Marijuana poisoning - Cannabis

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Poisoning is the name given to clinically significant behavioural changes and other symptoms that appear following the consumption of cannabis.

The most common cause of intoxication is the voluntary or accidental ingestion or inhalation of excessive quantities of this substance. It is of particular concern in children, when it usually follows accidental ingestion.

Symptoms range from nausea, hypotension and muscle twitches to delirium, panic and acute psychosis. In children, symptoms may become very serious, up to a coma and apnoea (pauses in breathing).

Diagnosis is reached through clinical history and physical examination. It will be confirmed with a blood test.

Treatment is symptomatic. In the case of motor agitation, it may be necessary to administer sedatives such as benzodiazepines. It is essential to prevent a secondary damage and calm patients who have panic reactions.

Bibliographic references
  1. George Sam Wang. Cannabis (marijuana): Acute intoxication. UptoDate, Octubre 2016
  2. Bostwick JM. Blurred boundaries: the therapeutics and politics of medical marijuana. Mayo Clin Proc 2012; 87:172.
  3. Committee on Substance Abuse, Committee on Adolescence, Committee on Substance Abuse Committee on Adolescence. The impact of marijuana policies on youth: clinical, research, and legal update. Pediatrics 2015; 135:584.
  4. Nancy K. Mello. Cocaína y otras drogas de abuso frecuente. Harrison. Principios de Medicina Interna, 19e. Capítulo 469e.
  5. A. Dueñas Laita. Intoxicación aguda por drogas de abuso. Farreras Rozman. Medicina Interna, ed 18. Capítulo 315
Author
Dr. Patricia Sánchez
Copyright
© TeckelMedical 2026

Symptoms

    Faster breathing rate


    Uncoordinated movements


    Dilated pupils


    Both eyes red


    Increased appetite

Symptoms to watch out for

If it is accompanied by seizures
Pain in the chest
Psychomotor agitation
Vomit that prevents beverages, food or medication ingestion
A feeling of shortness of breath

Self-care

Maintain hydration of 2 litres per day.
Consume antiemetics if vomits are present.