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Synthetic cannabinoid receptor agonist · Schedule I

Synthetic cannabinoids Also called K2, Spice, Fake weed, Mamba, Kronic

Synthetic cannabinoids, sold as K2 or Spice, are lab-made chemicals sprayed onto plant material or sold as vape liquids. They act on the same receptors as THC but much more strongly. They can cause seizures, psychosis, kidney injury, heart attack, and death. Many are Schedule I, but makers keep changing formulas.

No US medical route

Draft, awaiting medical review. Updated October 5, 2026.

Onset
Minutes
Duration
2 to 6 hours
Naloxone reverses it?
No
Dependence risk
High

Synthetic cannabinoids at a glance: schedule, half-life, and class

What they are
Lab-made cannabinoid receptor agonists sprayed on plant material or in e-liquids
Street names
K2, Spice, fake weed, mamba, kronic
Drug class
Synthetic cannabinoid receptor agonists
US legal status
Many compounds Schedule I; new variants appear constantly
How it is used
Smoked, vaped, or drunk as tea
Onset
Minutes
Duration
2 to 6 hours
Potency
Often many times stronger than THC, and full rather than partial agonists
Drug tests
Usually not detected by standard THC tests
Reversal agent
None

What is synthetic cannabinoids?

Synthetic cannabinoids are hundreds of different chemicals designed to activate the brain's cannabinoid receptors. Unlike THC, most are full agonists and far more potent, which makes their effects stronger and less predictable.[1]

They are sold in colorful packets labeled "not for human consumption", as incense or potpourri, and increasingly in vape cartridges and infused into paper mailed into prisons.

Synthetic cannabinoids effects and how long they last

Effects can include euphoria and relaxation, but also extreme anxiety, confusion, paranoia, hallucinations, vomiting, racing heart, and agitation. Some users become unresponsive ("zombie" outbreaks).[1]

Synthetic cannabinoids side effects and risks

Serious harms include seizures, acute kidney injury, heart attack and stroke, psychosis, and death. Because the chemicals and amounts vary from packet to packet, a familiar product can suddenly be much stronger.[1]

Contamination: in 2018, synthetic cannabinoids laced with brodifacoum, a rat poison, caused severe bleeding and several deaths across multiple states.

Testing: standard drug tests do not detect most synthetic cannabinoids, which is one reason people use them, but it also makes poisonings hard to diagnose.

Synthetic cannabinoids interactions: what is dangerous to mix with it

Combined withWhat happensRisk level
AlcoholStronger impairment, vomitingHigh risk
StimulantsHeart strain, seizuresHigh risk
PsychedelicsSevere anxiety, psychosisHigh risk
Sedatives and opioidsUnpredictable sedationHigh risk

This is not a full list. Unregulated drugs often contain other substances, which makes any combination less predictable.

Synthetic cannabinoid overdose: signs and what to do

Signs include severe agitation or confusion, a very fast heartbeat, vomiting, chest pain, seizures, unresponsiveness, and unusual bleeding (from gums or nose, or blood in urine) if rat poison is involved. These are medical emergencies; call 911.[1]

If someone has taken too much

  • Call 911 for chest pain, a seizure, trouble breathing, unresponsiveness, or if a child may have eaten a cannabis product.
  • For an adult who is awake but anxious or sick, move them to a calm place and stay with them. Symptoms usually ease over several hours.
  • Call Poison Help at 1-800-222-1222 for advice, including for any child or pet exposure.
  • Do not drive. Edibles can keep building for hours after they are eaten.

Is synthetic cannabinoids addictive, and what is withdrawal like?

Frequent use can cause dependence and withdrawal that is often more severe than cannabis withdrawal.[1]

  1. Hours to day 1OnsetAnxiety, irritability, sweating, nausea, cravings.
  2. Days 2 to 5PeakInsomnia, vomiting, tremor, and rarely seizures.
  3. 1 to 2 weeksResolvesSleep and mood improve gradually.

Where can someone get help with synthetic cannabinoids use?

  • SAMHSA National Helpline: 1-800-662-4357. Free, confidential, 24 hours a day, in English and Spanish. It gives referrals to local treatment and support.[6]
  • FindTreatment.gov: a federal locator for state-licensed treatment programs, searchable by location, payment, and type of care.[7]
  • 988 Suicide and Crisis Lifeline: call or text 988 for a mental health or substance use crisis.
  • Your own clinician: a primary care doctor can screen, treat, and refer, and can discuss medicines that support recovery where they exist.

Common questions about synthetic cannabinoids

Is K2 the same as marijuana?

No. K2 contains lab-made chemicals that act much more strongly than THC and are far more dangerous.

Does K2 show up on a drug test?

Standard tests usually do not detect it. Specialized tests exist.

Why are synthetic cannabinoids so dangerous?

They are full, potent activators of cannabinoid receptors, the dose and chemical vary between packets, and they are sometimes contaminated.

Is Spice legal if it says "not for human consumption"?

No. That label does not make it legal; many compounds are Schedule I and analogues sold for consumption can be prosecuted.

Sources

  1. Synthetic Cannabinoids (K2/Spice). National Institute on Drug Abuse.
  2. Controlled Substance Schedules. DEA Diversion Control Division.
  3. 21 U.S.C. 844, Penalties for simple possession. Legal Information Institute, Cornell Law School.
  4. 21 U.S.C. 841, Prohibited acts A (trafficking penalties). Legal Information Institute, Cornell Law School.
  5. New federal restrictions on hemp and hemp-derived products. DLA Piper, November 2025.
  6. National Helpline. Substance Abuse and Mental Health Services Administration.
  7. FindTreatment.gov. Substance Abuse and Mental Health Services Administration.
  8. International drug control conventions. United Nations Office on Drugs and Crime.
Read the Synthetic cannabinoids guideKey takeaways, quick facts, and answers to common questions.

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In an emergency in the US, call 911. Poison Help: 1-800-222-1222.