2014 / Cross Sectional / Preliminary evidenceAbout 9-10% of participants in a U.S./Mexico border community had tried synthetic cannabinoids or Salvia, with current marijuana use being the strongest predictor.
2014 / Observational / Moderate evidenceSwedish monitoring detected over 50 different new psychoactive substances in emergency patients, predominantly young males, with synthetic cannabinoids among many diverse classes.
2014 / Cross Sectional / Moderate evidenceSmokers who used marijuana and other drugs expected quitting cigarettes would cause adverse outcomes, reducing their quit motivation across all six substance categories tested.
2014 / Case Report / Preliminary evidenceA 21-year-old regular cannabis user had a heart attack with normal arteries, confirmed by intravascular ultrasound, suggesting cannabis can trigger clotting without underlying arterial disease.
2014 / Case Report / Preliminary evidenceA patient with chronic vomiting previously diagnosed as cyclic vomiting syndrome was found to have cannabinoid hyperemesis syndrome, highlighting the importance of cannabis screening.
2014 / Animal Study / Preliminary evidenceA selective endocannabinoid enzyme blocker (KML29) reduced inflammatory and nerve pain in mice without cannabis-like side effects like sedation or immobility.
2014 / Cross Sectional / Moderate evidenceAmong 9,288 Ontario students, about 1 in 5 had a history of brain injury, which was linked to cannabis use, mental health problems, and risky behaviors with sex-specific patterns.
2014 / Prospective Cohort / Preliminary evidenceCannabis-dependent veterans with moderate/high physical activity were less likely to relapse during the first week of quitting, especially in the first four days.
2014 / Randomized Controlled Trial / Moderate evidenceIn chronic pain patients, oral THC at 10-20 mg produced psychoactive effects comparable in peak intensity to smoking marijuana, peaking at 2 hours vs. 30 minutes for smoking.
2014 / Review / Moderate evidenceReview found cannabis crosses the placenta and enters breast milk, with evidence suggesting adverse effects on fetal brain development that may persist into adulthood.
2014 / Randomized Controlled Trial / Moderate evidenceIn a randomized trial, lithium did not reduce overall cannabis withdrawal severity vs. placebo, though it improved appetite loss, stomach aches, and nightmares.
2014 / Review / Moderate evidenceReview found regular marijuana smoking causes bronchitis symptoms and airway inflammation, while occasional use does not increase COPD risk and the cancer link remains unproven.
2014 / Observational / Moderate evidenceFrench national data identified 35 serious cardiovascular events in cannabis users (2006-2010), including 20 heart attacks and 9 deaths, mostly in young men.
2014 / Cross Sectional / Preliminary evidenceAmong Arkansas high schoolers, cannabis (33% ever use), inhalants (19%), and prescription drugs (13%) were all linked to suicidality, with prescription drug abuse showing the strongest association.
2014 / Cross Sectional / Strong evidenceThe 2013 national youth survey found 23% past-month marijuana use among high schoolers, a rate that had not changed over time despite declining cigarette use.
2014 / Prospective Cohort / Moderate evidenceCannabis-dependent men showed reduced cognitive control brain activity, and those with greater pre-treatment activation in control and reward regions used less cannabis during and after treatment.
2014 / Systematic Review / Strong evidenceThe AAN systematic review found oral cannabis extract effective for MS spasticity and pain, but ineffective for tremor and of unknown efficacy for epilepsy (pre-CBD trials).
2014 / Case Report / Preliminary evidenceA 20-year-old woman with protracted nausea and vomiting from cannabis withdrawal was successfully treated with the synthetic cannabinoid nabilone.
2014 / Review / Moderate evidenceReview of oral fluid cannabis testing found THC can exceed 1,000 micrograms/L after smoking, with detection windows varying by route, dose, and use history.
2014 / Prospective Cohort / Moderate evidenceDuring monitored cannabis abstinence, most withdrawal symptoms peaked in days 0-3 and improved, but sleep disturbance and strange dreams got progressively worse over time.
2014 / Case Report / Preliminary evidencePilot study found that adding tobacco treatment to cannabis treatment did not harm cannabis outcomes, with 5 of 6 participants achieving cannabis abstinence.
2014 / Cross Sectional / Moderate evidenceAmong 25,456 high schoolers, marijuana use was associated with twice the odds of gambling and gambling problems, alongside alcohol and prescription drug misuse.
2014 / Meta Analysis / Strong evidenceAcross 22 longitudinal cohorts, cannabis use was linked to about 29 percent higher odds of later depression, with exposure measures often weak and overall bias rated medium.
2014 / Animal Study / Preliminary evidenceA dual enzyme inhibitor that boosts natural endocannabinoids suppressed anticipatory nausea in rats through CB1 receptor activation, with enhanced effects when combined with anandamide.
2014 / Observational / Moderate evidenceDaily cannabis users were more likely to meet hyperactive‑impulsive ADHD symptom criteria; nondaily users showed no subtype split.
2014 / Case Report / Preliminary evidenceCharlotte Figi: 50 seizures/day to 2-3/month on CBD cannabis extract. Single case that launched a movement, a drug approval, and a national policy shift.
