Cannabis Changes Brain’s Neurochemistry For Better Or Worse

Philip Ghezelbash August 30, 2019 3 comments

The brain’s neurochemistry has a delicate chemical balance that affects mood, appetite, pain reception, and more.

The psychotropic effects of THC are not be the same for everybody. This is mainly due to differences in brain structure and chemistry. Interestingly, a recent study found that cannabis can not only interact with the brain, it can also change its neurochemistry.

Research has shown cannabis consumption alters cognitive function, with many of these occurring through changes to neurochemistry. How exactly does cannabis achieve this? And why does it matter?

Cannabis demonstrates an ability to change cognitive behavior by modulating chemical ratios in the brain. Cannabis’ active compounds largely comprise cannabinoids, specifically THC and CBD. THC and CBD both act on the body to induce a range of effects, including neurochemical changes. THC activates CB1 and CB2 receptors to induce some of its effects. CBD, on the other hand, activates non-cannabinoid receptors and modulates receptor pathways to initiate its actions. 

THC Enhances Dopamine Levels

Dopamine is a common target when changes to cognitive behavior occur. This is thanks to its importance in controlling learning, reward, and punishment. 

[bsa_pro_ad_space id=25]

Research has shown THC consumption to enhance dopamine levels in the brain. The activation of CB1 can increase dopamine levels in regions of the brain associated with mood. CB1 induces changes to GABA, which is a neurotransmitter inhibitor, or blocker. Researchers believe that changes to presynaptic GABA release then modulates dopamine release in the prefrontal cortex and alters neurochemistry. 


CBD Boosts Serotonin Production

Serotonin is another neurotransmitter know for its ability to regulate mood. And, perhaps unsurprisingly, researchers believe cannabis increases serotonin levels

Studies show that CBD, specifically, increases serotonin levels, which could explain cannabis’ antidepressant effects. Research has shown CBD to change the neurochemical concentration of serotonin by binding to, and activating, the 5-HT1A serotonin receptor. The activation of serotonin receptors, like 5-HT1A, initiates serotonin production. And when a neurochemical change occurs through increased serotonin, patients have reported improved mood and depressive symptoms. 

[bsa_pro_ad_space id=26]

CB1 Receptors, Opioids, and Neurochemistry

Opioids act on opioid receptors to induce pain relief, and are a function of normal neurochemistry. Cannabis has also demonstrated an ability to change the neurochemistry of opioids through the activation of the CB1 receptor. CB1 receptor activation through cannabinoids like THC causes hyperpolarization of the pre-synaptic terminal. This closes calcium channels and holds back inhibitory and excitatory neurotransmitters at their synapses, potentially modulating opioid release. 

Cannabinoids acting on keratinocytes, epidermal cells that produce keratin, may also produce further changes to neurochemistry and opioid levels. Research has shown keratinocytes to enhance opioid receptor expression and therefore change neurochemistry. 

Cortisol and its Role in Depression

Cortisol is a steroid hormone known for its ability to modulate stress responses and give a boost of energy in times of trauma or stress. Chronic stress, however, exposes the body to a continuous supply of cortisol and this plays a role in depression. Cortisol levels may also be modulated through cannabis’ changes to the brain’s neurochemistry. 

The activation of cannabinoid receptors, through cannabinoids such as THC, reduces cortisol levels. Researchers believe cannabinoid receptor activation lowers cortisol levels by playing a key role in the negative feedback of the neuroendocrine response. The activation of cannabinoid receptors may inhibit the stress-cascade. This is important to cortisol production because the stress cascade results in the release of corticotropin-releasing hormone, which then produces adrenocorticotropin hormone. This is what initiates cortisol production. 

Negative Effects of Neurochemical Changes 

Unfortunately, not all of the neurochemical changes induced by cannabis result in positive cognitive changes.

Pregnenolone, for example, is a hormone often used to treat the depressive symptoms of bipolar disorder. Cannabis’ neurochemical changes could negatively affect pregnenolone levels. 


A 2017 study published in the Journal of Clinical Psychopharmacology looked into the effects of cannabis consumption on neurosteroid levels in patients with bipolar disorder. The researchers concluded that cannabis consumption resulted in lower pregnenolone to pregnanolone ratios. It also disrupted neurosteroid levels when compared to the control participants who had never consumed cannabis. This neurochemical change to pregnenolone levels, a key hormone in bipolar treatment could, therefore, result in impaired bipolar treatment. 

While not totally understood, research has also shown cannabis consumption to change neurochemistry and neural structure in the frontoparietal region of the brain. The frontoparietal region is closely linked to reward, memory, and inhibitory control. So, changes in this region could therefore lead to problems with addiction. A 2019 study published in Journal of Dual Diagnosis looked into just this. The researchers found that adolescents who took cannabis showed damage to both neural structure and neurochemistry in the frontoparietal region of the brain. 

Cannabis Creates a Healthier Neural Environment with Neuroplasticity 

As well as changes to neurochemistry, cannabis has also demonstrated an ability to act upon neuroplasticity. Neuroplasticity refers to the brain’s ability to change and optimize neural networks. CBD may induce positive changes to neuroplasticity by reducing the decrease of hippocampal neural cell production. It may also reduce the density decrease of the synaptic input-receiving dendrite spines induced by chronic stress, creating a healthier neural environment.

Overall, while some of cannabis’ effects on the brain may be detrimental, it appears in many instances to positively alter neurochemistry. As usual, we need more research. Yet the findings, so far, are very promising.

Author avatar

Philip Ghezelbash
Philip Ghezelbash is an ex-personal trainer with a science background who currently operates New Zealand's only health specialized writing studio. He is passionate about presenting complex science in an easy to digest manner and is a firm believer that cannabis has substantial potential to be used as a medicine for degenerative disease.

Warning: Trying to access array offset on value of type bool in /var/www/wp-content/plugins/stockie-extra/widgets/widget-about-author.php on line 112


  1. Ramona wronski

    Amazing info

  2. Cathy Bradley

    Yea, it has helped my M.S. Do decade’s. & my Drs are now seeing this !!!!!