Mode matters: exploring how modes of cannabis administration affect THC plasma concentrations and subjective effects
Margy Y. Chen, Ashley Brooks-Russell, Angela D Bryan, L. C. Bidwell
Journal of Cannabis Research May 23, 2025 DOI: 10.1186/s42238-025-00282-y (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Secondary analysis of quasi-experimental studies Peer reviewed |
|---|---|
| Sample size | 252 |
| Population | Individuals who regularly use legal market cannabis products |
| Topics | Cannabis |
| Key findings | Dabbing was associated with higher plasma THC concentrations and subjective effects compared with bong- and joint-like modes, though dabbing and vaping showed more rapid reductions in subjective intoxication over time. |
Abstract
As cannabis products become increasingly accessible and novel modes of administration like dabbing and vaping gain popularity, understanding how these modes impact use experiences and abuse liability is crucial. Existing studies primarily utilized laboratory settings with lower-potency research-grade cannabis, failing to capture common modes among individuals who use higher-potency legal market products. This study investigated how modes of administration impact plasma tetrahydrocannabinol (THC) concentrations and subjective effects using naturalistic administration of legal market products. We conducted a secondary analysis of two quasi-experimental studies involving 252 participants (46.4% female). Participants completed a baseline assessment where they reported demographics, substance use, and medical history and an experimental assessment where they administered their products via their preferred modes. These modes were categorized into four general modes of use: dabbing, vaping, bong-like, and joint-like. Primary outcomes included plasma THC concentrations and subjective drug effects, both of which varied significantly across modes. Compared with modes typically associated with flower products (i.e., bong-, joint-like modes), dabbing was associated with higher plasma THC concentrations and subjective effects, indicating greater THC exposure when using this mode and its associated products. Interestingly, dabbing and vaping exhibited more rapid reductions in levels of subjective intoxication over time, suggesting that higher levels of intoxication may not be sustained for these modes. This study underscores the significant impact of modes of administration on THC exposure and subjective drug effects among individuals who regularly use legal market cannabis. Results demonstrate the need for future research to better characterize and account for modes of administration and their associated products.
Comparable studies
Other experimental studies on cannabis, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Smoked Cannabis' Psychomotor and Neurocognitive Effects in Occasional and Frequent Smokers Occasional (<2x/week) and frequent (≥4x/week) cannabis smokers | 2015 | Controlled within-subjects study | n = 25 |
| Dissociable effects of cannabis with and without cannabidiol on the human brain’s resting-state functional connectivity Healthy volunteers experienced with cannabis but not regular users | 2019 | Within-subjects experimental design | n = 17 |
| Which biological and self-report measures of cannabis use predict cannabis dependency and acute psychotic-like effects? Young cannabis users | 2018 | Observational study (naturalistic, within-subject counterbalanced design) | n = 410 |
| Cannabis Essential Oil: A Preliminary Study for the Evaluation of the Brain Effects Healthy volunteers | 2018 | Experimental study | n = 5 |
| Coming off cannabis: a cognitive and magnetic resonance imaging study in patients with multiple sclerosis Patients with multiple sclerosis who began using cannabis after disease onset, used it... | 2019 | Quasi-experimental study with odd-even allocation | n = 40 |