Cannabis edibles
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A cannabis edible, also known as a cannabis-infused food or simply an edible, is a
food product Food is any substance consumed by an organism for nutritional support. Food is usually of plant, animal, or fungal origin, and contains essential nutrients, such as carbohydrates, fats, proteins, vitamins, or minerals. The substance is ing ...
(either homemade or produced commercially) that contains decarboxylated cannabinoids (cannabinoid acids converted to their orally bioactive form) from cannabis extract as an
active ingredient An active ingredient is any ingredient that provides biologically active or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease or to affect the structure or any function of the body of humans or animals. The ...
. Although ''edible'' may refer to either a food or a drink, a cannabis-infused drink may be referred to more specifically as a liquid edible or drinkable. Edibles are a way to consume cannabis. Unlike smoking, in which cannabinoids are inhaled into the lungs and pass rapidly into the bloodstream, peaking in about ten minutes and wearing off in a couple of hours, cannabis edibles may take hours to digest, and their effects may peak two to three hours after consumption and persist for around six hours. The food or drink used may affect both the timing and potency of the dose ingested. Most edibles contain a significant amount of
THC Tetrahydrocannabinol (THC) is the principal psychoactive constituent of cannabis and one of at least 113 total cannabinoids identified on the plant. Although the chemical formula for THC (C21H30O2) describes multiple isomers, the term ''THC' ...
, which can induce a wide range of effects, including: heightened sensory perception, relaxation,
sleepiness Somnolence (alternatively sleepiness or drowsiness) is a state of strong desire for sleep, or sleeping for unusually long periods (compare hypersomnia). It has distinct meanings and causes. It can refer to the usual state preceding falling asleep ...
,
dizziness Dizziness is an imprecise term that can refer to a sense of disorientation in space, vertigo, or lightheadedness. It can also refer to disequilibrium or a non-specific feeling, such as giddiness or foolishness. Dizziness is a common medical c ...
,
dry mouth Xerostomia, also known as dry mouth, is dryness in the mouth, which may be associated with a change in the composition of saliva, or reduced salivary flow, or have no identifiable cause. This symptom is very common and is often seen as a side eff ...
, euphoria,
depersonalization Depersonalization can consist of a detachment within the self, regarding one's mind or body, or being a detached observer of oneself. Subjects feel they have changed and that the world has become vague, dreamlike, less real, lacking in significa ...
and/or
derealization Derealization is an alteration in the perception of the external world, causing those with the condition to perceive it as unreal, distant, distorted or falsified. Other symptoms include feeling as if one's environment is lacking in spontaneity, ...
,
hallucination A hallucination is a perception in the absence of an external stimulus that has the qualities of a real perception. Hallucinations are vivid, substantial, and are perceived to be located in external objective space. Hallucination is a combinati ...
s,
paranoia Paranoia is an instinct or thought process that is believed to be heavily influenced by anxiety or fear, often to the point of delusion and irrationality. Paranoid thinking typically includes persecutory beliefs, or beliefs of conspiracy co ...
, and decreased or increased
anxiety Anxiety is an emotion which is characterized by an unpleasant state of inner turmoil and includes feelings of dread over anticipated events. Anxiety is different than fear in that the former is defined as the anticipation of a future threat wh ...
. THC-dominant edibles are consumed for
recreational Recreation is an activity of leisure, leisure being discretionary time. The "need to do something for recreation" is an essential element of human biology and psychology. Recreational activities are often done for enjoyment, amusement, or pleasur ...
and medical purposes. Some edibles contain a negligible amount of THC and are instead dominant in other cannabinoids, most commonly
cannabidiol Cannabidiol (CBD) is a phytocannabinoid discovered in 1940. It is one of 113 identified cannabinoids in cannabis plants, along with tetrahydrocannabinol (THC), and accounts for up to 40% of the plant's extract. , clinical research on CBD in ...
(CBD). The main characteristic of cannabis edibles is that they take longer to affect users compared to smoked cannabis. Foods and beverages made from non-psychoactive cannabis products are known as hemp foods.


