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The article discusses the common negative view of cannabis tolerance, which often leads to the suggestion of "tolerance breaks" for recreational users. However, the author argues that developing a tolerance can be beneficial for medical cannabis patients as it reduces disorienting side effects like difficulty thinking and lack of coordination, allowing them to function normally while medicated. The author shares a personal experience of intentionally building tolerance to effectively manage chronic pain and work. The article concludes that while tolerance breaks are suitable for some, maintaining a stable tolerance level may be the better approach for medical patients managing chronic issues.

Don’t Knock a Strong Cannabis Tolerance, It Could Help You Heal

Oct 20, 2025

Emily Earlenbaugh

Cannabis Now



Cannabis has a bad reputation when it comes to building up a tolerance.
Countless articles describe the problem: you start using cannabis and it
works great, but after a few weeks you find you need more. You increase
your dose, only to soon find that this new dose is also insufficient — it
just doesn’t get you ‘high’ the same way.

The prescription for this problem is usually to go on a tolerance break,
a few weeks where you stop using cannabis and let your system reset. When
you go back to using cannabis again, your tolerance will be back down to
where you started. The message being communicated is clear: tolerance isn’t
something you want to have.

But developing a cannabis tolerance isn’t all bad. For many, especially
medical patients, it is a crucial factor in their cannabis use. Many medical
patients starting cannabis worry about side effects like difficulty
thinking, problems with memory or lack of coordination.

One of the great benefits of developing a tolerance to cannabis is that
many of these side effects go away: Studies show chronic cannabis users do
not suffer from the same disorienting effects that leave occasional users
unable to do everyday tasks, such as driving).

I saw this firsthand as a cannabis patient. For me, cannabis was always
disorienting. It wasn’t a bad thing, but it did make it impossible to get
much done while under the influence.

I remember marvelling at a close friend and classmate who could smoke
throughout the day while remaining completely normal. He would go to class,
have complex conversations about analytic philosophy, work on his doctorate
— all while using cannabis.

When I asked him about it he explained that he had a high tolerance. He was
just used it.

At that time, I was dealing with intense chronic pain and missing a lot of
school and work due to these struggles. Cannabis helped, but I was only
using it at night when I didn’t have any work to do. It was like a time-out
from the pain, but it didn’t help me with the real problem — my inability
to work when I was in pain.

My friend suggested something that ran counter to everything I had read —
I should *build up* my tolerance.

“Smoke right before you write that paper” he suggested. “It will be weird
for a few days, but then you’ll be used to it”.
Time to Build Up a Cannabis Tolerance

To my surprise, he was right. Within a week of starting to use cannabis
during my regular work and school activities, I was no longer feeling the
disorienting side effects. I was free. While I still had relief from my
pain and anxiety, I was thinking clearly and felt… normal.

While I worried my cannabis tolerance building would lead to continual
increases in use, at a certain point my tolerance increases seemed to
plateau: I have been on a relatively stable dose for the last five years.
If I use the same strain of cannabis for too long, I develop a tolerance to *that
strain* and need to switch it up to keep getting relief. Otherwise, I
haven’t experienced any tolerance-related problems and always avoid taking
tolerance breaks now.

While tolerance breaks are fantastic for recreational users or those with
occasional medical needs, I never suggest them for medical patients who
have chronic issues they are managing. Just like you would be unlikely to
have a doctor suggest you take a few weeks off from an antidepressant or a
heart medication if you are using cannabis for daily medical needs,
interrupting this can be disruptive and confusing for your body. And of
course, any symptoms you were managing will no longer be getting the help
they need.

Still, last summer, I was forced to take a tolerance break: I got a lung
infection (unrelated to the cannabis) which was aggravated by smoke, so I
spent months unable to use my medicine.

When I started to smoke again a few months later, my cannabis tolerance was
back at its starting point and I experienced tolerance free cannabis use
again. I was totally useless! So, I spent the next few weeks building my
tolerance back up. Only then was I able to again use cannabis effectively
as medicine.

I thought I might be able to use a lower dose after such a long break, but
I quickly found myself back at that stable dose I had been using for years.
For all the discomfort of the break, it turned out that I did best on the
dose I had already been on.

While tolerance breaks are great for some (and there are certainly medical
and recreational users alike who swear by them), for others developing and
keeping a certain level of tolerance may be the better route. This can vary
drastically from person to person based on their needs and biochemistry.

As a patient consultant, I often work with clients to track their cannabis
experiences in a journal. Looking back over a few weeks of entries, many of
them are able to better understand what is working for them and what isn’t.

*TELL US,* has tolerance affected your cannabis experience?

The post Don’t Knock a Strong Cannabis Tolerance, It Could Help You Heal
appeared first on Cannabis Now.

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