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A Strange Blend: Why Are Europeans Mixing Cannabis and Tobacco?

This article was originally published on Leafly.

Cannabis doesn’t carry the sort of health hazards tobacco does, a majority of studies say. But that doesn’t change the European habit of mixing the two. It’s something North American cannabis consumers don’t often do: even cigarette smokers in Vancouver or L.A. tend smoke their flower pure, strictly separating nicotine and cannabinoids. So where does this difference come from?

To answer the question, let’s go back in time to the cannabis renaissance of the 1960s and ‘70s. Consumers in Europe at the time almost exclusively smoked hashish, often crumbling it into cigarettes, as hardly anyone was aware of the dangers of nicotine and smoking tobacco. The vast majority of cannabis consumers in the U.S., on the other hand, overwhelming had access only to dried flower, which could easily be used to roll pure joints.

These differences influenced the size of what was being rolled in North America and Europe. In the U.S. and Canada, pure “mini-joints” became the standard, while on the continent a king-size joint is preferred. A European-sized joint that contains only cannabis might contain 1.5 grams to 2 grams of flower — far too much for most. An American joint, on the other hand, contains about as much herb — about 0.2 grams to 0.5 grams — as a European mixed joint (often called a spliff in the U.S.), but without the nicotine. Scientists have even pinpointed the average amount of cannabis in an American joint at 0.32 grams. In Germany, the Netherlands, or Denmark, that amount of cannabis is typically mixed with another gram or so of tobacco, depending on personal preference.

Smoke Raw

Not only does consuming a cannabis–tobacco blend affect your health more than pure flower, it also complicates efforts to gauge the health effects of cannabis itself. The legalization debate often revolves around the dangers of “smoking,” because almost every European study on cannabis is not about smoking it pure but about cannabis mixed with tobacco. Even in medical programs, little attention is paid to whether patients smoke pure. That means that Europeans who use cannabis alone has to justify the consequences of a substance that has little to do with cannabis.

Even without tobacco, smoking is the unhealthiest form of any medical application. Yet other, healthier forms of consumption, such as vaporization or edibles, seem to catch on much more slowly in Europe. That’s in part because tobacco has long been engrained in European culture; as cannabis grew in popularity among Europeans, that affected how people chose to consume. In other cultures, where cannabis has been part of everyday life for millennia, people consume orally or at least smoke cannabis pure.

Mixing tobacco into a joint increases the addictive risks immensely. Many casual users have only begun to smoke cigarettes because they use tobacco for their joints. “Without cannabis I have no problems, but I then smoke more cigarettes” — you’ll never hear such a statement from a pure-cannabis consumer. Doctors in Germany or the Netherlands treating cannabis patients are often unaware of this phenomenon and fail to advise patients to quit tobacco— or at least to separate the consumption of both drugs so the positive effects of cannabis remain intact. The unfortunate reality is that in most instances in Europe, the pairing of cannabis and tobacco simply isn’t discussed.

Last but not least, pure cannabis acts quite differently than a cannabis–tobacco blend. Patients report that the combination of nicotine and cannabis can lead to pain relief and relaxation, but very often they note fatigue as a negative side effect.

Lung-Killer Nicotine

All these facts should be worrying enough for European cannabis fans to reflect on their consumption habits. To make things worse, there’s the political aspect. Prohibitionists use the dangers of the legal drug nicotine to protest against legalization of cannabis: “How can we have ever stricter laws to control tobacco and at the same time legalize cannabis?”

Professor Donald Tashkin has been a leading American pulmonologists for decades. In the past he was a vocal supporter of cannabis prohibition. Tashkin was convinced that smoking cannabis flowers created a high risk of developing lung cancer or chronic obstructive pulmonary disease (COPD). At one point, he was convinced that cannabis and lung cancer had a causal relationship worse than tobacco.

But more recent evaluations of long-term studies, however, made him change his mind in 2009: “Early on, when our research appeared as if there would be a negative impact on lung health, I was opposed to legalization because I thought it would lead to increased use, and that would lead to increased health effects,” he has said. “But at this point, I’d be in favor of legalization. I wouldn’t encourage anybody to smoke any substances, because of the potential for harm. But I don’t think it should be stigmatized as an illegal substance. Tobacco smoking causes far more harm. And in terms of an intoxicant, alcohol causes far more harm.”

If the legislators take their task to protect public health seriously, European studies that evaluate the risk potential of pure cannabis consumed in various forms (smoking, vaporizing, edibles) have to be undertaken. These studies should take the international state of research into account, focusing on safer ways of consuming.

Michael Knodt is Leafly’s Germany correspondent.

A Strange Blend: Why Are Europeans Mixing Cannabis and Tobacco? This article was originally published on Leafly. Cannabis doesn’t carry the sort of health hazards tobacco does, a majority

Is There a Safer Way to Smoke Cannabis? How the Methods Stack Up

If you’re looking for the healthiest way to smoke cannabis, keep in mind that there’s no totally safe way to do so — even with the purest, most pesticide-free bud. Cannabis smoke contains most of the same toxins and carcinogens that make tobacco smoke harmful to your health.

There are, however, methods that may be slightly less harmful than others. Here’s a look at how different methods compare, plus some smoke-free alternatives to consider.

The dangers of smoke inhalation are well known, so it’s not surprising that a lot of folks assume vaping is the healthier alternative to smoking. Unfortunately, it’s not that simple.

