London Daily

Focus on the big picture.
Thursday, Dec 25, 2025

Does cannabis lead to harder drug use?

Leading Democrats have clashed over whether legalising cannabis leads to harder drug use - what's the evidence?

There's strong disagreement among Democratic contenders for the US presidency about legalising cannabis and it's been a flashpoint in their televised debates.

Joe Biden, currently the leading contender in the race, won't be drawn either way. He wants more evidence about whether using it could act as a "gateway" to the use of harder drugs before it's legalised throughout the US.

"Before I legalise it nationally," said Biden, "I want to make sure we know a lot more about the science behind it."

But other Democrats, such as Cory Booker and Kamala Harris, have attacked this approach, saying the evidence is clear-cut and that cannabis use should be legalised.

Senator Booker, who supports legalisation, joked that he thought Mr Biden "might have been high" when he said he opposed legalisation. Senator Harris has said: "Let's be clear; marijuana isn't a gateway drug and should be legalised."

Other senior Democrats such as Bernie Sanders and Elizabeth Warren also say they support legalisation.

Polling by the Pew Research Center shows that public support for legalisation has steadily increased in the last decade, with two-thirds of Americans now supporting it.


What does the science say?

Some 33 states have legalised medical cannabis, while 11 states and Washington DC have also legalised recreational use. But cannabis use remains illegal at the federal level.

So is there evidence legalising cannabis could lead to the use of more dangerous substances?

The US government's own National Institute on Drug Abuse states that "some research suggests that marijuana use is likely to precede use of other licit and illicit substances". It cites experiments on animals that show increased responsiveness to other drugs after being exposed to substances containing cannabis.

However, it adds that cannabis is not unique - alcohol and nicotine have a similar effect. And it states that the majority of people who use marijuana do not go on to use other, "harder" substances.

Denise Kandel, from the Mailman School of Public Health in New York, says research on animals shows changes in the way the brain responds to cocaine after exposure to alcohol, nicotine or marijuana.

She also says: "You are never able to establish a clear connection between using marijuana and using other drugs because there are so many other contributing factors that you can't control for in the research."

A paper published recently by the American Journal of Drug and Alcohol Abuse says: "Evidence of the impact of cannabis liberalisation on the use of other substances is inconclusive. We have limited evidence of how either alcohol or tobacco use has been impacted."


What's happened in states that have legalised?

There's evidence that in states where cannabis has been legalised, usage of the drug among teenagers has decreased - or stayed the same.

There's also research indicating that among adults aged 26 and older, legalisation leads to more rather than less cannabis use.

And evidence has also emerged linking regular use of stronger strains of cannabis to an increased risk of mental health conditions, particularly among younger people.

Washington, Oregon, Alaska and Colorado all legalised between 2014 and 2016, among the first US states to do so. Do they show any particular trends for the use of harder drugs?

The US authorities collect data for drug overdose deaths, and between 2013 and 2017, 35 states had significant increases in deaths over that period. Alaska is among these, but Washington, Colorado and Oregon are not.

The majority of these fatal overdoses are due to opioids - excluding methadone.

Alaska apart, opioid deaths in Colorado, Washington and Oregon did not increase significantly between 2013 and 2016, the last year for which data is available.

And estimates for cocaine use in the four states where marijuana is legal show it was above the national average from 2013 to 2016. But it was also higher in three of these states in 2012 before legalisation had taken effect.

Given that there are many different factors in each state that affect drug use like availability and supply, treatment and rehabilitation programmes, law enforcement priorities and social and economic conditions, it's hard to draw firm conclusions.

So more research may well be needed over a longer period to identify if there are clear trends around the use of other drugs in places where cannabis has been legalised.

