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Drug Alcohol Depend. Author manuscript; available in PMC 2023 Jun 1.
Published in final edited form as:
Drug Alcohol Depend. 2022 Jun 1; 235: 109409.
Published online 2022 Mar 15. doi:10.1016/j.drugalcdep.2022.109409
PMCID: PMC9106923
NIHMSID: NIHMS1797319
PMID: 35459519
Danielle C. Ompad,a,b Kyle M. Snyder,a Simon Sandh,a Daniel Hagen,a Kewanda J. Collier,c Emily S. Goldmann,a,b Melody S. Goodman,a and Andy S. L. Tand,e
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The publisher's final edited version of this article is available at Drug Alcohol Depend
Abstract
Background:
Recent media reports have highlighted copycat/lookalike cannabis edibles as a public health concern. No empirical papers have described this phenomenon.
Methods:
From May 2020–August 2021, we collected photos of cannabis products via an online survey of cannabis users and through personal contacts. Copycat/lookalike products are defined as those that use the same or similar brand name, logo, and/or imagery as an existing commercial non-cannabis counterpart (CNCC). We assessed each package for similarities with its CNCC with respect to brand name, product name, font, color, flavors, and brand/promotional characters. We examined cannabis content indicators including: THC content per package and serving, cannabis leaf symbol, product warnings, cannabis terms, cannabis motifs, activation time, and guidance on edible use.
Results:
We collected photos of 731 cannabis products; 267 (36%) were edibles of which 22 (8%) represented 13 unique copycat/lookalike products. Eight used exact brand/product names as existing CNCCs, and five used similar names. Packages copied or imitated a mean of 3.9 of six features and indicated cannabis content with a mean of 4.1 of seven features. Thirteen packages indicated a mean THC content of 459 mg/package. Four reported THC dose per serving, with a mean dose of 47.5 mg.
Conclusions:
Our content analysis highlights three key concerns. First, copycat/lookalike edibles subtly indicate cannabis content while using high fidelity replication or imitation of their CNCC. Second, THC content is high and there were multiple 10 mg THC doses in the equivalent of 1 serving of a CNCC. Third, these products may be attractive to children.
Keywords: Cannabis, marijuana, edibles, packaging, copycat, lookalike
1. Introduction
Edibles are a popular and growing segment of the cannabis market and can be homemade or purchased through dispensaries and street dealers. Among past-year cannabis users aged 16 to 65 in the International Cannabis Policy Study, 40% had used an edible product in the past year (Rup et al., 2021). Among past-three month cannabis users in US states with legal adult cannabis use, 56% reported currently using edibles, with younger people being more likely to do so (Ueno et al., 2021). People who use edibles report both positive and negative effects. Positive subjective effects include relief of mental health disorders (e.g., anxiety, depression and PTSD), insomnia, and physical health conditions (e.g., chronic pain, migraines, glaucoma, multiple sclerosis, HIV/AIDS, and cancer symptoms) (Soroosh et al., 2021; Stephen et al., 2020), as well as feeling pleasant/happy, relaxed, social, creative, energetic, and increased sex drive (Ewusi Boisvert et al., 2020). Negative subjective effects include feeling lazy, drowsy, unable to concentrate, dizzy, ‘out of control’, and stomach upset (Ewusi Boisvert et al., 2020). Edibles have also been associated with unanticipated highs (e.g., getting higher than intended and/or for longer than intended) (Allen et al., 2017; Giombi et al., 2018; Krauss et al., 2017) and acute toxicity (Lewis et al., 2021; Noble et al., 2019).
A major concern related to cannabis edibles is exposure among youth. In the 2015 to 2018 Monitoring the Future surveys, 33% of adolescents reported past-year cannabis use, of whom 40% reported using edibles (Patrick et al., 2020). After adult use cannabis was legalized in Colorado (Healy, 2012), data from the 2015 Healthy Kids Colorado Survey demonstrated that 21% of high school respondents reported cannabis use in the past 30 days, of whom 28% reported ingesting it (Tormohlen et al., 2019). From 2017 to 2019, there were 4,172 cannabis exposure cases among children ages 0 to 9 years old reported to US Poison Control Centers, of which 46% involved cannabis edibles (Whitehill et al., 2021).
