Cannabis 3 Flashcards
Where do cannabinoids come from?
flowers of female Cannabis plants
What is the genetic difference between Cannabis sativa, indica, and hemp?
no genetic difference between them
-it is all Cannabis sativa
What is the effect of terpenes on the PD of cannabinoids?
probably do not affect the PD of cannabinoids
-impacts the smell
What are the side effects of acute cannabis intoxication?
clinically significant psychological changes:
-impaired motor coordination
-euphoria
-anxiety
-a sensation of slowed time
-impaired judgement
-social withdrawal
> 2:
-conjunctival injection
-increased appetite
-dry mouth
-tachycardia
perceptual disturbances:
-auditory
-visual
-tactile illusions in the absence of delirium
What is cannabis withdrawal?
cessation of cannabis use that has been heavy and prolonged (i.e. daily or almost daily > 3 months), > 3 symptoms develop ~ 1 week after cessation
What are the symptoms of cannabis withdrawal?
irritability, anger or aggression
nervousness or anxiety
sleep difficulty (most common)
decreased appetite or weight loss
restlessness
depressed mood
> 1 physical symptoms: abdominal pain, shakiness/tremors, sweating, fever, chills, or a headache
Does cannabis withdrawal occur in all heavy cannabis users?
only occurs in a subset of patients (6-12%)
When do the symptoms of cannabis withdrawal occur?
usually within 24 hours
peak by day 3
can last for up to 2 weeks
What can help to predict the severity of cannabis withdrawal?
increased use and more recent use
What do the symptoms of cannabis withdrawal represent?
the bodys developed need for a drug to maintain homeostasis
What is often seen with people who have cannabis use disorder?
susceptibility to other psychiatric disorders
What is the DSM-5 diagnostic criteria for cannabis use disorder?
- cannabis taken in large amounts or longer than intended
- persistent desire or unsuccessful efforts to cut down use
- great deal of time spent obtaining, using, and recovering
- craving or urge to use cannabis
- recurrent cannabis use results in failure to fulfill obligations
- continued use despite social or interpersonal problems
- important activities given up due to cannabis use
- using cannabis in situations that are physically hazardous
- continued use despite knowledge of a problem
- tolerance
- withdrawal
Differentiate early remission and sustained remission.
early remission:
-after full criteria for CUD was previously met, none of the criteria for CUD has been met for 3-12 months (except craving)
sustained remission:
-after full criteria for CUD was previously met, none of the criteria for CUD has been met for > 12 months (except craving)
What are the different severities of CUD?
mild: 2-3
moderate: 4-5
severe: > 6
Which substance use disorder overshadows all others?
alcohol