“I think it’s a different buzz and it represents a potential risk to people who are unfamiliar with a normal time course with how cannabis affects you,” Dr. Cole said. “You can’t cut and paste your experience with alcohol into THC. They are totally different drugs and medications.”
Maslowski said that the THC in STIGMA’s beverages activates in about 20 minutes, but Dr. Cole said many more beverages on the market could take up to an hour or more for consumers to feel its full effect, leaving many novice users to think in the beginning they can keep drinking.
“They use too quickly because they don’t realize the effects are delayed,” he said. “I’ve come across patients who thought they were stopping and the effects start to increase after they think they stopped. It’s really unpleasant. They feel pretty miserable.”
Preliminary data from Poison Control reported between 50 and 70 patients reporting overdoses of cannabis every month between January 2023 and May 2023, the latest figures available. Dr. Cole said the most severe symptoms among adults include excessive vomiting and hallucinations.
The risk has been greater among children who get ahold of unsecured beverages or gummies in a home. “Real small children when they get into large doses of cannabis, they do slow their breathing down and sometimes become unconscious to the point where they need ICU level care.” The message from Dr. Cole to adult users is “take it low and slow” with THC products, including beverages and edibles.
“People don’t go to the bar and say, ‘I’m gonna have 2 grams of alcohol,'” he said. “With cannabis, it really is about the grams and milligrams of THC that you’re consuming. You’re starting from the beginning, and you’re going to have to learn how cannabis and THC affects you.” Josh Maslowski at STIGMA said he agrees. “You need to have a little personal responsibility around your own cannabis use, especially if you’re a novice,” he said.