Counties which have marijuana dispensaries see a mean of 30 % fewer opioid-related deaths in comparison with counties with out authorized hashish outlets open, suggesting a substitution impact away from prescription capsules and heroin towards the plant-based therapy, based on a brand new information evaluation.
In a Washington Put up piece on Wednesday, Harvard College economics pupil Julien Berman used information from the College of Michigan that identifies dispensary areas on the county stage to match opioid overdose developments over 10 years in jurisdictions the place hashish turned legally accessible in comparison with these with out regulated entry.
“The speculation is easy: making hashish extra accessible—and lowering its price—may induce individuals to shift from opioids, that are tremendous harmful, to marijuana, a considerably safer various,” Berman mentioned. “Current opioid customers looking for ache aid can select marijuana as an alternative of heroin, particularly in counties the place leisure use is authorized and entry is simple. And new potential customers would possibly by no means flip to opioids in any respect if they may get marijuana as an alternative.”
Counties which have marijuana dispensaries see a mean of 30 % fewer opioid-related deaths in comparison with counties with out authorized hashish outlets open, suggesting a substitution impact away from prescription capsules and heroin towards the plant-based therapy, based on a brand new information evaluation.
In a Washington Put up piece on Wednesday, Harvard College economics pupil Julien Berman used information from the College of Michigan that identifies dispensary areas on the county stage to match opioid overdose developments over 10 years in jurisdictions the place hashish turned legally accessible in comparison with these with out regulated entry.
“The speculation is easy: making hashish extra accessible—and lowering its price—may induce individuals to shift from opioids, that are tremendous harmful, to marijuana, a considerably safer various,” Berman mentioned. “Current opioid customers looking for ache aid can select marijuana as an alternative of heroin, particularly in counties the place leisure use is authorized and entry is simple. And new potential customers would possibly by no means flip to opioids in any respect if they may get marijuana as an alternative.”
Different elements had been taken under consideration to assist the conclusion, together with comparisons of opioid mortality charges in counties inside a authorized state the place some permit retailers to function and others have chosen to decide out.
“That type of variation helps rule out different state-level adjustments corresponding to expanded entry to naloxone—a drug that may reverse the consequences of an overdose—as the principle reason behind the drop in deaths,” Berman mentioned.
Counties which have marijuana dispensaries see a mean of 30 % fewer opioid-related deaths in comparison with counties with out authorized hashish outlets open, suggesting a substitution impact away from prescription capsules and heroin towards the plant-based therapy, based on a brand new information evaluation.
In a Washington Put up piece on Wednesday, Harvard College economics pupil Julien Berman used information from the College of Michigan that identifies dispensary areas on the county stage to match opioid overdose developments over 10 years in jurisdictions the place hashish turned legally accessible in comparison with these with out regulated entry.
“The speculation is easy: making hashish extra accessible—and lowering its price—may induce individuals to shift from opioids, that are tremendous harmful, to marijuana, a considerably safer various,” Berman mentioned. “Current opioid customers looking for ache aid can select marijuana as an alternative of heroin, particularly in counties the place leisure use is authorized and entry is simple. And new potential customers would possibly by no means flip to opioids in any respect if they may get marijuana as an alternative.”
Different elements had been taken under consideration to assist the conclusion, together with comparisons of opioid mortality charges in counties inside a authorized state the place some permit retailers to function and others have chosen to decide out.
“That type of variation helps rule out different state-level adjustments corresponding to expanded entry to naloxone—a drug that may reverse the consequences of an overdose—as the principle reason behind the drop in deaths,” Berman mentioned.
On common, the opioid dying charges following the institution of hashish dispensaries declined extra sharply within the quick years after the opening in comparison with dry counties. However from years 5 to 10, there is a extra precipitous impact, with a mean price of 27 % fewer opioid deaths in jurisdictions which have hashish storefronts after a decade.
Counties which have marijuana dispensaries see a mean of 30 % fewer opioid-related deaths in comparison with counties with out authorized hashish outlets open, suggesting a substitution impact away from prescription capsules and heroin towards the plant-based therapy, based on a brand new information evaluation.
In a Washington Put up piece on Wednesday, Harvard College economics pupil Julien Berman used information from the College of Michigan that identifies dispensary areas on the county stage to match opioid overdose developments over 10 years in jurisdictions the place hashish turned legally accessible in comparison with these with out regulated entry.
“The speculation is easy: making hashish extra accessible—and lowering its price—may induce individuals to shift from opioids, that are tremendous harmful, to marijuana, a considerably safer various,” Berman mentioned. “Current opioid customers looking for ache aid can select marijuana as an alternative of heroin, particularly in counties the place leisure use is authorized and entry is simple. And new potential customers would possibly by no means flip to opioids in any respect if they may get marijuana as an alternative.”