History


Eastern

The earliest mention of cannabis-infused food was as far back as 2000 B.C. in
India India, officially the Republic of India (Hindi: ), is a country in South Asia. It is the seventh-largest country by area, the second-most populous country, and the most populous democracy in the world. Bounded by the Indian Ocean on the so ...
. Known as one of the oldest cannabis traditions,
Bhang Bhang (IAST: ''Bhāṅg'') is an edible preparation made from the leaves of the cannabis plant originating from the Indian subcontinent. It has been used in food and drink as early as 1000 BC in ancient India. Bhang is traditionally distribu ...
– a cannabis infused drink made with yogurt, nuts, spices, rose water – is an official drink of
Holi Holi (), also known as the Festival of Colours, the Festival of Spring, and the Festival of Love,The New Oxford Dictionary of English (1998) p. 874 "Holi /'həʊli:/ noun a Hindu spring festival ...". is an ancient Hindu religious festival ...
, highly celebrated and revered festivals celebrated by the people of
Hindu Hindus (; ) are people who religiously adhere to Hinduism. Jeffery D. Long (2007), A Vision for Hinduism, IB Tauris, , pages 35–37 Historically, the term has also been used as a geographical, cultural, and later religious identifier for ...
community in India revering
Shiva Shiva (; sa, शिव, lit=The Auspicious One, Śiva ), also known as Mahadeva (; ɐɦaːd̪eːʋɐ, or Hara, is one of the principal deities of Hinduism. He is the Supreme Being in Shaivism, one of the major traditions within Hindu ...
or
Kali Kali (; sa, काली, ), also referred to as Mahakali, Bhadrakali, and Kalika ( sa, कालिका), is a Hindu goddess who is considered to be the goddess of ultimate power, time, destruction and change in Shaktism. In this tra ...
. The oil-solubility of cannabis extracts was also known to ancient Indians, with
Sanskrit Sanskrit (; attributively , ; nominally , , ) is a classical language belonging to the Indo-Aryan branch of the Indo-European languages. It arose in South Asia after its predecessor languages had diffused there from the northwest in the late ...
recipes requiring cannabis to be sautéed in ghee before mixing it with other ingredients. Majoun (cannabis jam) is another early type of edible first created by the nomadic Berber tribes of North Africa sometime around the 11th century. The traditional Majoun recipe calls for cannabis extract, datura seeds, honey, nuts, kif (a mixture of
kief Kief (from Moroccan Arabic كيف ''kīf'', "Joy, pleasure"), sometimes transliterated as keef, also known as ‘’Dust’’ and "Chief" a.k.a cannabis crystals among other names, refers to the pure and clean collection of loose cannabis trich ...
), and sometimes dates and figs.


Western

The first mention of edibles in Europe appeared in a cookbook titled ''
De honesta voluptate et valetudine ''De honesta voluptate et valetudine'' (''On honest indulgence and good health'', often shortened to ''De honesta voluptate'') was the first cookbook ever printed. Written ca. 1465 by Bartolomeo Platina, it first appeared between 1470 and 1475 in ...
'', which translates to "On Honorable Pleasure and Health" written by Bartolomeo Platina in 1465. The first cannabis edible recipe appeared in the United States in the early 1960s in a cookbook called '' The Alice B. Toklas Cook Book'' written by Alice B. Toklas. The recipe is called "Hashish Fudge" and was actually contributed by Alice's good friend, Brion Gysin. Although it was omitted from the first American editions, Toklas' name and her "brownies" became synonymous with cannabis in the growing 1960s counterculture. In some U.S. states that have legalized cannabis, edibles have experienced a dramatic rise in sales. Some are concerned about the danger edibles pose to children and inexperienced cannabis consumers. Calls to poison control have dramatically increased since 2008 due to dogs ingesting edibles. In Canada, cannabis-infused food products were legalized in October 2018, but regulatory restrictions and reduced consumer interest may inhibit innovation.


Chemistry


Effects

Ingesting cannabis may produce effects that last longer and can be more intense than inhaling cannabis. Different edible formats of cannabinoids may affect the rate of cannabinoid digestion and metabolism, which vary among people. Generally, edible cannabis products are digested more slowly than occurs for aerosol products. Oral administration generally leads to two peaks of concentration, due to
enterohepatic circulation Enterohepatic circulation refers to the circulation of biliary acids, bilirubin, drugs or other substances from the liver to the bile, followed by entry into the small intestine, absorption by the enterocyte and transport back to the liver. Ent ...
. Common
side effect In medicine, a side effect is an effect, whether therapeutic or adverse, that is secondary to the one intended; although the term is predominantly employed to describe adverse effects, it can also apply to beneficial, but unintended, consequence ...
s of ingesting edibles include increased appetite, dry mouth, and bloodshot eyes.