Copycat/lookalike edibles are edible cannabis products – typically candies, cookies, brownies, or other snack foods – that use the same or similar brand name, logo, and/or imagery as an existing commercial non-cannabis counterpart (CNCC). Recent media reports have drawn attention to copycat and lookalike cannabis edibles on the market, both as a public health concern due to accidental dosing among children and adults, and as trademark violations (Aubin, 2019; Chesler, 2021; Gilbertson, 2020; Safronova, 2021; Schuba, 2021). Given this growing concern, we conducted a content analysis of copycat and lookalike cannabis edible packaging to examine the extent to which these products mimic their CNCC.
2. Methods
2.1. Data collection
Between May 2020 and August 2021, we collected photos of cannabis product packages as part of a cross-sectional study of new cannabis product use. Photos were collected via an online survey and through personal contacts of the study team; we accepted photos of any cannabis product and did not specify they had to be edibles. Respondents to the online survey were recruited via word-of-mouth; posts to Facebook, LinkedIn, and Twitter; and paid advertisem*nts on Facebook and Twitter. Survey respondents were asked to upload images from up to two different cannabis products they currently used through the Qualtrics survey application. Participants could upload two images per product (e.g., front and back). Photos from personal contacts were collected via email and text and could include more than two images per product. All images were downloaded to a cloud-based file sharing application; all meta-data were removed to ensure confidentiality. Images were logged into a database along with the self-reported state of purchase, image source (i.e., personal contact or survey), and type of product depicted. Dates of purchase were not available. The study was reviewed and approved by the New York University Institutional Review Board.
2.2. Content analysis
We examined each edible package to determine whether it was a copycat or lookalike product. Packages were considered to be copycat/lookalike products if they used the same or similar brand name, logo, and/or imagery as an existing commercial non-cannabis product.
Each copycat/lookalike package was inspected and assessed for similarities with its CNCC with respect to six features: (1) brand name, (2) product name, (3) font, (4) color, (5) flavors, and (6) brand/promotional characters. We then counted the number of package features that were copied/imitated. We also assessed how the cannabis content was indicated. We determined whether each package had the following information: (1) tetrahydrocannabinol (THC) content per package and (2) serving, (3) standardized cannabis warning symbol, (4) cannabis product warnings, terms suggesting cannabis (i.e., canna-, cannabis, edibles, extra strength, infused, medicated, potent, sky high, stoned, stoney, THC), (5) cannabis leaf motif (i.e., images of cannabis leaves that are meant to be decorative and do not appear to be standardized warning symbols), (6) activation time (i.e., time from ingestion to effect), and (7) consumption advice (i.e., guidance on how to use edibles). Most states with medical or adult use cannabis policies have a standardized cannabis warning symbol that is typically a geometric shape (e.g., a triangle, diamond, octagon, or rectangle) surrounding a cannabis leaf with or without an exclamation point and text indicating state, THC content, and/or marijuana content. We then counted the number of package features that indicated cannabis content (seven possible).THC content was recorded and the total doses per package/serving were calculated by dividing total THC content by the standard THC unit used in research (5 milligrams [mg]) (National Institute on Drug Abuse et al., 2021) as well as the most common dose limit in states with adult use cannabis (10 mg in Colorado, California, Illinois, Maine, Nevada, and Washington) (Goundar et al., 2021). Images of CNCCs were identified via an internet search; we restricted the images to those found on a company’s website and archived each website.
3. Results
We collected 1405 photos of 731 cannabis products, of which 267 (36%) of the products were edibles. Among the edibles, we evaluated 22 photo submissions (8%) representing 13 unique edibles that met our definition of copycats or lookalikes of commercial non-cannabis food products. There was one example of an edible that looked like gummy vitamins that was not included in this analysis.
Table 1 presents a content analysis of the 13 unique products from eight states (California, Colorado, Minnesota, Nevada, New York, South Carolina, Tennessee, and Texas), the District of Columbia, and Puerto Rico. Twelve of the products were candies or confectionaries (crisped rice treats, fruit chews, fruit snacks, or gummies) and one was a snack food (flavored tortilla chips). Eight of the 13 packages used the exact brand and/or product name (i.e., Doritos (Figure 1), Sour Gushers (Figure 2), Nerds (Figure 3), Kellogg’s, Skittles, Warheads, and Sour Patch Kids); the remaining five products used names that were similar to the commercial brand/product name. For example, Cannaburst was used instead of Starburst, and Stoner Patch Dummies or Stoney Patch was used instead of Sour Patch Kids.
Figure 1.
Example of copycat nacho cheese tortilla chips from Nevada
Figure 2.
