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Are edibles safer than drinking? A comparative look at risks

4 min read

While heavy drinking leads to over 140,000 deaths annually in the U.S., the debate continues over alternative substances. For those considering cannabis, the question arises: are edibles safer than drinking? This inquiry involves examining pharmacology, consumption methods, and potential health outcomes for each substance.

Quick Summary

Compares the health risks and effects of cannabis edibles and alcohol. It covers pharmacological differences, overdose potential, long-term health impacts on organs like the liver, and impairment issues, emphasizing that both carry significant risks that require responsible use and understanding.

Key Points

  • Edibles have a delayed onset: Effects can take 30 minutes to 2 hours, risking accidental overconsumption due to perceived lack of initial effect.

  • Alcohol carries higher long-term physical health risks: Heavy alcohol use is linked to severe organ damage (liver, heart) and certain cancers, which are not typically associated with moderate cannabis use.

  • Alcohol overdose can be fatal: Unlike cannabis poisoning from edibles, alcohol poisoning can suppress vital bodily functions and be lethal.

  • Both impair driving: Driving under the influence of either alcohol or cannabis is illegal and unsafe, affecting judgment, coordination, and reaction time.

  • Start low and go slow with edibles: Due to the variable potency and delayed effect, beginners should start with a small amount of THC and wait an adequate amount of time before taking more.

  • Mixing is risky: Combining alcohol and edibles can lead to unpredictable and intensely negative experiences due to amplified effects.

  • Addiction risks differ: Alcohol is often considered more physically and psychologically addictive, with potentially life-threatening withdrawal symptoms, compared to cannabis use disorder.

In This Article

The question of whether edibles are a safer alternative to alcohol is complex, with no simple 'yes' or 'no' answer. Both substances carry unique risks and affect the body in different ways, from their initial consumption to long-term health impacts. Understanding these differences is crucial for anyone looking to make an informed decision about consumption.

Pharmacological Differences: A Tale of Two Pathways

The most significant differences between edibles and alcohol lie in how the body processes them, which directly influences the onset, intensity, and duration of effects. The primary psychoactive compound in cannabis, tetrahydrocannabinol (THC), is handled much differently than ethanol, the active ingredient in alcohol.

How the body processes alcohol

When alcohol is consumed, it is absorbed quickly into the bloodstream. The liver metabolizes it, producing toxic byproducts. The liver's capacity is limited, leading to a buildup of alcohol and metabolites if consumption is too rapid. This can cause swift intoxication and increase the risk of alcohol poisoning.

How the body processes edibles

Edibles are processed through the digestive system and metabolized by the liver, which is a slower process. This converts THC into a more potent compound, 11-hydroxy-THC.

This leads to several key effects:

  • Delayed Onset: Effects can take 30 minutes to 2 hours to appear, potentially leading users to consume more before feeling the initial effects.
  • Longer Duration: Effects can last up to 12 hours, with lingering effects for up to 24 hours.
  • Greater Intensity: The conversion to 11-hydroxy-THC can result in a more potent psychoactive experience.

Acute vs. Chronic Health Risks

Comparing the safety of edibles and alcohol involves examining both immediate (acute) and long-term (chronic) risks.

Acute risks: Overdose and impairment

  • Alcohol Overdose: Also known as alcohol poisoning, overconsumption of alcohol can be fatal by suppressing vital functions like breathing and heart rate.
  • Edible Overdose: While not typically fatal from THC alone, overconsumption can cause severe anxiety, paranoia, rapid heart rate, and impaired perception, potentially requiring emergency care. The delayed onset of edibles contributes to these incidents.

Chronic risks: Organ damage and addiction

  • Alcohol: Chronic heavy drinking can damage nearly every organ, including the liver, heart, and brain, and is linked to conditions like cirrhosis, heart disease, and various cancers.
  • Edibles: Moderate long-term cannabis use is not typically associated with the same level of severe organ damage as alcohol. However, heavy long-term use can carry risks such as dependency (Cannabis Use Disorder) and, in rare instances, Cannabinoid Hyperemesis Syndrome, characterized by cyclical vomiting. Research into the long-term effects of commercial edibles is ongoing.