Possible health effects

Cannabis edibles contain both delta 9 THC, which is responsible for the psychotropic properties of feeling relaxed and euphoric, and CBD, which may have effects without the psychoactive properties. Such effects may include
analgesia Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Most physicians and other health professional ...
, decreased
inflammation Inflammation (from la, inflammatio) is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants, and is a protective response involving immune cells, blood vessels, and molec ...
, decreased
spasticity Spasticity () is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles ...
, and anti-seizure effects. Cannabis edibles with CBD can decrease symptoms of psychosis and anxiety. Edible oils, tinctures, pills, and gummies have been prescribed to people with cancer to potentially improve poor appetite, pain, or weight loss. Cannabis edibles may be effective for
muscle spasm A spasm is a sudden involuntary contraction of a muscle, a group of muscles, or a hollow organ such as the bladder. A spasmodic muscle contraction may be caused by many medical conditions, including dystonia. Most commonly, it is a muscl ...
s and pain.


Side effects

Some users of cannabis have reported adverse effects, such as
confusion In medicine, confusion is the quality or state of being bewildered or unclear. The term "acute mental confusion"
,
hallucination A hallucination is a perception in the absence of an external stimulus that has the qualities of a real perception. Hallucinations are vivid, substantial, and are perceived to be located in external objective space. Hallucination is a combinati ...
s,
panic attack Panic attacks are sudden periods of intense fear and discomfort that may include palpitations, sweating, chest pain or chest discomfort, shortness of breath, trembling, dizziness, numbness, confusion, or a feeling of impending doom or of losing ...
s,
paranoia Paranoia is an instinct or thought process that is believed to be heavily influenced by anxiety or fear, often to the point of delusion and irrationality. Paranoid thinking typically includes persecutory beliefs, or beliefs of conspiracy co ...
, and intense psychotic effects. Cannabis may cause short-term impairments in cognition, memory, alertness, coordination, and balance which can increase risk of falls, especially in older people, and make driving a car dangerous. Overdoses may occur because the dosage of THC in edibles is impossible to determine without specialized lab equipment and it varies from product to product. Some or all legalized U.S. states require packaged edibles to have dosage on the label; for instance California AB266 requires labeling to include "THC and other cannabinoid amount in milligrams per serving, servings per package, and the THC and other cannabinoid amount in milligrams for the package total", and states have required the recall of incorrectly labeled products. Overdoses can cause behavioral impairments, such as
paranoia Paranoia is an instinct or thought process that is believed to be heavily influenced by anxiety or fear, often to the point of delusion and irrationality. Paranoid thinking typically includes persecutory beliefs, or beliefs of conspiracy co ...
, impaired mobility, and
nausea Nausea is a diffuse sensation of unease and discomfort, sometimes perceived as an urge to vomit. While not painful, it can be a debilitating symptom if prolonged and has been described as placing discomfort on the chest, abdomen, or back of the ...
. Other risks, as a result of regular long-term cannabis use, include harmful effects to brain development, heart function, memory and cognition, and psychiatric health. Long-term recreational marijuana use can cause cognitive impairments and also lead to
cannabis use disorder Cannabis use disorder (CUD), also known as cannabis addiction or marijuana addiction, is defined in the fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and ICD-10 as the continued use of cannabis despite clini ...
(CUD). Symptoms of CUD include lack of motivation, decreased concentration, and loss of interest in other activities, tolerance, and dependence.


Types


Edible infusions


Food

The important base to all food edibles is that it has fat that has been infused with THC. In other words, any food that contains butter, oil, milk, or any fatty substance can be turned into an edible. Examples of cannabis-infused foods include baked goods, candy, potato chips, and more. One may not be able to distinguish between regular baked goods and those containing cannabinoids. A mild grassy or cannabis flavor might be detectable if sufficient cannabis quantities are used. Cannabis-infused brownies contain
cocoa solids Dry cocoa solids are the components of cocoa beans remaining after cocoa butter, the fatty component of the bean, is extracted from chocolate liquor, roasted cocoa beans that have been ground into a liquid state. Cocoa butter is 46% to 57% of the ...
which forms a polysubstance combination.


Drink

A cannabis-infused drink is a drink infused with THC and can be as potent as a cannabis-infused food. In U.S. states that have legalized cannabis for recreational use, drinks were about 4% of the cannabis market in 2014 but had fallen to around 1.5% of the market in 2016. Cannabis infused drinks can come in the form of coffee, tea, soda, and alcohol.