2014 / Randomized Controlled Trial / Moderate evidenceClozapine reduced cannabis craving and insula brain activity more than risperidone in patients with schizophrenia and cannabis use disorder over 4 weeks of treatment.
2014 / Randomized Controlled Trial / Strong evidenceA large Dutch randomized trial of the Healthy School and Drugs prevention program found no significant effects on adolescent alcohol, tobacco, or marijuana use at 32 months.
2014 / Cross Sectional / Preliminary evidenceAmong 290 adolescents with eating disorders, nearly half of those with bulimia nervosa reported substance use, with older age being the strongest predictor of regular use.
2014 / Animal Study / Preliminary evidenceFirst study examining THC dependence in both sexes of adult rats found broadly similar withdrawal signs spanning somatic, cognitive, and affective domains, with females showing more retropulsion.
2014 / Longitudinal Cohort / Moderate evidenceLongitudinal study found marijuana use predicted dating aggression in girls, hard drug use predicted it in boys, and alcohol predicted aggression timing for both sexes across grades 8-12.
2014 / Systematic Review / Moderate evidenceSystematic review found that exercise, massage, acupuncture, several medication classes, and lifestyle factors all upregulate the endocannabinoid system, relevant to conditions like migraine and fibromyalgia.
2014 / Randomized Controlled Trial / Moderate evidenceStudy of 11 daily cannabis smokers found that oral THC (dronabinol) increased blood cannabinoid levels dose-dependently, but smoked cannabis was only distinguishable from oral THC for about 1 hour.
2014 / Cross Sectional / Preliminary evidencePositive schizotypy, not cannabis use, predicted creativity. Cannabis was only associated with divergent thinking in people who scored low on baseline creativity measures.
2014 / Randomized Controlled Trial / Moderate evidencePilot study found Sativex patients had oral fluid THC over 5,356 ng/mL shortly after dosing, remaining detectable for 2+ hours, with primary roadside test often giving false negatives.
2014 / Randomized Controlled Trial / Strong evidenceRCT of 185 patients found an 8-session CBT intervention did not outperform treatment as usual for substance users with suicide risk on any measure over 6 months.
2014 / Review / Moderate evidenceReview of early clinical data found cannabis improved Crohn's disease activity scores in small trials, but low-dose CBD alone did not work, and larger controlled studies are needed.
2014 / Cross Sectional / Preliminary evidencePopulation study of 1,560 young adults found lifetime crack cocaine use (2.5% prevalence) was associated with PTSD, antisocial personality disorder, suicide risk, and polysubstance use including cannabis.
2014 / Animal Study / Preliminary evidenceCB1 receptor activation with a synthetic cannabinoid impaired memory-related brain signaling (LTP) by causing abnormal overproduction of proteins and inhibiting acetylcholine release.
2014 / Randomized Controlled Trial / Moderate evidenceTwelve-week study of 48 laying hens found hempseed (up to 30%) and hempseed oil (up to 9%) had no negative effects on performance, egg quality, or blood chemistry.
2014 / Randomized Controlled Trial / Strong evidenceRCT of 764 students found the Climate Schools online prevention program reduced truancy, psychological distress, and moral disengagement for up to 12 months.
2014 / Pilot Study / Preliminary evidencePilot of the Australian Climate Schools online drug prevention program in 2 UK schools found 85% of students found it easy to understand and 82% of teachers would use it again.
2014 / Animal Study / Preliminary evidenceBlack pepper compound guineensine inhibited endocannabinoid uptake at nanomolar concentrations and produced cannabis-like effects in mice that were blocked by a CB1 antagonist.
2014 / Case Report / Preliminary evidenceCase report of a 32-year-old woman who developed takotsubo (stress) cardiomyopathy during an episode of cannabinoid hyperemesis syndrome after resuming marijuana use.
2014 / Cross Sectional / Preliminary evidenceCanadian study found teens with ADHD reported cannabis use at 14.2%, comparable to or lower than the 16.5-26.0% rates in two general population samples.
2014 / Review / Moderate evidenceReview found marijuana smoke causes cough and sputum similar to tobacco but does not appear to cause COPD, with mixed and unclear evidence on cancer risk.
2014 / Animal Study / Preliminary evidenceMouse study found acute and repeated cocaine exposure produced distinct endocannabinoid and glutamate system changes in the cerebellum, implicating it in addiction processes.
2014 / Cross Sectional / Moderate evidenceMS patients who used cannabis showed worse cognitive performance and more diffuse brain activation on fMRI, suggesting cannabis disrupts compensatory brain mechanisms already strained by MS.
2014 / Cross Sectional / Moderate evidenceAnalysis of 2,142 drug evaluations found field sobriety tests detected impairment across all drug categories including cannabis, with different patterns for each drug class.
2014 / Review / Moderate evidenceReview describes how GW Pharmaceuticals manages cannabis variability in genetics, growing, harvesting, and processing to produce Sativex, the first UK-approved cannabis medicine.