Impairment and Driving

Both substances significantly impair driving ability and should not be used before operating a vehicle. Alcohol's impact on reaction time and judgment is well-established. Cannabis can affect coordination, judgment, and time perception. Edibles' delayed onset and long duration make it particularly challenging to determine when it is safe to drive.

A Comparison of Edibles vs. Alcohol

Feature Cannabis Edibles Alcohol
Onset of Effects Delayed (30 mins - 2 hours) Fast (15 - 45 mins)
Duration of Effects Long (4 - 12+ hours) Shorter (4 - 8 hours)
Overdose Potential Not typically fatal, but can be distressing and lead to panic and anxiety Can be fatal due to respiratory and heart suppression
Liver Impact Less physically harmful with moderate use; minimal toxic byproducts Creates toxic byproducts, leading to severe, chronic liver damage with heavy use
Addiction Risk Cannabis Use Disorder is possible, but less physically destructive than alcohol addiction Alcohol Use Disorder is highly addictive, with potentially severe and life-threatening withdrawal
Long-Term Health Generally considered less harmful, though research is ongoing for long-term heavy use Linked to numerous chronic diseases, including cancer and heart disease
Driving Impairment Significant, affecting coordination and perception Significant, affecting judgment and reaction time

Safe Consumption Practices

Responsible use is vital for minimizing harm with either substance. If you choose to consume edibles or alcohol, consider these practices:

  • Start Low, Go Slow (Edibles): Begin with a small amount of THC and wait at least 90 minutes before taking more.
  • Stay Hydrated: Drink plenty of water.
  • Know Your Limits (Alcohol): Understand recommendations for moderate drinking.
  • Never Combine: Mixing can lead to unpredictable and intensified effects.
  • Store Securely: Keep cannabis products away from children and pets.
  • Avoid Driving: Do not drive under the influence.
  • Consult a Professional: Discuss risks with a healthcare provider, especially if you have pre-existing conditions or take medications.

Conclusion: Responsible Use is Paramount

There is no simple answer to whether edibles are safer than drinking. While moderate edible use is generally considered to have fewer severe long-term physical risks than alcohol, the dangers of overconsumption due to delayed effects are significant. Alcohol, with its rapid intoxication and serious long-term health consequences, presents a different and potentially more damaging risk profile over time. Both can lead to dependency and impairment. The key takeaway is the necessity of responsible, informed consumption for either choice. Avoiding both is the safest option. For those who do partake, understanding the specific risks and following safety guidelines is crucial for protecting health.

For more information on the effects of cannabis and safety, consult the National Institute on Drug Abuse (NIDA) at https://www.drugabuse.gov/drugs-abuse/marijuana.

Frequently Asked Questions

The biggest risk is overconsumption due to the delayed onset of effects. People may eat more while waiting for the 'high' to start, leading to an unexpectedly intense and unpleasant experience that can cause panic, paranoia, and dizziness.

Heavy alcohol use is significantly worse for the liver, causing toxic byproducts that can lead to conditions like cirrhosis. While edibles are also processed by the liver, they do not create the same toxic compounds and are generally considered less damaging.

Fatal overdoses from cannabis alone are extremely uncommon, unlike alcohol poisoning, which can be lethal. However, overconsumption of edibles can result in a frightening psychological experience that may require emergency medical attention.

Edible effects last much longer than alcohol, potentially from 4 to 12 hours, with peak effects occurring around 4 hours after consumption. Alcohol's effects typically wear off within 4 to 8 hours.

No, it is not recommended to mix alcohol and edibles. This can significantly amplify the effects of both substances in an unpredictable way, leading to increased impairment, anxiety, and disorientation.

The safest approach is to 'start low and go slow.' Begin with a very small amount of THC and wait at least 90 minutes to 2 hours for the full effects to set in before deciding whether to take more.

Heavy alcohol use can lead to serious chronic conditions, including heart disease, stroke, various cancers, liver disease, cognitive impairment, and a weaker immune system.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.