From the Research
Discontinuation of THC use is the primary and most effective treatment approach for eyelid myokymia caused by THC vaping. This is because THC can affect neurotransmitter systems that control muscle movements, particularly in areas with fine motor control like the eyelids 1, 2. While waiting for symptoms to resolve, which typically occurs within days to weeks after cessation, several supportive measures can help manage symptoms. These include:
- Getting adequate sleep (7-9 hours nightly)
- Reducing stress through relaxation techniques like deep breathing or meditation
- Limiting caffeine intake
- Using warm compresses on the affected eye for 5-10 minutes several times daily
- Staying well-hydrated Over-the-counter artificial tears can help if eye dryness is contributing to the twitching. In persistent cases lasting more than a few weeks despite THC cessation, consultation with an eye care professional is recommended, as they may suggest prescription options such as botulinum toxin injections for severe cases, as supported by studies on the effectiveness of botulinum toxin in treating myokymia 3, 4. It's essential to consider the potential effects of THC on brain structure, function, and cognition, especially in adolescents and young adults, and to inform attitudes and public policy regarding the recreational and medical use of cannabis and cannabinoid compounds 5.