Example of copycat fruit snacks from Colorado
Figure 3.
Example of lookalike Gummy and rock candy from the District of Columbia
Table 1.
Characteristics of copycat/lookalike edible cannabis products
Product | State(s) of purchase | Brand copycat/lookalike | Copied characteristics | Edible indications | THC content per package / serving |
---|---|---|---|---|---|
Crisped rice and marshmallow treata | New York | Kellogg’s Rice Krispies Bars |
|
| Not ascertainable |
Fruit candies | District of Columbia | Skittles |
|
| 400 mg / 20 mg |
Fruit gummiesa,b | New York | Starburst gummies |
|
| 500 mg / not ascertainable |
Fruit snacks | California Colorado | Sour gushers |
|
| 500 mg / not reportedc |
Gummy and rock candy | District of Columbia | Nerds Gummy Clusters and Nerds Rope |
|
| 600 mg / 50 mg |
Gummy and rock candye,f | California District of Columbia Minnesota New Yorkg | Nerds Rope |
|
| 400 mg – 500 mg / 50 mg |
Nacho cheese tortilla chips | Nevada | Doritos |
|
| 600 mg / not reported |
Sour fruit chews | New York | Warheads Chewy Cubes |
|
| 600 mg / not reported |
Sour gummies | New York Puerto Rico South Carolina Tennesseeh Texas | Sour Patch Kids |
|
| 300 mg – 350 mg / not reported |
Sour gummies | New York | Sour Patch Kids |
|
| 600 mg / not reported |
Sour gummies | New York | Trolli Sour Brite Llamas |
|
| 600 mg / not reported |
Sour gummies | New York | Sour Patch Kids |
|
| 500 mg / not reportedi |
Sour gummies | New York | Sour Patch Kids |
|
| 500 mg / 70 mgj |
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aOnly incomplete image of packaging available.
bThe flavor is not listed.
cPackage lists 500mg, although it is not labeled as THC (see Figure 2). We have inferred that it refers to THC.
dThe Nerds Clusters replicate the Nerd brand character. The Nerds Rope had a character that did not replicate the Nerds brand character.
eThe flavors (lemonade/wild cherry) for the California and New York products do not seem to be available for the CNCC Nerds Rope products.
fThe flavor for the District of Columbia product is not listed.
gTwo Nerds Rope packages were submitted from New York.
hOnly incomplete image of packaging available.
iPackage lists 500mg, although it is not labeled as THC. We have assumed that it refers to THC.
jThe indicated THC content per package is inconsistent with information on THC content per serving and servings per package (5).
With respect to similarities between the edibles and their CNCC, 12 of the packages used the same or similar font and all used the same or similar colors. Not all of the edibles described their flavors, but seven of the packages described similar flavors. Further, although not all of the commercial brands/products advertised with brand/promotional characters, seven of the packages used the same characters as their CNCC (e.g., the Nerds Clusters package replicated the Nerd brand character); one had a character that was unlike its CNCC (e.g., the Nerds Rope package had a character that did not replicate the Nerds brand character). Packages copied or imitated a mean of 3.9 and median of four of the six possible package features, with a range of two to six per package.
All packages provided information to indicate that they were cannabis edibles. Twelve of the 13 packages reported total package THC content in mg; two reported mg without clearly indicating it was THC, although, for the purposes of this analysis, we inferred that it was THC. Ten used a standardized cannabis warning symbol. Twelve had cannabis related warnings and 12 used terms indicating cannabis content. Four had a cannabis leaf motif on the package, three provided information on activation time, and three provided consumption advice. Packages indicated cannabis content with a mean of 4.1 and median of four of the seven possible features, with a range of one to six per package.
With respect to THC content, we analyzed 13 packages because the Stoney Patch gummies had 300 and 350 mg packages. Each of the 13 packages indicating THC content in mg contained the equivalent of multiple doses, with a mean of 459 mg and a range of 300 to 600 mg per package – equivalent to a range of 60 to 120 standard research doses and 30 to 60 10mg doses per package. Four of the 13 packages reported dose size, with a mean listed dose size of 47.5 mg and a range of 20 to 70 mg.
