2023 / Observational / Preliminary evidenceCannabis extracts from four different plant varieties all inhibited liver enzymes that metabolize warfarin and other blood thinners — with interaction strength varying by chemotype.
2023 / Retrospective Cohort / Preliminary evidenceA 12-week group therapy program combining CBT and motivational enhancement reduced cannabis use, cravings, withdrawal, depression, and anxiety in treatment-seeking patients.
2023 / Cross Sectional / Moderate evidenceNational survey found most cannabis use happens at home with few household rules restricting it, creating potential secondhand exposure for non-users.
2023 / Case Control / Moderate evidenceEU-GEI study of 2,112 people found cannabis use partially mediates the relationship between childhood adversity and first-episode psychosis.
2023 / Cross Sectional / Low evidenceStudy of 323 cannabis use disorder patients found most had pre-existing adverse childhood experiences, social-emotional impairments, or neurodevelopmental conditions.
2023 / In Vitro / Very Low evidenceLab study found THC at physiological concentrations impaired sperm capacitation and altered gene expression in a bull sperm model.
2023 / Retrospective Cohort / Moderate evidencePopulation study of 34,309 West Virginia births found cannabis common in prenatal substance use, both alone and combined with opioids and stimulants.
2023 / Animal / Low evidenceRat study reveals a novel FABP5-CB2 cannabinoid receptor pathway in the prefrontal cortex that regulates anxiety behavior.
2023 / Randomized Controlled Trial / Moderate evidenceProof-of-concept RCT compared cannabis alone, oxycodone alone, and cannabis+oxycodone for fibromyalgia pain to test opioid-sparing potential.
2023 / Cross Sectional / Low evidenceMichigan study found nausea and vomiting of pregnancy associated with prenatal cannabis use amid rising potency and decreasing risk perception.
2023 / Cross Sectional / Moderate evidenceNHANES analysis of 18,000+ adults found cannabis use associated with lower odds of some GI illnesses, contrasting with hyperemesis reports in heavy users.
2023 / Systematic Review / Moderate evidenceSystematic review finds marijuana smoking linked to airway inflammation, chronic bronchitis, and possible associations with pneumonia and emphysema.
2023 / Observational / Preliminary evidenceRome police seizures show hashish THC nearly doubled from 13.7% to 27.1% in seven years, with some samples exceeding 40% — and young males are the primary users.
2023 / Retrospective Cohort / Moderate evidenceReal-world study found prescribed CBD reduced seizures in a substantial proportion of epilepsy patients over 12 months with mostly mild side effects.
2023 / Cross Sectional / Low evidenceCross-sectional study of 153 substance-dependent patients in North India found ADHD prevalent across substance types including cannabis dependence.
2023 / Cross Sectional / Moderate evidenceCross-sectional study finds cannabis use linked to adverse psychosocial functioning among North American college students, extending adolescent findings to ages 18-22.
2023 / Observational / Low evidenceNovel cannabis chemovar index classified products by cannabinoid-terpene profiles and found different combinations associated with distinct patient outcomes in 204 users.
2023 / Observational / Moderate evidenceOne in four positive workplace drug tests now contain delta-8 THC metabolites — 11% from delta-8 exclusively — creating new challenges for testing programs and employees alike.
2023 / Quasi Experimental / Moderate evidenceInterrupted time series analysis found Washington State traffic crashes increased after marijuana legalization and especially after retail store openings.
2023 / Cross Sectional / Moderate evidenceABCD Study found limited concordance between teen self-reported substance use and hair toxicology, with hair testing detecting use teens denied.
2023 / Cross Sectional / Moderate evidenceABCD Study of 5,580 youth found secondhand cannabis and tobacco smoke exposure associated with lower cognitive scores, even without direct use.
2023 / Cross Sectional / Moderate evidenceSurvey of US cannabis flower purchases found prices and sources varied significantly across state legal frameworks in 2019-2020.
2023 / Cross Sectional / Moderate evidenceStudy of 15,311 Canadian cannabis consumers found proximity to legal retail stores strongly predicted legal purchasing in the first 3 years of legalization.
2023 / Cross Sectional / Moderate evidenceSurvey of 15,311 Canadian consumers found legal cannabis sourcing varied widely by product type, province, and use frequency from 2019-2021.
2023 / Review / Low evidenceSurvey of 39 states and DC found cannabis record expungement options widely available but varying dramatically in accessibility and scope.
