|Titre :||Assessment and management of cannabis use disorders in primary care (2010)|
|Auteurs :||A. R. WINSTOCK ; C. FORD ; J. WITTON|
|Type de document :||Article : Périodique|
|Dans :||British Medical Journal (Vol.340, n°7750, 10 April 2010)|
|Article en page(s) :||c1571, 5 p.|
|Discipline :||TRA (Traitement et prise en charge / Treatment and care)|
Thésaurus TOXIBASECANNABIS ; DIAGNOSTIC ; PRISE EN CHARGE ; COMORBIDITE ; SYMPTOME ; SEVRAGE ; RECOMMANDATION
Cannabis use is common, especially among young people.
The greatest risk of harm from cannabis use is in young people and those who are pregnant or have serious mental illness.
A tenth of cannabis users develop dependence, with three quarters of them experiencing withdrawal symptoms on cessation.
Most dependent users have concurrent dependence on tobacco, which increases the health risks and worsens outcomes for cannabis treatment.
Brief interventions and advice on harm reduction can improve outcomes.
Psychoeducation (for a better understanding of dependence), sleep hygiene, nicotine replacement therapy (where indicated), and brief symptomatic relief form the mainstay of withdrawal management.
Dependent users may present with symptoms suggestive of depression, but diagnosis and treatment should be deferred until two to four weeks after withdrawal to improve diagnostic accuracy.
|Note de contenu :||
Comment: "Cannabis use disorders. Helping the youngest users", BMJ 2009;340:c2242.
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||29|
|Affiliation :||National Addiction Centre, Institute of Psychiatry, King’s College London, London SE5 8AF ; Substance Misuse Management in General Practice (SMMGP), c/o NTA, Skipton House, London SE1 6LH ; 24 Lonsdale Road, London NW6 6S, Royaume-Uni / United Kingdom|