03 Devil's Lettuce Flashcards
One of the oldest drugs in the world, dates back
12000 years
Hemp for _______ is valuable commodity
fiber
Addiction =
tolerance + withdrawal
Addiction = tolerance + withdrawal
*
How does this equation apply to the marijuana smoker?
No so clear with the marijuana smoker
mild
In youth, cannabis use is considered symptom of problems related to? (3)
feelings of inadequacy
anxiety
depression
Hypothesis: marijuana causes mental/emotional deterioration.
*
Is this true?
it is unproven
Study in Jamaica, Costa Rica and Greece compared heavy long-term use (7 or more joints a day) with nonusers and found?
*
(3) CEL
NO
• changes in personality
• evidence of intellectual or neurologic damage
• loss of will to work or participate in society
What was KDS’ main source of info. for this presentation?
Substance Abuse Handbook
Sx of Amotivational Syndrome?
LUPAA
lack of ambition
uncommunicative
passive
aimless, apathy
Amotivational Syndrome research findings?
there is no credible evidence that what is meant by this syndrome is r/t any inherent properties of the drug than to different sociocultural adaptations on the part of the user
Gateway Hypothesis per Substance Abuse Handbook?
“Smoking marijuana leads to the use of opiates and other illicit drugs” (SAH)
Gateway Hypothesis was studied by? (2)
the Institute of Medicine and Canadian Senate
After studying the Gateway Hypothesis, what did the Institute of Medicine and Canadian Senate find?
NO EVIDENCE
What does Substance Abuse Handbook say about the Gateway Hypothesis?
“only the unsophisticated continue to believe that cannabis leads to violence and crime, cannabis suppresses it.”
Cannabis and Psychosis. Describe the literature.
Literature is vast and divides into all shades of opinion.
What does the Substance Abuse Handbook conclude about Cannabis and Psychosis?
“Cannabis may precipitate exacerbations in the psychotic processes of some patients with schizophrenia
at the time when
their illnesses are otherwise reasonably well controlled with antipsychotic drugs”
In whom does toxic psychosis occur? When?
in some individuals after ingestion of huge amounts of marijuana
Toxic psychosis - name some s/s
ABCCDD
*
FIR
apprehension bewilderment confusion clouding of consciousness disorientation dream-like thinking * fear illusions and hallucinations restlessness
When does toxic psychosis clear?
clears when cessation begins…
According to the Substance Abuse Handbook, what is the most frequent adverse reactions to MJ?
*
Who suffers from these?
usually short-lived, acute, anxiety states, sometimes with or without accompanying paranoid thoughts
*
some marijuana users
What is the “best medicine” for adverse reactions to marijuana?
Reassurance is best medicine!
What is a well-confirmed danger of long-term, heavy marijuana use?
its effect on the lungs
Well-confirmed danger of long-term, heavy marijuana use is its effect on the lungs.
*
What does smoking marijuana do?
Smoking narrows and inflames air passages and reduces breathing capacity.
What are 3 possible s/e of smoking marijuana?
bronchitis
emphysema
lung cancer
Marijuana contains same _____ as tobacco smoke.
*
Usually in?
Marijuana contains same carcinogens as tobacco smoke.
*
Usually in higher concentration.
Marijuana contains same carcinogens as tobacco smoke, usually in higher concentration; however…?
because of the higher potency of marijuana,
this may reduce the danger of respiratory damage because
less smoking is required for the desired effect. (SAH)
Medicinal Uses. Historically used for?
HOPP
headache
obstetric and gynecologic conditions
pain
psychiatric disorders
History in Western medicine begins in?
1839
Historically in Western medicine, marijuana was used for?
CRAM
FDP
coughing rheumatism asthma migraine headache * fatigue delirium tremens painful menstruation
According to the Substance Abuse Handbook, what is the greatest advantage of cannabis as a medicine?
its unusual safet
How is cannabis unusually safe?
LDD - let’s do drugs
NO
• Lethal dose
• Damage to body organs
• Disturbance to physiologic functions
Cannabis unusually safe…but only when???
used in therapeutic range
Has been successfully used in which 3 ways?
orally
IV
aerosol spray
Has been successfully used orally, IV, aerosol spray for:
3 acronyms
AGE
Cancer –para
MS CP AIDS * Asthma (aerosol spray) Glaucoma Epilepsy * Cancer pain appetite stimulation reduce tumor growth antiemetics
Legalized for medical use in?
Canada and Holland
