Why Do You Get Muscle Spasms When High?

Involuntary muscle contractions are a common physical reaction that can occur shortly after consuming cannabis. Known colloquially as “weed shakes,” these movements result from how the primary psychoactive compound, delta-9-tetrahydrocannabinol (THC), interacts with the body’s central nervous system. This phenomenon is transient, subsiding as the main psychoactive effects begin to wear off. Understanding the mechanism behind these involuntary spasms can help users manage and prevent them.

The Neurotransmitter Connection

The cause of cannabis-induced spasms lies in the way THC disrupts the brain’s motor control systems. THC acts by mimicking the body’s natural endocannabinoids, primarily by binding to Cannabinoid Receptor Type 1 (CB1) receptors. These CB1 receptors are densely distributed throughout the brain, including areas responsible for movement coordination, such as the basal ganglia and the cerebellum.

When high concentrations of THC activate these receptors, it alters the normal signaling pathways of various neurotransmitters. Acute THC exposure is known to stimulate the release and activity of dopamine in the brain’s reward and motor circuit pathways. This dysregulation of dopamine, a neurotransmitter that plays a fundamental role in regulating movement, can result in the motor control system becoming hyperactive.

This hyperactivity in the central nervous system can lead to the over-firing of motor neurons, which manifests as involuntary muscle contractions.

Types of Involuntary Muscle Movement

The physical manifestations of these movements are generally classified as a form of myoclonus, which is a sudden, brief, involuntary twitching or jerking of a muscle or muscle group. The most common experience is a mild tremor or fasciculation, a small, localized muscle twitch that is not strong enough to cause a full limb movement. These minor twitches are dose-dependent and limited to the peak period of the psychoactive effect.

Less common, but more noticeable, are larger, sudden jerks that resemble a startle reflex, or sustained, uncomfortable contractions referred to as cramping or dystonia. These severe reactions are frequently linked to high-dose consumption, especially with edibles where delayed onset can lead to accidental overconsumption. These movements are benign and resolve completely as the THC is metabolized. However, if the movements are severe, painful, or persist long after the effects have faded, seeking medical attention is prudent to rule out underlying neurological issues.

Practical Strategies for Relief and Prevention

Managing an episode of muscle spasms involves increasing fluid intake, as dehydration and electrolyte imbalance are common co-factors that contribute to muscle cramping and twitching. Employing relaxation techniques, such as deep, controlled breathing, helps, as anxiety and panic can trigger an adrenaline surge that intensifies the physical shaking.

For prevention, the most effective strategy is dosage control, particularly when consuming edibles, which have a delayed and often more intense effect profile. Starting with a low dose and waiting for the full effects to manifest before consuming more reduces the risk of overstimulation. Users can also consider products with a higher concentration of Cannabidiol (CBD), which has muscle relaxant properties and may counteract some of the motor-stimulating effects of THC. Ensuring adequate intake of magnesium, a mineral that plays a central role in muscle and nerve function, can help maintain muscular stability and reduce the likelihood of cramping.