London Daily

Focus on the big picture.
Friday, Nov 14, 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 Upholds Firm Rules on Stablecoins to Shield Financial System
Brussels Divided as UK-EU Reset Stalls Over Budget Access
Prince Harry’s Remembrance Day Essay Expresses Strong Regret at Leaving Britain
UK Unemployment Hits 5% as Wage Growth Slows, Paving Way for Bank of England Rate Cut
Starmer Warns of Resurgent Racism in UK Politics as He Vows Child-Poverty Reforms
UK Grocery Inflation Slows to 4.7% as Supermarkets Launch Pre-Christmas Promotions
UK Government Backs the BBC amid Editing Scandal and Trump Threat of Legal Action
UK Assessment Mis-Estimated Fallout From Palestine Action Ban, Records Reveal
UK Halts Intelligence Sharing with US Amid Lethal Boat-Strike Concerns
King Charles III Leads Britain in Remembrance Sunday Tribute to War Dead
UK Retail Sales Growth Slows as Households Hold Back Ahead of Black Friday and Budget
Shell Pulls Out of Two UK Floating Wind Projects Amid Renewables Retreat
Viagogo Hit With £15 Million Tax Bill After HMRC Transfer-Pricing Inquiry
Jaguar Land Rover Cyberattack Pinches UK GDP, Bank of England Says
UK and Germany Sound Alarm on Russian-Satellite Threat to Critical Infrastructure
Former Prince Andrew Faces U.S. Congressional Request for Testimony Amid Brexit of Royal Title
BBC Director-General Tim Davie and News CEO Deborah Turness Resign Amid Editing Controversy
Tom Cruise Arrives by Helicopter at UK Scientology Fundraiser Amid Local Protests
Prince Andrew and Sarah Ferguson Face Fresh UK Probes Amid Royal Fallout
Mothers Link Teen Suicides to AI Chatbots in Growing Legal Battle
UK Government to Mirror Denmark’s Tough Immigration Framework in Major Policy Shift
UK Government Turns to Denmark-Style Immigration Reforms to Overhaul Border Rules
UK Chancellor Warned Against Cutting Insulation Funding as Budget Looms
UK Tenant Complaints Hit Record Levels as Rental Sector Faces Mounting Pressure
Apple to Pay Google About One Billion Dollars Annually for Gemini AI to Power Next-Generation Siri
UK Signals Major Shift as Nuclear Arms Race Looms
BBC’s « Celebrity Traitors UK » Finale Breaks Records with 11.1 Million Viewers
UK Spy Case Collapse Highlights Implications for UK-Taiwan Strategic Alignment
On the Road to the Oscars? Meghan Markle to Star in a New Film
A Vote Worth a Trillion Dollars: Elon Musk’s Defining Day
AI Researchers Claim Human-Level General Intelligence Is Already Here
President Donald Trump Challenges Nigeria with Military Options Over Alleged Christian Killings
Nancy Pelosi Finally Announces She Will Not Seek Re-Election, Signalling End of Long Congressional Career
UK Pre-Budget Blues and Rate-Cut Concerns Pile Pressure on Pound
ITV Warns of Nine-Per-Cent Drop in Q4 Advertising Revenue Amid Budget Uncertainty
National Grid Posts Slightly Stronger-Than-Expected Half-Year Profit as Regulatory Investments Drive Growth
UK Business Lobby Urges Reeves to Break Tax Pledges and Build Fiscal Headroom
UK to Launch Consultation on Stablecoin Regulation on November 10
UK Savers Rush to Withdraw Pension Cash Ahead of Budget Amid Tax-Change Fears
Massive Spoilers Emerge from MAFS UK 2025: Couple Swaps, Dating App Leaks and Reunion Bombshells
Kurdish-led Crime Network Operates UK Mini-Marts to Exploit Migrants and Sell Illicit Goods
UK Income Tax Hike Could Trigger £1 Billion Cut to Scotland’s Budget, Warns Finance Secretary
Tommy Robinson Acquitted of Terror-related Charge After Phone PIN Dispute
Boris Johnson Condemns Western Support for Hamas at Jewish Community Conference
HII Welcomes UK’s Westley Group to Strengthen AUKUS Submarine Supply Chain
Tragedy in Serbia: Coach Mladen Žižović Collapses During Match and Dies at 44
Diplo Says He Dated Katy Perry — and Justin Trudeau
Dick Cheney, Former U.S. Vice President, Dies at 84
Trump Calls Title Removal of Andrew ‘Tragic Situation’ Amid Royal Fallout
UK Bonds Rally as Chancellor Reeves Briefs Markets Ahead of November Budget
×