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Marijuana (Cannabis) Use Disorder

J.E. Lambrecht, MD, PharmD, FACP, FSHM and Paul G. Millner, MD Reviewed 06/2019
 


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:

    • Taken in larger amounts and over ...

DIAGNOSIS

  • Significant impairment or distress results from use (1)[A].

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

  • Ask for frequency and amount used (e.g., “How often do you use marijuana? Dai...

TREATMENT

  • DSM-5 does not specify treatment options for cannabis use disorder. No intervention has proved consistently effective for marijuana abuse. Users often have a hard time quitting (1)[A].

  • Severa...

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. 5th ed. Arlington, VA: American Psychiatric Associat...

ADDITIONAL READING

  • Center for Behavioral Health Statistics and Quality. 2015 National Survey on Drug Use and Health. Rockville, MA: Substance Abuse and Mental Health Services Administration; 2016. [...

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

  • Marijuana abuse may result in poor performance in school or work, legal problems, and family dysfunction.

  • Effects of smoked marijuana have an almost immediate onset and can last 1 to 3 ...

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