been demonized to be. Rather, it could very well be a humane \u201cexit\u201d from the suffering that is opioid withdrawal, dependence, and addiction.<\/b><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><em>Major contributions from <a href=\"https:\/\/weedmaps.com\/learn\/subject-matter-expert\/apoe\" target=\"_blank\" rel=\"noreferrer noopener\">Dr. Adie Rae<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The opioid epidemic is arguably the greatest health-care crisis of the 21st century. In 2015 alone, its economic cost in the United States was estimated at more than $500 billion, largely driven by health-care costs, criminal justice expenses, and lost productivity. This crisis has brought...<\/p>\n","protected":false},"author":15,"featured_media":1777,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[137],"tags":[426,1169,1170,1171,1172,1173],"class_list":["post-1773","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cannabis-and-your-body","tag-cannabis-research","tag-cannabis-and-opioids","tag-medical-cannabis-for-pain","tag-opioid-alternative-therapy","tag-chronic-pain-treatment","tag-harm-reduction"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v18.9 (Yoast SEO v27.0) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Using Cannabis As An Opioid &amp; Opiate Alternative<\/title>\n<meta name=\"description\" content=\"Learn how marijuana &amp; cannabis can be an alternative to opioids &amp; opiates, including helping users quit.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/weedmaps.com\/learn\/cannabis-and-your-body\/cannabis-alternative-to-opioids\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Using Cannabis As An Opioid &amp; Opiate Alternative\" \/>\n<meta property=\"og:description\" content=\"Learn how marijuana &amp; cannabis can be an alternative to opioids &amp; opiates, including helping users quit.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/weedmaps.com\/learn\/cannabis-and-your-body\/cannabis-alternative-to-opioids\" \/>\n<meta property=\"og:site_name\" content=\"Weedmaps\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Weedmaps\/\" \/>\n<meta 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