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Effects and dependency - Cannabis

Cannabis comes from a plant. It can make you feel relaxed, giggly, anxious or paranoid.

Cannabis can come as:

  • weed or grass - dried leaves and flowers (buds)
  • hash - brown dried resin
  • oils or concentrates

People may smoke, eat, drink or vape cannabis.

The effects of cannabis vary by what type you use and from person to person.

Cannabis is the most used illegal drug in Ireland. Young people and people with mental health difficulties are most at risk of negative effects from cannabis.

Drug category: cannabinoid

Cannabinoids are drugs or chemicals:

  • from the cannabis plant
  • made to mimic the effects of cannabis (synthetic cannabinoids)

They can make you feel relaxed, happy, paranoid or confused.

Other names for cannabis

Other names include: Afghan, bhang, blow, blunts, bud, bush, dab, dope, draw, ganja, grass, hash, hashish, herb, marijuana, moroccan, pollen, pot, puff, resin, sensi, shatter, sinsemilla, skunk, smoke, soapbar, spliff, squidgy black, THC, weed

Effects of cannabis

The effects of cannabis can vary depending on:

  • your size, weight and sex
  • if you have any health conditions or mental health difficulties
  • how you take the drug
  • the strength of the drug
  • how much you take
  • if you take alcohol, medicines or other drugs at the same time
  • where you take the drug and how you feel before you take it
  • if you have taken the drug before and how often
  • the type of cannabis

If you smoke, dab or vape cannabis, the effects start almost immediately and can last a number of hours.

If you eat cannabis edibles, the effects can take up to 90 minutes to start and can last for some time.

How you may feel or behave

You may feel:

  • relaxed or calm
  • happy or giddy
  • talkative
  • tired or withdrawn
  • confused, anxious or paranoid
  • low or unmotivated
  • depressed

Effects on your brain and body

Cannabis can cause:

  • bloodshot eyes
  • dry mouth
  • increased appetite (the munchies)
  • dizziness, nausea and vomiting (a whitey or white-out)
  • problems with thinking or memory
  • slow reaction times
  • sleep problems
  • increased heart rate
  • fertility problems - it reduces sperm count in males and disrupts ovulation in females
  • breathing problems - especially if you mix cannabis with tobacco or use plastic bottles as bongs
  • paranoia

Cannabis and the developing brain

The brain continues to develop until around age 25. This means that young people are more sensitive to damage from cannabis.

Young people who start using cannabis before age 18 are more likely to have long-term problems.

These include:

  • cannabis dependency
  • mental health difficulties such as anxiety or depression
  • problems with thinking, memory and concentration

Even low use of cannabis can affect brain health in young people.

Some people may have other risk factors that increase the risk of psychosis.

Cannabis and mental health

Cannabis can cause mental health difficulties or make existing difficulties worse. The effects on your mental health can last after other effects of the drug have stopped.

The risk is higher if you:

  • have a family history of mental health difficulties
  • start using cannabis at a young age
  • use cannabis often
  • use types of cannabis with high levels of delta-9-tetrahydrocannabinol (THC)

Mental health difficulties linked with cannabis use include:

  • anxiety
  • depression
  • thoughts of suicide
  • hallucinations - when you see, feel or hear things that are not there
  • psychosis - you have confused thoughts, feelings and behaviour and you do not know what is real or not real
  • schizophrenia

Cannabis is not a treatment for mental health difficulties. There are other treatments that we know are safe and effective.

Anxiety - tips and self-help

Cannabis and dependency

Regular use of cannabis can cause:

  • tolerance - when you need to take more of the drug to get the same effects
  • dependency

Signs of dependency can include:

  • cravings for a drug
  • withdrawal symptoms
  • continuing to use a drug even when it causes you harm

The risk is higher if you use types of cannabis with high levels of THC.

Withdrawal symptoms

If you stop taking cannabis after regular use, you may get withdrawal symptoms.

These include:

  • mood swings and irritability
  • anxiety
  • sleep problems
  • low appetite

How long does cannabis stay in your system?

It can be hard to know how long cannabis stays in your system.

There are tests to detect cannabis. But different types of tests have different detection times.

Things that affect how long a drug stays in your system

The time it takes for a drug to leave your system depends on many things.

For example:

  • how much you took
  • how often you take the drug
  • how strong the drug was
  • your age, sex and metabolism
  • your general health

Medical cannabis access programme

In Ireland, people can access cannabis for medical use in limited situations.

These are when a person has:

  • an eligible condition that did not respond to standard treatments
  • a prescription for cannabis treatment from their medical consultant

The eligible conditions are:

  • stiffness and muscle spasms (spasticity) associated with multiple sclerosis
  • severe and uncontrollable (intractable) nausea and vomiting associated with chemotherapy
  • severe, refractory (treatment-resistant) epilepsy

Cannabis may reduce the severity of symptoms in these conditions.

There is not enough evidence for medical use of cannabis for other conditions.

Medical Cannabis Products Reimbursement Scheme

Medical Cannabis Access Programme - gov.ie

Page last reviewed: 24/11/2025
Next review due: 24/11/2028

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