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Does cannabis help you sleep? Here's what the science says

Cannabis impacts sleep through compounds like THC and CBD, but its varied effects and potential risks call for further research to understand its long-term implications on sleep health.

Tibi Puiu
December 18, 2023 @ 4:05 pm

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Man sleeping in bed
Credit: Pexels.

In the quest for a good night’s sleep, an increasing number of people are turning to cannabis. With its legal status evolving and its popularity growing, it’s important to ask: Does cannabis genuinely help with sleep, or is it just a temporary fix fraught with risks?

The Science of Cannabis and Sleep

The relationship between cannabis and sleep is intricate and not entirely understood. Cannabis contains several compounds, but THC (tetrahydrocannabinol) and CBD (cannabidiol) are most significant in the context of sleep. THC is the main psychoactive component, responsible for the “high,” while CBD is non-psychoactive and is thought to influence mood and a sense of well-being.

THC has been observed in some studies to have sleep-promoting effects at lower doses. However, higher doses of THC might lead to sleep disturbances, such as interfering with REM sleep — the stage of sleep where most dreams happen. Typically, since studies show higher doses may lead to poor sleep, it may be a good idea to stay away from cannabis with more than 20% THC. This complex nature of THC’s effects adds complexity to its use as a sleep aid.

CBD, on the other hand, might have an inverse relationship with sleep compared to THC. Some research suggests that higher doses of CBD may improve sleep. This is particularly intriguing because CBD does not have the psychoactive effects of THC, making it a potentially safer option for those concerned about the mind-altering effects of cannabis.

One of the key challenges in studying cannabis’ effects on sleep is the variability in cannabis products. Different strains and ratios of THC and CBD can lead to different outcomes. Moreover, individual reactions to these compounds vary greatly. This lack of uniformity makes it very difficult for scientists to control for other factors, which is why there is no real satisfactory research on the matter yet.

Cannabis and CBD formula
Credit: Pixabay.

It’s no wonder then that research on cannabis and sleep often produces mixed results. Some studies report that cannabis can reduce the time it takes to fall asleep and increase the duration of deep sleep. Others suggest that while cannabis may help initiate sleep, it could impair the quality of sleep by reducing the amount of REM sleep, which is vital for cognitive and emotional processing. One 2016 study found that sleep quality and insomnia severity scores were better in non-users and non-daily users compared to daily cannabis users.

Cannabis may also affect sleep indirectly. For example, its pain-relieving properties can help individuals with chronic pain sleep better. Similarly, its anxiolytic effects might help reduce anxiety-related sleep disturbances. However, these indirect effects make it challenging to isolate the direct impact of cannabis on sleep mechanisms.

Despite these insights, the scientific community agrees that more research is needed to fully understand how cannabis affects sleep and to identify which individuals might benefit most from its use.

Different Types of Cannabis Products and Their Effects on Sleep

The form in which cannabis is consumed can significantly influence its effects on sleep. Smoking and vaping provide a rapid onset of effects but are short-lived. Edibles and oral forms, such as pills or tinctures, take longer to kick in but offer more prolonged effects, potentially beneficial for maintaining sleep throughout the night​​.

The type of cannabis strain also matters. Indica strains are commonly believed to be more sedative, potentially aiding sleep. Sativa strains, on the other hand, are thought to be more stimulating. However, this distinction is based more on anecdotal reports than solid scientific evidence. Some experts argue that the effects attributed to different strains may be more about user expectations shaped by industry marketing than actual pharmacological differences​​.

Hybrid strains, combining characteristics of both Indica and Sativa, complicate the picture further. These blends vary widely and are often left to the discretion of manufacturers and dispensaries, making consistent effects hard to predict.

The risks of using marijuana as a sleeping aid

The use of cannabis as a sleep aid is not without significant risks. One of the most concerning is the potential for developing tolerance and dependence. Regular use, especially at high doses, can lead to a need for increasingly larger doses to achieve the same sedative effect. Withdrawal from cannabis can lead to sleep disturbances, creating a cycle where cannabis is used to counteract the very problems it may be causing​​.

The long-term impacts on sleep architecture, particularly REM sleep, are also a concern. This suppression could have unintended consequences on mental health and cognitive abilities over time​​.

Health risks associated with different forms of consumption must also be considered. Smoking cannabis, like tobacco, poses risks to lung health. The safety of long-term vaping is still under investigation, although preliminary research shows it’s unhealthy. Oral forms, while avoiding respiratory risks, come with their own challenges in terms of dosing and delayed effects.

For certain populations, such as adolescents and young adults, the risks are more pronounced. The developing brain is more susceptible to the adverse effects of cannabis, including potential long-term cognitive impairments​​.

The bottom line: it’s complicated

The allure of cannabis as a sleep aid must be balanced against its potential risks and the current limitations in our understanding of its effects. While it may offer short-term relief for some, the long-term consequences and the possibility of dependency cannot be ignored.

Alternative treatments, such as cognitive behavioral therapy for insomnia and practicing good sleep hygiene, offer safer and more proven methods for improving sleep. As research continues to evolve, it will hopefully provide clearer guidance on the role of cannabis in sleep health.

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