Tincture

Tinctures are potent, alcohol-based cannabis extracts. The solubility of
THC Tetrahydrocannabinol (THC) is the principal psychoactive constituent of cannabis and one of at least 113 total cannabinoids identified on the plant. Although the chemical formula for THC (C21H30O2) describes multiple isomers, the term ''THC' ...
in
ethanol Ethanol (abbr. EtOH; also called ethyl alcohol, grain alcohol, drinking alcohol, or simply alcohol) is an organic compound. It is an alcohol with the chemical formula . Its formula can be also written as or (an ethyl group linked to a ...
is greater than 1 g/mL. They are considered edibles as they are meant to be absorbed through the mouth and tongue. Tinctures are generally placed under the tongue using a dropper to allow it to be absorbed into the bloodstream. Tinctures can be added to any food or drink and provides more control over the cannabis dosage compared to cannabis-infused foods or drinks.


Dissolvable cannabinoid powder

Dissolvable cannabinoid powder is tasteless and odorless, and may elicit effects typical of oral cannabis products. Powders are water-soluble and can be mixed into foods and drinks. Unlike traditional edibles which can take some 90 minutes to take effect, cannabinoid powder may produce effects within 20 minutes due to solubility and uptake of the powder constituents via the digestive tract, allowing rapid effects, especially of THC.


CBD edibles

Cannabidiol Cannabidiol (CBD) is a phytocannabinoid discovered in 1940. It is one of 113 identified cannabinoids in cannabis plants, along with tetrahydrocannabinol (THC), and accounts for up to 40% of the plant's extract. , clinical research on CBD in ...
(CBD) edibles are non-psychoactive and non-intoxicating, and contain varying amounts of THC, according to the manufacturer. These edibles provide the effects of cannabis without the psychoactive response to THC.


Capsule

Cannabis capsules are considered edibles as they are also metabolized in the gut. Capsules can contain either THC or CBD and are an easier, more convenient way of administering medications.


Ingredients

File:Hemp extract fine.jpg, One form of
hash oil Hash oil or cannabis oil, is an oleoresin obtained by the extraction of cannabis or hashish. It is a cannabis concentrate containing many of its resins and terpenes – in particular, tetrahydrocannabinol (THC), cannabidiol (CBD), and other ...
File:Cannabutter.jpg, Making cannabutter


Oil

Cannabis oil Hash oil or cannabis oil, is an oleoresin obtained by the extraction of cannabis or hashish. It is a cannabis concentrate containing many of its resins and terpenes – in particular, tetrahydrocannabinol (THC), cannabidiol (CBD), and other can ...
, or canna-oil, is a product that infuses any cooking oil with cannabis and its cannabinoids. Cannabis oil can be used for baking but is more commonly added to sauces or dressings or cooked with food. Coconut oil is a commonly used oil for infusion, but other options are olive, avocado, and walnut oil.


Butter

Cannabis butter, or cannabutter, is unsalted butter blended with cannabis and water. Cleaned and dried buds are steeped in melted butter or oil in preparation for consumption. Cannabutter can be added to any baking recipe.


Legalization


In the United States


Medicinal

In 1996, California became the first state to legalize medicinal cannabis use. As of 2022, cannabis has been legalized for medical use in 37 states as well as the
District of Columbia ) , image_skyline = , image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan, ...
and the territories of Puerto Rico,
Guam Guam (; ch, Guåhan ) is an organized, unincorporated territory of the United States in the Micronesia subregion of the western Pacific Ocean. It is the westernmost point and territory of the United States (reckoned from the geographic cent ...
, the
Northern Mariana Islands The Northern Mariana Islands, officially the Commonwealth of the Northern Mariana Islands (CNMI; ch, Sankattan Siha Na Islas Mariånas; cal, Commonwealth Téél Falúw kka Efáng llól Marianas), is an unincorporated territory and commonw ...
and the
US Virgin Islands The United States Virgin Islands,. Also called the ''American Virgin Islands'' and the ''U.S. Virgin Islands''. officially the Virgin Islands of the United States, are a group of Caribbean islands and an unincorporated and organized territory ...
. Because cannabis remains under preliminary research for its potential to reduce
chronic pain Chronic pain is classified as pain that lasts longer than three to six months. In medicine, the distinction between acute and chronic pain is sometimes determined by the amount of time since onset. Two commonly used markers are pain that continue ...
, it may be an alternative to
opioid Opioids are substances that act on opioid receptors to produce morphine-like effects. Medically they are primarily used for pain relief, including anesthesia. Other medical uses include suppression of diarrhea, replacement therapy for opioid use ...
s. Studies have shown that legalization of medical cannabis is associated with less opioid overdose deaths; however, further studies are needed to determine the nature of this relationship. In 1970, the Controlled Substances Act classified marijuana as a Schedule I substance meaning that it is not currently accepted for medicinal use, has high potential for abuse, and has lack of accepted safety for use of the drug. Usually, this would mean cannabis cannot be dispensed or prescribed; however, state laws allow for cannabis use despite these regulations.