4. Discussion
In our sample of 267 edible cannabis product packages, we identified 22 photo submissions representing 13 unique edibles that met our definition of copycats or lookalikes of commercial non-cannabis food products. The majority of products reproduced content from their CNCC; one package was an actual package of Sour Patch Kids with a sticker label indicating it is an edible. To the authors’ best knowledge, this is the first empirical report of copycat/lookalike cannabis products. There is some literature on copycat/lookalike snack foods, particularly healthier versions of common snack foods marketed in schools (Harris et al., 2016; Mann, 2018) but these papers do not assess whether children chose the copycat/lookalike healthier snacks, either accidentally because they looked like the regular, less healthy snack or intentionally because it was healthier.
One major concern is the subtlety with which some packages indicated cannabis content while at the same time demonstrating high fidelity replication of the features of their CNCC. Most of the packages looked almost exactly like their CNCC at first glance. In each of the sample packages provided in Figures 1–3, for example, indications of cannabis are subtle and considerably less prominent than the characteristics that replicate the commercial products. Thus, if copycat/lookalike cannabis products are not stored safely, there is the potential for accidental ingestion by children or adults.
A second concern is the high THC content in packages that resembled a CNCC of only one serving size. Each package had high THC content and exceeded the 100 mg maximum content stipulated by cannabis regulations in Colorado, California, Illinois, Maine, Massachusetts, Nevada, and Washington (Goundar et al., 2021). There were two packages from California, one from Colorado, and one from Nevada that exceeded the 100 mg package limit. Moreover, serving sizes and the recommended number of servings were frequently not indicated on the package. Each package was likely intended to be multiple doses; for all products for which THC content per package was ascertainable, consuming the entire package would result in ingesting 60 to 120 5 mg doses and 30 to 60 10 mg doses per package.
A third concern is that these products may be attractive to children. All of these edibles are copycats/lookalikes of snacks or candies that children eat. Further, the packaging is colorful and frequently contains brand/promotional characters that may appeal to children (O’Connor et al., 2016). Thus, cannabis products such as these could lead to accidental dosing of children. In addition, children/adolescents who recognize the cannabis content may be interested in trying the product because it looks like a familiar snack or candy.
There are several limitations to this study which should be noted. This is a convenience sample of cannabis edibles and not representative of all cannabis edible packages. However, given that the cannabis market has both legal and illegal markets, a representative sample is likely not currently achievable. We report the state of purchase as reported by the participant, but note that it may not be the state of manufacturing. Moreover, the listed state of manufacturing may not be where it was actually manufactured; for example, we doubt the veracity of some California cannabis warning symbols because the THC content exceeds the 100 mg limit of the California package regulations (California Department of Cannabis Control, 2021) and we believe that they are actually unregulated cannabis products that have appropriated the official symbol. Finally, our ability to identify copycats/lookalikes was limited by the team’s knowledge of brands.
5. Conclusions
The existence of cannabis edibles that copy or imitate commercial non-cannabis products has important implications for public health due to safety in terms of accidental dosing or ingesting more THC than intended. Future research should examine the child-friendliness of cannabis product packaging. Despite existing policies aimed at preventing cannabis packaging that appeals to children (Soroosh et al., 2021) and major brands taking legal action against cannabis product companies for copyright infringement (Safronova, 2021), we documented availability of copycat/lookalike products in several states. Increasing funding for enforcing compliance may aid regulation of edibles sold among commercial retailers. People purchasing copycat/lookalike products should store them separately from their non-cannabis counterparts and out of reach of children to prevent accidental ingestion.
Highlights
Copycat/lookalike cannabis edibles:
Subtly indicated cannabis content,
Used high fidelity replication or imitation,
Had high THC content, and
Had multiple 10 mg THC doses in the equivalent of 1 serving of the copied product.
Acknowledgements
This pilot study and DCO are funded by the Center for Drug Use and HIV|HCV Research (P30DA011041). ASLT was funded by the National Institute on Drug Abuse (R21DA052421 and R01DA054236) and the National Cancer Institute (R01CA237670).
Role of Funding Source
The funding sources had no involvement in the study design; collection, analysis, or interpretation of the data; writing of the manuscript; or the decision to publish the study. The content is solely the responsibility of the authors and does not necessarily represent the official views of NIH.
Funding and Disclosures:
This pilot study and Dr. Danielle Ompad were funded, in part, by the Center for Drug Use and HIV|HCV Research, a National Institute on Drug Abuse-funded P30 center (P30DA011041). Andy Tan is supported by the National Cancer Institute (R01CA237670) and National Institute of Drug Abuse (R21DA052421 and R01DA054236). The content is solely the responsibility of the authors and does not necessarily represent the official views of NIH.
Footnotes
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Conflict of Interest
No conflict declared
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