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Marijuana (Cannabis) Use Disorder

Jason Edward Lambrecht, MD, PharmD, FHM, FACP and Paul G. Millner, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Marijuana use leading to clinically significant impairment or distress, manifested by two or more of the following symptoms within a 12-month period:

    • Consumption of larger amounts ove...

DIAGNOSIS

  • In 2020, the USPSTF encouraged all primary care physicians to screen adults for drug use (2).

  • Screen for marijuana (similar to tobacco and alcohol).

  • Ask for frequency and amount used (e.g., “...

TREATMENT

  • Currently, there are no FDA approved medications for the treatment of CUD (2).

  • No specific treatment guidelines for cannabis use disorder are currently available. No intervention has proved ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Monitor cessation by testing urine over several weeks for the inactive cannabis metabolites (carboxy-THC).

  • Drug screening of heavy smokers may remain positive for ...

REFERENCES

1
American Psychiatric Association. Substance-related and addictive disorders. In: Diagnostic and Statistical Manual of Mental Disorders ...

ADDITIONAL READING

  • Hasin DS, Sarvet AL, Cerda M, et al. US adult illicit cannabis use, cannabis use disorder, and medical marijuana laws 1991-1992 to 2012-2013. JAMA Psychiatry. ...

CODES

ICD10

  • F12.10 Cannabis abuse, uncomplicated

  • F12.20 Cannabis dependence, uncomplicated

  • F12.288 Cannabis dependence with other cannabis-induced disorder

  • F12.159 Cannabis abuse with psychotic disorder, ...

CLINICAL PEARLS

  • It is estimated that 4.5 to 7 million persons in the U.S. meet criteria for CUD (2).

  • Acute marijuana intoxication is manifested by conjunctival injection, increased heart rate, euphori...

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