Using cannabis frequently (daily or almost daily) and over a long time (several months or years) can[1]:

• Hurt your lungs and make it harder to breathe, if smoked
• Cannabis smoke may contain many of the same harmful chemicals found in tobacco smoke
• Affect your mental health
• Frequent use of THC based products over a long time increases the risk of cannabis dependence
• Increased risk of developing psychotic disorders
• Early exposure of cannabis use during the adolescent years can impair brain development and functioning
• Increased risk of cardiovascular disease

[1] Weinstein, AM, Cohen, K. Synthetic and Non-synthetic Cannabinoid Drugs and Their Adverse Effects-A Review from Public Health Prospective. Frontiers in Public Health 2018; 6:1-8. doi: 10.3389/fpubh.2018.00162.

There is really no difference between the terms of adult use and recreational use of cannabis. However, the term “adult-use” while is for better optics, it comes from the notion that not all consumers of cannabis are consuming solely for recreational purposes. Cannabis can and is utilized for many reasons that go beyond the recreational/ medicinal cannabis binary.

Cannabinoids are chemicals which interact with the endocannabinoid system in mammals. These can be found in the Cannabis plant (phytocannabinoids), endogenously derived (endocannabinoids) or synthesised chemically. Research has found that the cannabis plant produces approximately 120 cannabinoids and about 300 non-cannabinoid chemicals. The two main clinically relevant cannabinoids are delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD). The most commonly known of the two is delta-9-tetrahydrocannabinol (THC), which is the chemical that is primarily responsible for the psychoactive effects of cannabis.

There are two major concerns regarding smoking medicinal cannabis.

Firstly, smoking is a particularly harmful way of taking medicinal cannabis, mainly because it poses comparable risks for bronchitis and lung cancer, as is the smoking of cigarettes. Smoking medicinal cannabis is not permitted by local or international Health authorities.

Secondly, approved medicines used in Barbados are produced under strict conditions to ensure efficacy and safety. It is important that medical doctors know that medicines have been tested and are standardized by dose and therapeutic response. This means doctors can monitor the effects of the drug and doses can be adjusted according to a patient’s needs.

It is understood that smoked cannabis will not be prescribed in Barbados because smoked plant products will not satisfy governmental requirements.

Everyone's response to cannabis differs and can vary from one time to the next.

Like any other drug, cannabis can:

• Impair your ability to drive safely or operate heavy equipment
• It can cause drowsiness, slow reaction times, lower your ability to pay attention and impair coordination
• Affect your mental capacity
• Impair your concentration, memory and decision-making, and can impact your ability to perform well on the job or at school.[1]
• Cause euphoria (a high) it can also cause anxiety or panic.[2]
• In rare cases, cannabis can trigger a psychotic episode (not knowing what is real, experiencing paranoia, having disorganized thoughts and, in some cases, hallucinating).[3]

[1] [2] [3] World Health Organization (WHO). The health and social effects of nonmedical cannabis use.