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Ocular Effects of Substance Use – How and Why Drugs Change Your Eyes

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Eyes are the windows to the soul. You can tell a lot about a person by looking into their eyes, like how they’re feeling, if they’re lying about something, and often times, if they’re high on drugs. While not all substances affect our eyes the same way, most of them do impact our peepers in some way. From pupil dilation and constriction to bloodshot, watery eyes, it’s a very common and simple way to determine if a person may be on drugs, and which ones.  

Ocular manifestations of drug use 

One of the significant side effects from drugs is changes in the appearance of the eyes, including the pupil’s motion and size and the color of the whites. Many drugs from illicit ones to legal substances to prescription drugs, in all different classes from cannabis to opiates to amphetamines, all of them have effects on the eyes.  

Some of these effects are short term, like the ones mentioned above, while some are more severe and can lead to lasting changes in vision. For now, we’ll focus on the former, immediate effects that indicate current intoxication. These include bloodshot and/or watery eyes, dilated pupils, and pinpoint pupils.  

Bloodshot eyes 

Many irritants like make-up and various chemicals, medical conditions such as allergies, and several different substances can cause red, bloodshot, eyes – which is a result of expanding blood vessels in the sclera. Chronic dry eye can also cause redness in the eyes, as your body is not producing enough tears to keep them properly lubricated.  

Again, there are many different drugs that can make your eyes red but most commonly, you see it when people drink too much alcohol, smoke weed, or use cocaine. As a regular pot smoker that also suffers from chronic dry eye, I use eyedrops pretty much anytime I leave the house, just to not look like I’m baked out of my mind while out in public.  

Dilated pupils  

Some substances trigger the body’s fight or flight adrenaline response by interacting with serotonin and adrenergic receptors in our sympathetic nervous system. This chemical reaction leads to mydriasis, the muscle relaxation that allows the eye’s pupil to expand and let in more light. Pupils also dilate naturally due to changes in light and emotional events, for example, pupils can dilate when a person is scared, stressed, or sexually aroused.  

Close up of a very dilated pupil

Stimulants are most commonly cause pupil dilation. However, this symptom can result from ingesting alcohol, cocaine, cannabis in rare cases, and it’s pretty common with most hallucinogens as well such as MDMA, psilocybin, LSD, and ketamine. SSRI antidepressants are also known to cause pupil dilation. What’s also interesting is that opiates cause the opposite effect, constriction of the pupils, but opioid withdrawal can cause the pupils to dilate. 

I’ve experienced pupil dilation when using MDMA and psilocybin, but since I typically use those types of drugs at night, I didn’t really notice any changes to my vision. In my younger years, I sometimes used ecstasy during the day, and I do remember feeling like my eyes were more sensitive to sunlight – sunglasses were my best friend. As a matter of fact, I’ve met people who were rolling and wore their sunglasses at night too, so I guess the struggle is real for some.   

Pinpoint pupils  

Whereas dilation due to activation of the sympathetic nervous system, it’s stimulation of the parasympathetic system, known for “rest and digest” functions, that causes constriction, or pinpoint pupils. Pinpoint pupils appear and remain very small even in darkness. 

Pupil constriction can have natural causes, like exposure to bright lights and aging. It’s also a side effect of certain medications, or could be caused by hemorrhaging or poisoning. It can also indicate opiate use, but unlike dilated pupils, pinpoint pupils are often a sign of a possible overdose. If your friend or family member displays this symptom and their eyes are not responding to light, call 911 immediately.  

Other central nervous system depressants like benzodiazepines (e.g., Xanax, Valium) and barbiturates (e.g. phenobarbital) can cause pinpoint pupils. These drugs act on the brain’s GABA receptors, which play a role in pupil size regulation. 

Other effects

In addition to the above-listed side effects, which are the most frequently discussed, there are quite a few other eye-related tells that point to intoxication. For example, when people use alcohol, opiates, and other downers, it’s common to experience heavy, droopy eyelids. From an outsider’s perspective, it almost looks like the person is starting to fall asleep because their eyes will barely stay open.  