There’s mounting evidence that vaping can have serious health effects. Much of the concern comes from inhaling vitamin E acetate, a chemical additive found in many vaping products containing tetrahydrocannabinol, or THC.

However, this risk seems to apply only to vaping concentrates, not flower. A 2006 study suggests that vaping actual cannabis, not concentrate, is less harmful to your respiratory system than smoking. Still, research on vaping cannabis is pretty limited.

Lung health aside, there’s also a matter of potency. People who vape cannabis report experiencing stronger effects — regardless of the amount of THC in the product — than they do when smoking. This means a higher chance of overdoing it, or greening out, when vaping.

Maybe a teeny, tiny bit, but nowhere near enough to make a difference.

Bongs offer a smoother toke because you don’t get the dry heat from smoking cannabis rolled in paper. Though it feels less harsh when you inhale, your lungs don’t know the difference.

Well, both still involve inhaling smoke, so there’s that. But if you had to choose the lesser of two evils, joints are probably the better option. This is because blunts are made with hollowed-out cigars, and cigars and their wrappers are highly toxic.

Even after removing all the tobacco from a cigar, cancer-causing toxins, such as nitrosamines, can remain. Plus, cigar wrappers are more porous than rolling papers, so the burning is less complete. This results in smoke with high concentrations of toxins.

Then there’s the matter of size. Blunts are a lot bigger than joints, and they hold way more pot. Smoking an entire blunt is like smoking roughly six joints.

Dabbing is supposed to give you a “cleaner” high, but what does that actually mean? Not much.

Budder — another name for dabs or marijuana concentrate — delivers a lot more THC than other weed products, often as much as 80 percent more.

Dabbing is still pretty new, so experts still don’t know the full impact.

There’s evidence that exposure to high THC may lead to long-term mental health effects, like psychosis. The risk of misuse and addiction is also higher when using high-THC products, especially for young people.

Plus, unless you have high-tech lab equipment and are trained in extraction, your dabs may be far from pure. Research shows that dabs can contain contaminants and residual solvents that can to neurotoxicity and cardiotoxicity.

Dabbing also has respiratory effects, even though you’re not technically “smoking.” There have been cases of people developing lung damage from dabbing.

The bad news? There’s no safe way to smoke cannabis. The good news? There are plenty of other ways to consume it.

Here are your main options:

  • Edibles. Unlike smoking and vaping, ingesting cannabis won’t harm your lung health. The downside for some is that edibles take longer to kick in because they need to clear your digestive system before getting into your bloodstream. The upside is that the effects also hang around longer. You also have an endless variety to choose from, with everything from gummies to baked goods to cannabutter.
  • Sublinguals. These are usually lumped together with edibles, but they’re not quite the same. Unlike edibles, you don’t actually swallow sublingual forms of cannabis, which include things like tinctures, films, and dissolvable tablets. Sublingual cannabis is placed under the tongue for absorption, and is absorbed through your mouth’s mucus membranes, so the effects are felt faster.
  • Tinctures. Tinctures are made of alcohol-based cannabis extracts that come in bottles with droppers. You can add tinctures to drinks, but you can also get the effects faster by placing a few drops — depending on your desired dose — under your tongue.
  • Topicals. Cannabis topicals are for people looking for the therapeutic benefits of cannabis without the cerebral effects. Creams, balms, and patches can be applied to the skin to relieve inflammation and pain. There’s also cannabis lubricant made for, well, sexy time.
  • Suppositories. The idea of shoving cannabis up your butt (or vagina, depending on the product) may make you clench, but it’s definitely a thing. Most of the suppositories on the market are CBD-infused and used for therapeutic reasons, like pain or nausea relief, but some brands have upped their THC content for added effects.

If you’d still rather smoke your weed despite the risks, consider these harm-reduction tips to help make it a little safer:

  • Don’t hold the inhale. Inhaling deeply and holding it in exposes your lungs to more tar per breath. Don’t be greedy; exhaling faster is better for you.
  • Use rolling papers approved by the Food and Drug Administration (FDA). Rolling papers may seem like NBD, but some contain chemicals and flavorings that can be toxic.
  • Stick to glass bongs and pipes. Plastic bongs can contain chemicals like BPA and phthalates, which have been linked to serious health effects, including cancer.
  • Keep your stuff clean. Keep your bongs and pipes clean, and don’t roll your weed on dirty surfaces.
  • Don’t share mouthpieces or pass joints. Sharing your stash is fine, but not your pipes, bongs, or joints. When you share these, you’re basically swapping spit with that person and putting yourself at risk for infections.

No matter how you dice it, there’s really no safe way to smoke cannabis, whether you prefer to roll one up or are partial to bongs. As cannabis becomes more popular, so do products that allow you to indulge without the smoke.

That said, if you’re partial to puffing and passing, a vaporizer that allows you to use flower, not concentrates, may be a less harmful option.

Adrienne Santos-Longhurst is a freelance writer and author who has written extensively on all things health and lifestyle for more than a decade. When she’s not holed-up in her writing shed researching an article or off interviewing health professionals, she can be found frolicking around her beach town with husband and dogs in tow or splashing about the lake trying to master the stand-up paddleboard.

You can smoke cannabis in a variety of ways, but is one safer or healthier than others?