Cannabis

Question 1

What are the different types of cannabanoids?

Answer 1

1. Endocannabanoids
2. Phytocannabanoids
3. Synthetic cannabanoids
4. Pharmaceutical cannabanoids

Question 2

What are cannabanoids?

Answer 2

They are any chemical that is able to work to work on cannabanoid receptors

Question 3

What are endocannabanoids?

Answer 3

They are produced by our body(peripheral tissues and brain

Question 4

What are phytocannabanoids?

Answer 4

The cannabanoids we get from plants

-

Question 5

What are the 3 species of plants that are cannabanoids?

Answer 5

1. Cannibas saliva
2. Cannibas Indica
3. Cannibas ruderalis

Question 6

What is the most active molecule of cannabis?

Answer 6

Delta-9-THC
Made up of: 
-marijuana
-sinsemella 
-hashish 
-hash oil

Question 7

What is cannabidiol?

Answer 7

It has possible therapeutic effects on nausea and vomiting, inflammation, cerebral ischaemia , anti-psychotic, anti-anxiolytics properties

Question 8

What are the other types of phytocannabanoids?

Answer 8

Cannibinol
Cannabidivarin
Cannabigerol

Question 9

What are examples of synthetic cannabanoids?

Answer 9

Spice
K2
Potpourri

Question 10

What are the 4 cannabanoid pharamaceutical drugs?

Answer 10

1. Rimonabant
2. Dronabinol And Nabilone (used in chemotherapy and wasting in hiv/aids)
3. Sativex
   - has both THC and cannibidiol
   - is approved in Canada and European countries to treat multiple sclerosis and chronic neuropathic pain

Question 11

What are some cannabidiol products we can use?

Answer 11

1. Epidiolex used in the treatment of Neonatal Ischaemic Encephalopathy and treatment resistant seizures
2. Arvisol- treated for epilepsy and schizophrenia

Question 12

What are the effects of cannabis intoxication?

Answer 12

1. Euphpria, relaxation and heightened awareness
2. Vasodilator effects:
   Postural hypotension
   Tachycardia
   Red eyes

Question 13

What are the effects of high doses of cannabis use?

Answer 13

Hallucinations

Paranoid/grandiose delusions and depersonalization

Question 14

What are the management options for cannabis use?

Answer 14

1. Cognitive behavioral therapy
2. Psychoeducation
3. Motivational interviewing
4. 12 step programs

Question 15

What happens with cannabis intoxication?

Answer 15

• Increased appetite
• Decreased REM sleep
• Boring repetitive tasks performed with concentration
• decreased attention and concentration
• perceptual changes like music is a lot louder and colors more vivid
• decreased estimation of time and distance

Question 16

What is the DSM 5 criteria for cannabis intoxication?

Answer 16

1. Recent use
2. Clinically significant behavioral or psychological changes
3. 2 or more of:
   - red eyes
   - increased appetite
   - dry mouth
   - tachycardia

Question 17

What is a motivational syndrome?

Answer 17

This is usually with heavy chronic cannabis use

-they present with apathy, dullness, deteriorated appearance, impaired concentration

Question 18

What are the withdrawal symptoms of cannabis?

Answer 18

It usually occurs for 5 days

• fatigue
• insomnia/hypersomnia
• depressed mood
• agitation
• tremor
• decreased appetite

Question 19

What is the DSM5. Criteria of cannabis withdrawal?

Answer 19

1. 3 ore more within one week
   - restlessness
   - anxiety
   - insomnia
   - depressed mood
   - irritability, anger, aggression

Question 20

What are the medical complications of using cannabis?

Answer 20

1. Cardiac: postural hypotension, tachycardia, fainting
2. Lungs: asthma, bronchitis
3. Endocrine effects
4. Cognitive effects

Question 21

What are the psychiatric complications of cannabis?

Answer 21

1. Panic, anxiety, depression
2. Psychosis
3. A motivational syndrome: learning impairment, decreased attention

Question 22

What are the therapeutic uses of cannabis in people?

Answer 22

1. Cancer and HIV
2. Multiple sclerosis
3. Pain
4. Raised intracranial-ocular pressure

Question 23

What can we give to help with the cannabis withdrawal?

Answer 23

Diazepam