Dr. Ryan Vandrey of
John’s Hopkins School of Medicine and colleagues compared symptoms of tobacco withdrawal with marijuana
withdrawal and to the withdrawal in study participants who used both
substances. The abstract of that study pointed out that “overall withdrawal
severity associated with cannabis alone and tobacco alone was of a similar
magnitude. Withdrawal during simultaneous cessation of both substances was more
severe than for each substance alone, but these differences were of short
duration and substantial individual differences were noted.” In working with
addictive behavior programs, some of the program attendees reported that
nicotine withdrawal was more of a problem during waking hours while marijuana
withdrawal was more of a problem during sleeping hours—because of an increase
in anxiety and insomnia (and sometimes in dreaming).
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