Burning marijuana leaves produce smoke and gases similar to those produced by tobacco. However, whereas tobacco smoke contains nicotine, cannabis smoke contains tetrahydrocannabinol as its “active” ingredient. Both marijuana and tobacco smoke contain carcinogens (substances which cause cancer). The depth of breath in and the length of time the breath is held are usually greater when smoking marijuana than when smoking cigarettes. This means exposure to the chemicals in the smoke is greater for marijuana than for cigarettes, even though the frequency of smoking may be less. Studies indicate that acute inflammation (redness and swelling) occurs in the airways of marijuana smokers after six to eight weeks of regular use. The same sort of inflammation occurs as a result of smoking tobacco. This would explain why young cannabis-smoking people have been found to have more respiratory symptoms such as wheeziness, shortness of breath on exercise, and phlegm production, than young people who do
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