Myth: Marijuana Can Cause Permanent Mental Illness. Among adolescents, even occasional marijuana use may cause psychological damage. During intoxication, marijuana users become irrational and often behave erratically.
Fact: There is no convincing scientific evidence that marijuana causes psychological damage or mental illness in either teenagers or adults. Some marijuana users experience psychological distress following marijuana ingestion, which may include feelings of panic, anxiety, and paranoia. Such experiences can be frightening, but the effects are temporary. With very large doses, marijuana can cause temporary toxic psychosis. This occurs rarely, and almost always when marijuana is eaten rather than smoked. Marijuana does not cause profound changes in people's behavior.
Myth: Marijuana is Highly Addictive. Long term marijuana users experience physical dependence and withdrawal, and often need professional drug treatment to break their marijuana habits.
Fact: Most people who smoke marijuana smoke it only occasionally. A small minority of Americans - less than 1 percent - smoke marijuana on a daily basis. An even smaller minority develop a dependence on marijuana. Some people who smoke marijuana heavily and frequently stop without difficulty. Others seek help from drug treatment professionals. Marijuana does not cause physical dependence. If people experience withdrawal symptoms at all, they are remarkably mild.
Myth: Marijuana Is More Potent Today Than In The Past. Adults who used marijuana in the 1960s and 1970s fail to realize that when today's youth use marijuana they are using a much more dangerous drug.
Fact: When today's youth use marijuana, they are using the same drug used by youth in the 1960s and 1970s. A small number of low-THC samples seized by the Drug Enforcement Administration are used to calculate a dramatic increase in potency. However, these samples were not representative of the marijuana generally available to users during this era. Potency data from the early 1980s to the present are more reliable, and they show no increase in the average THC content of marijuana. Even if marijuana potency were to increase, it would not necessarily make the drug more dangerous. Marijuana that varies quite substantially in potency produces similar psychoactive effects.
Myth: Marijuana Offenses Are Not Severely Punished. Few marijuana law violators are arrested and hardly anyone goes to prison. This lenient treatment is responsible for marijuana continued availability and use.
Fact: Marijuana arrests in the United States doubled between 1991 and 1995. In 1995, more than one-half-million people were arrested for marijuana offenses. Eighty-six percent of them were arrested for marijuana possession. Tens of thousands of people are now in prison or marijuana offenses. An even greater number are punished with probation, fines, and civil sanctions, including having their property seized, their driver's license revoked, and their employment terminated. Despite these civil and criminal sanctions, marijuana continues to be readily available and widely used.
Myth: Marijuana is More Damaging to the Lungs Than Tobacco. Marijuana smokers are at a high risk of developing lung cancer, bronchitis, and emphysema.
Fact: Moderate smoking of marijuana appears to pose minimal danger to the lungs. Like tobacco smoke, marijuana smoke contains a number of irritants and carcinogens. But marijuana users typically smoke much less often than tobacco smokers, and over time, inhale much less smoke. As a result, the risk of serious lung damage should be lower in marijuana smokers. There have been no reports of lung cancer related solely to marijuana, and in a large study presented to the American Thoracic Society in 2006, even heavy users of smoked marijuana were found not to have any increased risk of lung cancer. Unlike heavy tobacco smokers, heavy marijuana smokers exhibit no obstruction of the lung's small airway. That indicates that people will not develop emphysema from smoking marijuana.
Myth: Marijuana Has No Medicinal Value. Safer, more effective drugs are available. They include a synthetic version of THC, marijuana's primary active ingredient, which is marketed in the United States under the name Marinol.
Fact: Marijuana has been shown to be effective in reducing the nausea induced by cancer chemotherapy, stimulating appetite in AIDS patients, and reducing intraocular pressure in people with glaucoma. There is also appreciable evidence that marijuana reduces muscle spasticity in patients with neurological disorders. A synthetic capsule is available by prescription, but it is not as effective as smoked marijuana for many patients. Pure THC may also produce more unpleasant psychoactive side effects than smoked marijuana. Many people use marijuana as a medicine today, despite its illegality. In doing so, they risk arrest and imprisonment.
Myth: Marijuana is a Gateway Drug. Even if marijuana itself causes minimal harm, it is a dangerous substance because it leads to the use of "harder drugs" like heroin, LSD, and cocaine.
Fact: Marijuana does not cause people to use hard drugs. What the gateway theory presents as a causal explanation is a statistic association between common and uncommon drugs, an association that changes over time as different drugs increase and decrease in prevalence. Marijuana is the most popular illegal drug in the United States today. Therefore, people who have used less popular drugs such as heroin, cocaine, and LSD, are likely to have also used marijuana. Most marijuana users never use any other illegal drug. Indeed, for the large majority of people, marijuana is a terminus rather than a gateway drug.
Myth: Marijuana's Harms Have Been Proved Scientifically. In the 1960s and 1970s, many people believed that marijuana was harmless. Today we know that marijuana is much more dangerous than previously believed.
Fact: In 1972, after reviewing the scientific evidence, the National Commission on Marihuana and Drug Abuse concluded that while marijuana was not entirely safe, its dangers had been grossly overstated. Since then, researchers have conducted thousands of studies of humans, animals, and cell cultures. None reveal any findings dramatically different from those described by the National Commission in 1972. In 1995, based on thirty years of scientific research editors of the British medical journal Lancet concluded that "the smoking of cannabis, even long term, is not harmful to health."
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