Recreational

As of 2022, the following states in the U.S. have legalized recreational marijuana: Alaska, Arizona, California, Colorado, Connecticut, Illinois, Maine, Massachusetts, Michigan, Montana, Missouri, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island, Vermont, Virginia, and Washington, with legalization in Maryland slated for July 1, 2023. Most states require some sort of labeling of the potential harmful effects of cannabis use and the nutrition facts of edible products.


Elsewhere

On 17 October 2018, Canada became the first G7 nation to legalize recreational/adult-use cannabis with the
Cannabis Act The ''Cannabis Act'' (also known as Bill C-45) is a law which legalized recreational cannabis use in Canada in combination with its companion legislation Bill C-46, ''An Act to Amend the Criminal Code''. The law is a milestone in the legal hi ...
(the Act). That same day cannabis was removed from the
Controlled Drugs and Substances Act The ''Controlled Drugs and Substances Act'' (french: Loi réglementant certaines drogues et autres substances) (the ''Act'') is Canada's federal drug control statute. Passed in 1996 under Prime Minister Jean Chrétien's government, it repeal ...
. The Act regulates retail cannabis, medical cannabis, and industrial hemp in Canada.


Safety


Physical

The adverse effects on health are most important when it is used in excessive quantities or with heavy frequency. A study funded by the National Institute on Drug Abuse entitled "Tasty THC: Promises and Challenges of Cannabis Edibles" found that heavy, long-term cannabis use appeared to worsen brain development, and psychiatric and heart health. On the other hand, the study also discovered that cannabis edibles did not appear to affect pulmonary function nor increase risk for cancer which is one reason people choose cannabis edibles over smoking cannabis. The study concedes that over-consuming cannabis is not lethal; to date, there has never been a death related to the actual toxicity of cannabis. However, there has been one death involving cannabis edibles. A safety concern with regards to cannabis edibles is overconsumption which is usually caused by the delayed effects of ingested cannabis. Because users do not feel the effects of cannabis edibles right away, users often eat more to compensate and end up consuming too much THC. As a result, cannabis edibles have caused the most healthcare visits as compared to other forms of cannabis consumption. Additionally, the amount of cannabis in any individual product can be highly variable which is another contributing factor to overconsumption. In addition, people can have very different responses to the same amount of THC with 2.5 mg being enough for some people to begin to feel effects while, for others, 50 mg is required.


Psychological

High concentrations of THC have been shown to cause
hallucination A hallucination is a perception in the absence of an external stimulus that has the qualities of a real perception. Hallucinations are vivid, substantial, and are perceived to be located in external objective space. Hallucination is a combinati ...
s, delusions, and anxiety in some people; for most, these symptoms only last as long as that person is intoxicated, but some people can be affected for several days. Cannabis use has been connected with increased use of other drugs, although this connection has never been shown to be causal.


Children

Many edible cannabis products are packaged in a way which could appeal to children (gummies, etc.), though laws requiring a minimum age to purchase recreational cannabis are universal in jurisdictions that have fully legalized its use, similar to age restrictions on alcohol. As with alcohol and prescription medicines, basic care should be taken to prevent children from having access to the product, as cannabis edibles have been the main cause of a number of health care visits relating to accidental cannabis consumption by children, although none resulted in death.


See also

*
Brownie Mary Mary Jane Rathbun (December 22, 1922 – April 10, 1999), popularly known as Brownie Mary, was an American medical cannabis rights activist. As a hospital volunteer at San Francisco General Hospital, she became known for baking and distribu ...
* Chef Ra


References


External links


Beyond brownies: Cannabis chefs elevate edibles recipes
San Francisco Chronicle. 2018-10-09.
CBD Gummies
San Francisco Chronicle. 2018-10-09. Relaxbears edibles. 2022-11-04.
THC Gummiesbears
Relaxbears edibles. 2022-11-04. {{Cannabis Cannabis culture