Different elements had been taken under consideration to assist the conclusion, together with comparisons of opioid mortality charges in counties inside a authorized state the place some permit retailers to function and others have chosen to decide out.
“That type of variation helps rule out different state-level adjustments corresponding to expanded entry to naloxone—a drug that may reverse the consequences of an overdose—as the principle reason behind the drop in deaths,” Berman mentioned.
On common, the opioid dying charges following the institution of hashish dispensaries declined extra sharply within the quick years after the opening in comparison with dry counties. However from years 5 to 10, there is a extra precipitous impact, with a mean price of 27 % fewer opioid deaths in jurisdictions which have hashish storefronts after a decade.
There are some limitations to the evaluation, together with challenges with the “huge variety of messy enterprise information” maintained within the College of Michigan dataset that might have misidentified sure companies. And it is attainable counties that had been assessed may have individually applied different applications to handle opioid use in the course of the timeline that was studied, Berman famous.
“Nonetheless, the truth that the drop in deaths reveals up proper after the primary dispensary opens—and never earlier than—strongly means that opioid customers do shift to marijuana, no less than sufficient to cease overdosing,” he wrote.
He added that whereas research have proven that marijuana is not totally innocent, it is “a lot safer than heroin.”
“Heck, it is arguably safer than alcohol. If the dispensary down the road can get individuals off opioids, public well being wins—even when total marijuana use goes up,” he mentioned.
Relatedly, a not too long ago revealed examine discovered that, amongst drug customers who expertise continual ache, day by day hashish use was linked to the next chance of quitting using opioids—particularly amongst males.
Researchers for a separate federally funded survey not too long ago discovered an affiliation between state-level marijuana legalization and decreased prescriptions for opioid ache drugs amongst commercially insured adults—indicating a attainable substitution impact the place sufferers are selecting to make use of hashish as an alternative of prescribed drugs to deal with ache.
A examine revealed late final yr discovered that legalizing medical hashish appeared to considerably cut back financial funds from opioid producers to docs who focus on ache, with authors discovering “proof that this lower is because of medical marijuana turning into accessible as an alternative” for prescription painkillers.
Different current analysis additionally confirmed a decline in deadly opioid overdoses in jurisdictions the place marijuana was legalized for adults. That examine discovered a “constant unfavorable relationship” between legalization and deadly overdoses, with extra important results in states that legalized hashish earlier within the opioid disaster. Authors estimated that leisure marijuana legalization “is related to a lower of roughly 3.5 deaths per 100,000 people.”
One other not too long ago revealed report into prescription opioid use in Utah following the state’s legalization of medical marijuana discovered that the supply of authorized hashish each decreased opioid use by sufferers with continual ache and helped drive down prescription overdose deaths statewide. Total, outcomes of the examine indicated that “hashish has a considerable position to play in ache administration and the discount of opioid use,” it mentioned.
One more examine, revealed in 2023, linked medical marijuana use to decrease ache ranges and decreased dependence on opioids and different prescription drugs. And one other, revealed by the American Medical Affiliation (AMA) final February, discovered that continual ache sufferers who obtained medical marijuana for longer than a month noticed important reductions in prescribed opioids.
About one in three continual ache sufferers reported utilizing hashish as a therapy possibility, based on a 2023 AMA-published report. Most of that group mentioned they used hashish as an alternative to different ache drugs, together with opioids.
Different analysis revealed that yr discovered that letting individuals purchase CBD legally considerably decreased opioid prescription charges, main to six.6 % to eight.1 % fewer opioid prescriptions.
A 2022 analysis paper that analyzed Medicaid information on prescribed drugs, in the meantime, discovered that legalizing marijuana for grownup use was related to “important reductions” in using prescribed drugs for the therapy of a number of circumstances.
A 2023 report linked state-level medical marijuana legalization to decreased opioid payouts to docs—one other datapoint suggesting that sufferers use hashish as a substitute for prescribed drugs when given authorized entry.
Researchers in one other examine, revealed final yr, checked out opioid prescription and mortality charges in Oregon, discovering that close by entry to retail marijuana reasonably decreased opioid prescriptions, although they noticed no corresponding drop in opioid-related deaths.
Different current analysis additionally signifies that hashish could also be an efficient substitute for opioids when it comes to ache administration.
A report revealed not too long ago within the journal BMJ Open, for example, in contrast medical marijuana and opioids for continual non-cancer ache and discovered that hashish “could also be equally efficient and end in fewer discontinuations than opioids,” doubtlessly providing comparable aid with a decrease chance of opposed results.
Separate analysis revealed discovered that greater than half (57 %) of sufferers with continual musculoskeletal ache mentioned hashish was more practical than different analgesic drugs, whereas 40 % reported lowering their use of different painkillers since they started utilizing marijuana.
Written by Kyle Jaeger for Marijuana Second | Featured picture by Gina Coleman/Weedmaps
