The sun: “Quitting ciggies goes to pot” – 10th September 2008

CANNABIS use is the biggest obstacle in getting teenagers to give up cigarettes, a study warned. Smokers are extremely unlikely to quit while regularly enjoying a joint, said a British Medical Journal report. And for some “this may be an insurmountable barrier to quitting”.

This caused predictable outrage on cannabis forums because of it’s anti cannabis slant, but the Sun actually reported something important, and something virtually no other media outlet touched. It should be a major issue for cannabis users, law reform activists and those interested in drug information and outreach services, but it’s one about which almost nothing has been said or done, other than by this very site, UKCIA.

The item the Sun picked up on was reported in rather more measured tones in OnMedica, under the heading “Rethink needed on smoking cessation services“. This was a report on research carried out by Gill Grimshaw from the University of Warwick and Alan Stanton from the Solihull Care Trust who report:

Smokers are extremely unlikely to quit using cigarettes while continuing to smoke cannabis mixed with tobacco, and for some people this may be an insurmountable barrier to quitting

Which is what the Sun said, sort of.

The connection between tobacco and cannabis is well known. Even today, most cannabis users roll joints -  basically cigarettes packed with tobacco and a bit of cannabis. Joints don’t have a filter, just a rolled up bit of cardboard called a “roach”. Now, whatever harm cannabis may be capable of causing, smoking it with a known carcinogenic and highly addictive drug such as tobacco can only add – significantly – to those risks, especially with no filter and the smoke being taken in the way it is.

This is something UKCIA, almost alone in the law reform movement, has been highlighting for the past 8 years or more with our Tokepure campaign and it’s  something the government has refused utterly to support or even to acknowledge.

For information about stuff like this, young people are supposed to talk to Frank:

You’re also at risk of getting addicted to nicotine if you roll your spliffs with tobacco.

but

Most people mix cannabis with tobacco and smoke it as a spliff or a joint.

and

Cannabis, like tobacco, has lots of chemical ‘nasties’, which can cause lung disease and cancer with long-term or heavy use, especially as it is often mixed with tobacco.

And that is it as far as Frank is concerned, not a word of advice to use cannabis without tobacco.

Lets be clear about this. The use of tobacco for smoking cannabis is the biggest health risk most cannabis users are exposed to. Even if we accept without question the most strident claims regarding cannabis and mental health, the tobacco issue still comes out on top because it touches just about everyone who gets introduced to cannabis, which usually of course, means young people.

Tobacco is an interesting drug  because it is probably the best “mixer” drug out there, it goes well with virtually anything and cannabis is no exception. what makes it different to the issue of smoking and drinking – which before the smoking ban were often thought of as inseparable – is with cannabis the two are used together in joints, not simply at the same time

This means that a novice user will be introduced to cannabis via a tobacco spliff in most instances and the group dynamic will re-enforce the tobacco habit. Tobacco smokers are very defensive as well, people who try to encourage tobacco free use are often accused of “forcing their opinions of us”, or “being against the freedom of choice”. These are all arguments UKCIA is very familiar with sadly.

Tobacco is often thought of as having no effect because it doesn’t lead to intoxication, but in truth it’s far from benign. Tobacco has the effect of making you feel good about having smoked it – add this feel good factor to the “stone” of cannabis and we have something very appealing. Hence tobacco spliffs are not like using pure cannabis, the two drugs in combination give a sensation different to either used separately.

As the researches found in the OnMedica report, smokers who use cannabis will be imune to the anti smoking message, this is at least in part because they probably don’t consider themselves to be  tobacco smokers because what they’re doing is smoking cannabis.

Trouble is as well, it cuts both ways. Now addiction is a complex issue, but Tobacco is a strongly addictive drug in a way cannabis simply isn’t; it produces regular and strong cravings in the smoker (“Gagging for a smoke”) resulting in frequent administration of the drug. Cannabis users unknowingly addicted to tobacco as many are will often smoke a joint not to get stoned, but to satisfy the tobacco craving. This of course leads to much higher rates of cannabis use, something which is of particular concern given the debate around cannabis and mental health.

Perhaps the most telling observation is that many people who go through a cannabis using phase stop using cannabis, but are left with a tobacco habit.

This is an issue which had been debated over and over on cannabis forums as a result of the UKCIA Tokepure campaign and some myths have come to light, in particular:

* Joint rolling is an important part of cannabis culture – maybe it was, but it doesn’t need to be. This argument is rarely used now actually.
* Tobacco “pads out” the cannabis and makes it last longer- This is the view most strongly put forward and it’s just plain wrong. Feedback to UKCIA and on cannabis forums indicates people who smoke pure cannabis nearly always use less cannabis than tobacco users and that use becomes far less habitual.
* The right to smoke tobacco is a matter of free will – it’s not, tobacco is highly addictive physically.

What we need is a safer use campaign targeted directly at cannabis users with the specific aim of ending this tobacco using culture, but the government is utterly against such a move for reasons which are hard to understand.

This is an issue which isn’t going to go away and needs to be addressed urgently. It’s the simplest and perhaps even the most obvious bit of harm reduction advice going, advice which would touch millions of people who the government claims to be concerned about and which would prevent hundreds of thousands of young people taking up tobacco.

There is one other reason to do a tobacco free cannabis campaign, and that’s to do with cannabis cessation itself. Breaking the cannabis/tobacco habit is way, way harder than breaking either alone. This isn’t news actually, stopping any drug is easier if it’s in isolation – a one step at a time approach.

In UKCIA’s view there really is no argument against a safer use campaign, and the fact that such a campaign is needed urgently. Sadly it’s not on the agenda for now, instead the emphasis is on stiffer if unenforceable laws, sending out messages and daft stuff like that. Instead of discouraging the smoking of joints, the government is seriously thinking of banning the sale of pipes. Stop and search makes it more risky to carry such things, again making it less likely people will move away from joints. Perhaps we might be seeing a recognition of the issue at last, but don’t hold your breath.

UKCIA would appreciate feedback about our Tokepure campaign, and help to develop it into something better. If the government won’t do it, it’s time for a bit of DIY harm reduction.

Tokepure