Heavy eyelids that make a person look like they’re nodding off are common

With amphetamines, twitching can happen pretty often. This can be in various parts of the body, but it does often occur in the eyelids. It can be subtle, but sometimes it’s extremely noticeable. Other ocular symptoms can include blurred vision (common when people drink too much, but other substances can cause this too), slowed reaction time or jerky eye movements (which is why police ask suspects to follow their fingers when testing for sobriety), and glazed over eyes (stoned eyes).   

Final Thoughts

Listen to the eyes, they have much to say; especially when it comes to a person’s current state of mind. Again, it doesn’t really matter what class of drugs you’re talking about, most of them have some type of effects on the eyes. Some are very obvious, like extremely dilate pupils or severe twitching, but some can be more subtle, or can be attributed to many other causes, like redness. So whether you’re checking for drug use in someone else, or trying to hide your own drug use, remember to always take a quick glance at your eyes before doing something important.

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How Cannabis Can Help With Dysmenorrhea

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Millions suffer, but relief could be here thanks to science and a simple plant.  Here is how cannabis can help with dysmenorrhea.

It is an uncomfortable topic to discuss, but the painful truth is a majority of women will suffer it at some point and finding relief is invaluable. Around 80% of women experience period pain at some stage in their lifetime. Dysmenorrhea is the medical term for pain or discomfort during menstruation. It is a common gynecologic problem, but the pain can range from dull cramps to indescribable agony. Here is how cannabis can help with dysmenorrhea.

Medicinal cannabis has emerged as a potential treatment option for dysmenorrhea, offering hope for the tens of millions of women who suffer from menstrual pain. Current medical management options primarily consisting of over-the-counter pain relievers and hormonal contraceptives. The effectiveness of these treatments vary greatly.

The endocannabinoid system plays a role in uterine function and pain perception. Cannabinoid receptors CB1R and CB2R, as well as TRPV receptors, have been identified in human myometrial tissue. Tetrahydrocannabinol (THC), a primary component of cannabis, can act as a cannabinoid agonist, potentially triggering myometrial relaxation and easing menstrual pain.

Photo by Esther Kelleter/Getty

The potential benefits of cannabis for dysmenorrhea includes pain relief, improved sleep quality, and reduced reliance on pharmaceutical pain relievers. While research specifically on cannabis for dysmenorrhea is growing, studies on chronic pain provide some insights:

  • A systematic review of 18 randomized controlled trials found that synthetic cannabis products with high THC-to-CBD ratios may offer moderate improvement in pain severity.
  • A meta-analysis of 32 trials showed that medical cannabis or cannabinoids resulted in small to very small improvements in pain relief, physical functioning, and sleep quality among chronic pain patients.

There is significant interest in using cannabis for gynecologic pain management:

  • A survey found that 61.2% of women who had never used cannabis and 90.0% of those who had were willing to try it for gynecologic pain.
  • After cannabis legalization in Canada, current cannabis use increased from 13.3% to 21.5% among women with self-reported moderate-to-severe pelvic pain.

With th American Medical Association, American College of Physicians and even AARP recognizing the medical benefits of cannabis, it is critical more research is funded.  Millions of women may be in pain needlessly due to untreated dysmenorrhea.



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Staying Trim During The Holidays With Marijuana THCV

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The holidays are fun and full of family, activities, and food.  But does marijuana have a natural  secret weapon to help you at least not gain weight this season?

The holidays are here – turkeys, pie, and family favorites. Along with Christmas cookies, holiday cocktails, everything adds up and starts to make a difference in how clothes fit. On average, people gain between 1-2 pounds in November and December. Some studies suggest people gain more, with an average of 2–5 pounds. But is marijuana’s THCV your natural holiday weight loss plan. While Ozempic has been the wonder drug of weight loss, cannabis a natural plant used for thousands of years in medicine. Why not use to look good also? Here is some information and also advice on how much to take and how it works.

The most famous cannabinoids are THC or CBD. Legal to over 50% of the country and used by millions across the country.  While they are the most commonly used cannabinoids, the cannabis plant contains many other medically beneficial cannabinoids including THCV. Although THCV (Tetrahydrocannabivarin) is similar to THC, it contains its own unique benefits.

