THC Hypothermia: Causes, Signs, and How to Respond

THC hypothermia refers to a phenomenon where the consumption of tetrahydrocannabinol (THC), the primary psychoactive compound in cannabis, can lead to a reduction in core body temperature. While not universally experienced, this reaction is a documented effect under specific conditions. This effect is distinct from general hypothermia and is specifically linked to the presence of THC in the body.

The Science Behind THC and Temperature

THC influences body temperature by interacting with the endocannabinoid system, a complex network involved in regulating various physiological functions, including temperature control. Specifically, THC binds to cannabinoid type 1 (CB1) receptors, which are found extensively throughout the brain, including the hypothalamus. The hypothalamus acts as the body’s thermostat, maintaining internal temperature balance. When THC activates CB1 receptors in this region, it can disrupt the normal thermoregulatory mechanisms, leading to a decrease in core body temperature.

The temperature-lowering effect of THC is often dose-dependent, meaning higher doses are more likely to induce a noticeable drop in temperature. Research suggests that THC decreases heat production by altering hypothalamic neurotransmitter activity and reducing oxygen consumption. While some studies indicate that lower doses might paradoxically cause a slight increase in temperature, significant hypothermic effects are typically associated with higher concentrations of THC. Individual responses can vary widely due to factors like personal tolerance, method of consumption, and the specific cannabis strain’s THC concentration.

Recognizing the Signs

Identifying THC hypothermia involves observing physical and cognitive indicators that suggest a drop in body temperature. One common sign is uncontrollable shivering or shaking, as the body attempts to generate heat. Individuals might also exhibit cold skin, particularly noticeable in the extremities.

Other observable symptoms include increased fatigue or drowsiness. Cognitive changes such as confusion, difficulty with concentration, and slurred speech may become apparent. Dizziness, light-headedness, and an increased heart rate can also occur. These symptoms can range in severity, depending on the extent of the temperature decrease.

Responding to THC Hypothermia

If someone appears to be experiencing THC hypothermia, immediate steps can help restore their body temperature and ensure safety. First, gently move the individual to a warmer environment. If an indoor space is unavailable, protect them from wind and insulate them from cold ground with a blanket.

Next, remove any wet clothing, as wet fabric rapidly draws heat away from the body. Replace wet items with warm, dry blankets or additional dry clothing to conserve body heat. Offer warm, non-alcoholic beverages, such as tea or water, to help increase internal body temperature. Avoid caffeinated or alcoholic drinks, as these can worsen symptoms.

Monitor the person’s condition closely, observing if symptoms improve or worsen. If symptoms persist, become severe, or if the individual becomes unresponsive, seek professional medical attention. Avoid rapid rewarming methods, such as hot baths or heating lamps, as these can stress the heart and lungs. Focus on gradual, gentle warming, concentrating on core areas like the neck, chest, and groin.

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