Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/9/2025

Cannabis Use and Auditory Effects

Introduction to Auditory Risks

  • Frequent concomitant tobacco use confounds respiratory and potentially auditory outcomes, according to Praxis Medical Insights 1
  • The American College of Cardiology and other guideline societies may recommend caution with cannabis use due to potential adverse cardiovascular events, including arrhythmias, myocardial ischemia, and orthostatic hypotension 1, 2

Neurological and Systemic Effects

  • Heavy cannabis use causes altered gray matter volume and cortical thickness in key brain regions, particularly with adolescent use, as reported by Praxis Medical Insights 1
  • Disrupted connectivity in the prefrontal cortex affects sensory processing and decision-making, according to Praxis Medical Insights 1
  • Changes in glutamate and dopamine signaling could theoretically affect auditory perception circuits, as noted by Praxis Medical Insights 1
  • Adverse cardiovascular events, including arrhythmias, myocardial ischemia, and orthostatic hypotension, are associated with heavy cannabis use, as reported by the British Journal of Anaesthesia and Praxis Medical Insights 1, 2
  • Respiratory effects, including chronic bronchitis and COPD, are associated with smoked cannabis, according to Praxis Medical Insights 1
  • Cannabis use disorder develops in approximately 10% of chronic adult users, with withdrawal symptoms including irritability, sleep disturbances, and abdominal pain, as reported by Praxis Medical Insights 1, 3

REFERENCES

1

Health Consequences of Marijuana Use [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

3

Cannabis Withdrawal Symptoms [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025