2023 / Cross Sectional / Very Low evidenceSurvey found almost no US film incentive programs restrict cannabis or tobacco depictions, despite evidence that media exposure influences youth substance initiation.
2023 / Observational / Preliminary evidenceFive high-CBD cannabis extracts reduced gut cell inflammation through microRNA pathways, suppressing COX-2, IL-6, and IL-8 — but high doses also slowed cell growth.
2023 / Retrospective Cohort / Moderate evidenceUK Medical Cannabis Registry analysis found fibromyalgia patients improved on quality-of-life measures after at least one month of cannabis-based treatment.
2023 / Secondary Analysis / Moderate evidenceAnalysis of a CUD clinical trial found high-dose nabiximols did not cause clinically significant changes in biological markers including liver function.
2023 / Systematic Review / Moderate evidenceSystematic review finds roadside cannabis screening devices detect THC presence but struggle to reliably indicate impairment, highlighting a key legalization challenge.
2023 / Review / Moderate evidenceReview finds cannabis increases psychosis risk, worsens outcomes in vulnerable youth, and recommends integrated treatment approaches for co-occurring use and psychotic symptoms.
2023 / Prospective Cohort / Low evidenceProspective study found whole-blood cannabinoid profiles differed between symptomatic and asymptomatic periods in ED patients with suspected cannabinoid hyperemesis syndrome.
2023 / Qualitative / Very Low evidenceAnalysis of CHS Reddit communities identified common triggers, home remedies, and patient experiences with cannabinoid hyperemesis syndrome.
2023 / Observational / Low evidenceObservational study found medical cannabis associated with changes in controlled substance prescriptions, including opioid-sparing effects and sedative hypnotic pattern changes.
2023 / Cross Sectional / Low evidenceStudy found significant disagreements between web-based and government cannabis retailer data across US states, raising concerns for access research accuracy.
2023 / Cross Sectional / Moderate evidencePopulation study of 150,634 California teens found e-cigarettes, cigarettes, and cannabis each independently associated with asthma, with additive combined effects.
2023 / Animal / Low evidenceAnimal study found THC and CBD had distinct effects on BDNF and TrkB expression in the adolescent hippocampus, suggesting different impacts on brain development.
2023 / Systematic Review / Low evidenceScoping review finds growing cannabis use among older adults but limited evidence on age-specific safety, efficacy, and drug interaction concerns.
2023 / Case Report / Very Low evidenceCase report of CHS presenting with ventricular bigeminy highlights potential cardiac complications of cannabinoid hyperemesis syndrome.
2023 / Review / Low evidenceReview proposes neuropsychological testing to differentiate cannabis-induced psychosis from schizophrenia, conditions that often look identical clinically.
2023 / Cross Sectional / Low evidenceSurvey of 344 Pennsylvania clinicians found most felt insufficiently trained and uncomfortable discussing medical cannabis with patients.
2023 / Longitudinal / Moderate evidenceLongitudinal study found continued cannabis use predicted worse outcomes in first-episode psychosis, with early intervention services only partially offsetting the disadvantage.
2023 / Narrative Review / Preliminary evidenceCannabinoids — especially CBD — show biological rationale for treating psoriasis through antioxidant and anti-inflammatory pathways, but clinical evidence in human patients remains minimal.
2023 / Systematic Review / Low evidenceScoping review of human lab cannabis self-administration studies identifies factors influencing consumption and highlights potential for testing CUD medications.
2023 / Animal / Low evidenceMouse study found a hemoglobin-derived peptide promoted deep sleep through CB1 cannabinoid receptors, revealing new endocannabinoid sleep regulation pathways.
2023 / Cross Sectional / Low evidenceSurvey reveals widespread public belief that marijuana effectively treats glaucoma, contrasting with ophthalmological consensus that it is impractical for this use.
2023 / Retrospective Cohort / Moderate evidencePropensity-matched study found medical cannabis authorization associated with increased ED visits and hospitalization for depressive disorders.
2023 / Review / Low evidenceReview finds growing interest in medical cannabis for hand surgery pain but limited specific evidence, with opioid-sparing potential as the main driver.
2023 / Cross Sectional / Moderate evidenceAnalysis of 214,505 US adults found cannabis use rising from 2015-2019 across disabilities and health conditions, exceeding general population rates.
2023 / Cross Sectional / Low evidenceStudy found tobacco dependence worsened cannabis withdrawal symptoms in both people with and without schizophrenia-spectrum disorders.