Products like wax and shatter can have THC levels up to 90 percent, and states like Washington and Colorado are looking at potency caps and product warnings.
With national cannabis legalization poised to be introduced in the Senate, states that legalized recreational marijuana 10 years ago are now studying the public health implications of a variety of new high-potency products amid questions about a possible link to psychosis.
The newer products are called marijuana concentrates and are commonly known as wax and shatter. They can have levels of THC, the psychoactive component of marijuana, as high as 85 percent to 90 percent. By comparison, researchers say, the marijuana level in a typical joint 20 years ago was closer to 5 percent. States like Washington and Colorado are now considering product warnings or potency caps to limit access.
At a January forum, the director of the National Institute on Drug Abuse, Dr. Nora Volkow, raised concerns that teens are increasingly vaping high-potency cannabis.
Volkow said she worries that “huge concentrations” of THC could have serious consequences.
“We are seeing a very significant rise in psychosis associated with the consumption of marijuana,” she said.
“And the higher the content of THC, the higher the likelihood of a psychotic episode.”
She said it remains an ongoing research question whether or not such psychotic episodes can lead to permanent schizophrenia.
In a statement to NBC News, Bethany Moore, a spokesperson for the National Cannabis Industry Association, said, “The best way to address these concerns is through proper testing and labeling, as well as ensuring cannabis products are only sold to fully-informed adults through licensed facilities that are required by law to verify legal age for purchase.”
Moore said public safety measures can be imposed effectively only when underground markets are replaced with regulated markets.
But some public health experts have complained that industry backers of legalizing marijuana focus on the cannabis plant and fail to mention that legalization will be accompanied by a flood of cannabis concentrates.
“We were not aware when we were voting [in 2012] that we were voting on anything but the plant,” said Dr. Beatriz Carlini, a research scientist at the University of Washington’s Addictions, Drug & Alcohol Institute. She has led the effort in Washington state to research high-potency pot and is now exploring policy options to limit access. Her team concluded in 2020 that “high-potency cannabis can have lifelong mental health consequences.”
Carlini said there’s widespread understanding that the cannabis plant “is not that scary and it has some benefits, but this [concentrated] product is just a totally different animal.”
She likened it to the marketing of strawberry icing. “Strawberries are healthy, but a Pop-Tart with strawberry icing is not.”
The new high-THC products aren’t legal for those under 21 in states with recreational marijuana, but teenagers say they’re easily accessible.
Jasmin Block, 19, of Denver, told NBC News’ Steve Patterson that high-potency cannabis products were so easy to get that she was first offered a “wax pen” between classes in her school bathroom. She said she was unable to grasp “how much was too much” and came away “too…
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