Newsletter

Related Articles

0:00
0:00
Close
UK Mortgage Rates Edge Lower as Bank of England Base Rate Cut Filters Through Lending Market
U.S. Supermarket Gives Customers Free Groceries for Christmas After Computer Glitch
Air India ‘Finds’ a Plane That Vanished 13 Years Ago
Caviar and Foie Gras? China Is Becoming a Luxury Food Powerhouse
Hong Kong Climbs to Second Globally in 2025 Tourism Rankings Behind Bangkok
From Sunniest Year on Record to Terror Plots and Sports Triumphs: The UK’s Defining Stories of 2025
Greta Thunberg Released on Bail After Arrest at London Pro-Palestinian Demonstration
Banksy Unveils New Winter Mural in London Amid Festive Season Excitement
UK Households Face Rising Financial Strain as Tax Increases Bite and Growth Loses Momentum
UK Government Approves Universal Studios Theme Park in Bedford Poised to Rival Disneyland Paris
UK Gambling Shares Slide as Traders Respond to Steep Tax Rises and Sector Uncertainty
Starmer and Trump Coordinate on Ukraine Peace Efforts in Latest Diplomatic Call
The Pilot Barricaded Himself in the Cockpit and Refused to Take Off: "We Are Not Leaving Until I Receive My Salary"
UK Fashion Label LK Bennett Pursues Accelerated Sale Amid Financial Struggles
U.S. Government Warns UK Over Free Speech in Pro-Life Campaigner Prosecution
Newly Released Files Shed Light on Jeffrey Epstein’s Extensive Links to the United Kingdom
Prince William and Prince George Volunteer Together at UK Homelessness Charity
UK Police Arrest Protesters Chanting ‘Globalise the Intifada’ as Authorities Recalibrate Free Speech Enforcement
Scambodia: The World Owes Thailand’s Military a Profound Debt of Gratitude
Women in Partial Nudity — and Bill Clinton in a Dress and Heels: The Images Revealed in the “Epstein Files”
US Envoy Witkoff to Convene Security Advisers from Ukraine, UK, France and Germany in Miami as Peace Efforts Intensify
UK Retailers Report Sharp Pre-Christmas Sales Decline and Weak Outlook, CBI Survey Shows
UK Government Rejects Use of Frozen Russian Assets to Fund Aid for Ukraine
UK Financial Conduct Authority Opens Formal Investigation into WH Smith After Accounting Errors
UK Issues Final Ultimatum to Roman Abramovich Over £2.5bn Chelsea Sale Funds for Ukraine
Rare Pink Fog Sweeps Across Parts of the UK as Met Office Warns of Poor Visibility
UK Police Pledge ‘More Assertive’ Enforcement to Tackle Antisemitism at Protests
UK Police Warn They Will Arrest Protesters Chanting ‘Globalise the Intifada’
Trump Files $10 Billion Defamation Lawsuit Against BBC as Broadcaster Pledges Legal Defence
UK Says U.S. Tech Deal Talks Still Active Despite Washington’s Suspension of Prosperity Pact
UK Mortgage Rules to Give Greater Flexibility to Borrowers With Irregular Incomes
UK Treasury Moves to Position Britain as Leading Global Hub for Crypto Firms
U.S. Freezes £31 Billion Tech Prosperity Deal With Britain Amid Trade Dispute
Prince Harry and Meghan’s Potential UK Return Gains New Momentum Amid Security Review and Royal Dialogue
Zelensky Opens High-Stakes Peace Talks in Berlin with Trump Envoy and European Leaders
Historical Reflections on Press Freedom Emerge Amid Debate Over Trump’s Media Policies
UK Boosts Protection for Jewish Communities After Sydney Hanukkah Attack
UK Government Declines to Comment After ICC Prosecutor Alleges Britain Threatened to Defund Court Over Israel Arrest Warrant
Apple Shutters All Retail Stores in the United Kingdom Under New National COVID-19 Lockdown
US–UK Technology Partnership Strains as Key Trade Disagreements Emerge
UK Police Confirm No Further Action Over Allegation That Andrew Asked Bodyguard to Investigate Virginia Giuffre
Giuffre Family Expresses Deep Disappointment as UK Police Decline New Inquiry Into Andrew Mountbatten-Windsor Claims
Transatlantic Trade Ambitions Hit a Snag as UK–US Deal Faces Emerging Challenges
Ex-ICC Prosecutor Alleges UK Threatened to Withdraw Funding Over Netanyahu Arrest Warrant Bid
UK Disciplinary Tribunal Clears Carter-Ruck Lawyer of Misconduct in OneCoin Case
‘Pink Ladies’ Emerge as Prominent Face of UK Anti-Immigration Protests
Nigel Farage Says Reform UK Has Become Britain’s Largest Party as Labour Membership Falls Sharply
Google DeepMind and UK Government Launch First Automated AI Lab to Accelerate Scientific Discovery
UK Economy Falters Ahead of Budget as Growth Contracts and Confidence Wanes
Australia Approves Increased Foreign Stake in Strategic Defence Shipbuilder
×