Research points to THCV’s ability to block the body’s rewarding sensations while eating different foods. If you’re looking to keep your food cravings at bay or prevent the munchies, check out strains high in THCV, which will suppress your appetite, especially during the holidays.

Photo by Olga Tsareva/Getty Images

It has also been found that THCV in its purest form can calm the unreasonable urge to overeat while also reducing hunger cravings. Thus, consumption of THCV can be beneficial for those who struggle with weight gain and/or food craving. Since THCV can help curb one’s appetite, researchers believe there’s a potential for THCV helping people fight obesity and other related health issues.

It is important to manage the dosage. Start with a low dose of 5-7.5mg of THCV for appetite suppression effects. Options for taking THCV include gummies, tinctures, vapes, or THCV-rich cannabis strains Take THCV in the morning to help with focus and energy. Start on teh weekend so you can make sure it works in a way which is comfortable. Consume it with food to increase absorption.

Gummies and tincture/oils are the easiest ways to consume to manage the dosage. Start with half a gummy or 1 full gummy (typically 10mg) and adjust based on your response. You can increase to 2 gummies per day if needed. For tinctures, start with half a dropper or less and adjust as needed. Take THCV about an hour before you normally start feeling hungry

RELATED: Which Is More Effective For Marijuana Patients, THC Or CBD?

THCV should be part of a healthy routine including exercise and proper rest. Research on cannabis continues, to using THCV is not a long term solution, consider it for the holidays. As usual, take to your health professional to make sure it doesn’t interact poorly with any prescribed medications.  Start low and grow so you can pay attention how your body and mind reacts.



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Science Says Cannabis Can Be Making Us Healthier

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As it it becomes available to more people, there is a positive health change going on according to data.

Cannabis is becoming more mainstream and and the side effects are doing even better than expected.  It seems the availability of legal marijuana is helping with the health of the general population. Studies in California, Canada and the now New Zealand have shown the upside of legalization. While cannabis has been used for health benefits for millions of years, reduction in more harmful intoxication products is another important wellness trend.

RELATED: Can CBD Oils Help With Anxiety & Depression

Alcohol consumption is associated with significant health risks, including liver damage, cardiovascular issues, and certain cancers. In contrast, marijuana has not been linked to the same level of severe physical health consequences. The Centers for Disease Control and Prevention (CDC) reports that over 36,000 annual U.S. deaths are attributed to chronic alcohol use, while there is no comparable category for marijuana-related deaths. Alcohol is also much more addictive than marijuana, causing long term physical and mental issues.

A study from New Zealand has found some interesting trends regarding the relationship between marijuana legalization and the consumption of alcohol and opioids.

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Following the legalization of marijuana in New Zealand, researchers observed a notable decline in alcohol consumption:

This suggests for adults, marijuana may be serving as a substitute for alcohol in some cases, particularly when it comes to heavy drinking episodes.

The relationship between marijuana legalization and opioid use appears more complex:

  • There was no clear evidence of marijuana legalization directly reducing opioid use or abuse.
  • However, some research indicates that people who use cannabis are more likely to initiate opioid use, with an odds ratio of 2.76 compared to non-cannabis users.
  • The likelihood of transitioning from opioid use to opioid use disorders among cannabis users was found to be 2.52 times higher than non-cannabis users.

The study also revealed some additional findings regarding substance use patterns:

  • Marijuana use increased by 16% among adults aged 21 and older following legalization.
  • There was a 5-6% increase in marijuana use initiation among adolescents and young adults aged 12-20. This would be go with the greater North American trend of California sober and Gen Z drifting away from alcohol and more into marijuana.
  • No significant changes were observed in the use of hard drugs like cocaine or heroin in any age group.

RELATED: Marijuana Use And Guy’s Member

These findings suggest while marijuana legalization may lead to decreased alcohol consumption among adults, it does not necessarily translate to reduced use of other substances, particularly opioids. The relationship between cannabis use and other substance use behaviors is complex and multifaceted. Time and more research should yield more benefits.



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