Important Facts You Need to Know About Mixing Weed with Alcohol

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Medically Reviewed by: 
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Dr. Marco M. Zahedi

Medical Director, Compassion Recovery Center

Medically Reviewed by: 
Picture of Dr. Michael Majeski
Dr. Michael Majeski

Licensed Psychologist (LP), Compassion Recovery Center

The combination of weed (cannabis) and alcohol is common among recreational users, but mixing these substances can have serious and unpredictable effects. While some people believe that using them together enhances their high, the reality is that the interaction between alcohol and cannabis can increase the risks of impaired judgment, physical side effects, and long-term health consequences. At Compassion Recovery Centers, a mental health and substance abuse treatment provider offering both virtual and in-person outpatient care, we strive to educate individuals on the dangers of substance use and provide support for those struggling with addiction.

Understanding How Alcohol and Cannabis Affect the Body

Alcohol’s Effects on the Body

Alcohol is a central nervous system depressant that affects brain function by slowing down communication between neurons. Some of the immediate effects of alcohol use include:

  • Impaired coordination and motor skills
  • Slowed reaction time
  • Lowered inhibitions
  • Drowsiness and dizziness
  • Nausea and vomiting

Long-term alcohol use can lead to serious health issues, including liver disease, cardiovascular problems, and addiction.

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Cannabis’ Effects on the Body

Cannabis contains tetrahydrocannabinol (THC), the psychoactive compound responsible for its intoxicating effects. Some of the common effects of cannabis use include:

  • Altered perception and sensory enhancement
  • Relaxation and euphoria
  • Impaired memory and cognitive function
  • Increased heart rate
  • Dry mouth and red eyes

While cannabis is often perceived as a relatively safe drug, it can cause dependency and have negative effects on mental health, especially for individuals predisposed to anxiety, depression, or psychosis.

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The Dangers of Mixing Weed with Alcohol

1. Increased Impairment and Risky Behavior

Both alcohol and cannabis impair cognitive function, coordination, and decision-making skills. When used together, their effects are amplified, leading to:

  • Extreme dizziness and disorientation
  • Increased likelihood of accidents and injuries
  • Higher risk of engaging in risky behaviors, such as unsafe sex or reckless driving

2. Greater Risk of Greening Out

“Greening out” refers to the unpleasant experience of nausea, dizziness, and vomiting caused by excessive cannabis use. When alcohol is consumed before cannabis, it increases THC absorption in the bloodstream, making users more susceptible to greening out. Symptoms may include:

  • Nausea and vomiting
  • Profuse sweating
  • Rapid heartbeat
  • Anxiety and panic attacks

3. Heightened Risk of Alcohol Poisoning

Cannabis can suppress the nausea response, making it harder for individuals to recognize the early signs of alcohol poisoning. This can lead to excessive drinking, which may result in:

  • Loss of consciousness
  • Dangerously slow breathing
  • Seizures
  • Death in severe cases

4. Increased Likelihood of Dependency and Addiction

Using alcohol and cannabis together frequently can increase the risk of developing a substance use disorder. Both substances impact the brain’s reward system, making users more likely to develop a dependency over time. Signs of substance dependence include:

  • Using substances to cope with stress or emotions
  • Needing higher doses to feel the same effects
  • Experiencing withdrawal symptoms when not using
  • Prioritizing substance use over responsibilities and relationships

5. Negative Mental Health Effects

Mixing alcohol and cannabis can have serious implications for mental health. Combining the two substances can:

  • Worsen symptoms of anxiety and depression
  • Trigger psychotic episodes in individuals prone to mental health disorders
  • Increase paranoia and hallucinations
  • Lead to long-term cognitive impairment

How to Avoid the Dangers of Mixing Alcohol and Cannabis

1. Practice Responsible Use

If you choose to use either alcohol or cannabis, it’s important to do so responsibly. Setting limits, staying hydrated, and consuming substances in a safe environment can help reduce risks.

2. Understand Your Limits

Everyone reacts differently to substances, and tolerance levels vary. Being mindful of how your body responds to alcohol and cannabis individually can help you avoid excessive consumption when using them together.

3. Seek Help if You’re Struggling with Substance Use

If you find yourself relying on alcohol or cannabis regularly, experiencing withdrawal symptoms, or facing difficulties in your personal or professional life due to substance use, seeking professional help is essential.

How Compassion Recovery Centers Can Help

At Compassion Recovery Centers, we understand the challenges of substance use and co-occurring mental health conditions. Our virtual and in-person outpatient treatment programs offer personalized support for individuals struggling with alcohol and cannabis use. Our services include:

  • Individual and Group Therapy to address underlying emotional and psychological issues
  • Cognitive Behavioral Therapy (CBT) to help change unhealthy thought patterns
  • Relapse Prevention Strategies to develop healthier coping mechanisms
  • Dual Diagnosis Treatment for individuals experiencing mental health disorders alongside substance use issues

Conclusion

Mixing weed with alcohol can have serious, sometimes dangerous, effects on physical and mental health. Understanding these risks and making informed decisions is crucial for overall well-being. If you or someone you know is struggling with substance use, Compassion Recovery Centers is here to help. Contact us today to learn more about our treatment programs and take the first step toward a healthier future.

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