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Medical Cannabis Legalization Reduces Tobacco and Amphetamine Use


September 18 2025






Key Findings


  • Legal medical cannabis sales show a strong negative link with tobacco use.

  • People may choose cannabis over cigarettes, indicating a substitution effect.

  • Amphetamine use also decreases with legal medical cannabis sales.


Economic Impact


  • Legalization drives steady growth in medical cannabis sales.

  • Countries see an average annual increase of 26.06 tons in sales.

  • Excluding the U.S., the increase is 20.05 tons, still showing market growth.

  • A well-regulated market creates economic benefits.

  • Clear licensing, production standards, and access pathways are vital.

  • Removing barriers and improving education supports a sustainable market.


Study Details


  • Data from 20 countries shows population-level trends, not individual causation.

  • Legal cannabis markets reshape consumer behavior and expand regulated markets.

  • The study informs debates on legalization, public health, and economic policy.


Related Research


  • Cannabis use is linked to lower alcohol intake and cravings in heavy drinkers (Nature journal study).

  • CBD may reduce alcohol consumption, per a University of Sydney study.

  • CBD could treat alcohol use disorder by easing withdrawal and preventing relapse (Nature journal study).

  • One in three millennials and Gen Z workers prefer THC drinks over alcohol for after-work activities, per a poll of 1,000 young professionals.



 
 
 

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