Patients admitted for inpatient cannabis detoxification: Withdrawal symptoms and impacts of common comorbidities

Journal of Substance Use

Volumn 16, Issue 5, 2011, Pages 392-405

  Dawes, Gareth M ^a,b   Sitharthan, Thiagarajan ^c   Conigrave, Katherine M ^b,d   Phung, Nghi ^a,b   Weltman, Martin ^a,b  

^a New South Wales Government   (Australia)

^b UNIVERSITY OF SYDNEY   (Australia)

^c UNIVERSITY OF WESTERN SYDNEY   (Australia)

^d ROYAL PRINCE ALFRED HOSPITAL   (Australia)

Author keywords

Cannabis withdrawal; comorbidities; detoxification

Indexed keywords

ABDOMINAL PAIN; ADULT; AGITATION; ALCOHOL CONSUMPTION; ANXIETY; APPETITE DISORDER; ARTHRALGIA; ARTICLE; CANNABIS DETOXIFICATION; CHILL; COMORBIDITY; DELIRIUM; DETOXIFICATION; DISEASE SEVERITY; DREAMING; DYSPHORIA; FEMALE; FEVER; GASTROINTESTINAL SYMPTOM; GENDER; HEADACHE; HEART PALPITATION; HOSPITAL ADMISSION; HOT FLUSH; HUMAN; HYPERTENSION; INSOMNIA; IRRITABILITY; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; MOOD CHANGE; MUSCLE CRAMP; MYALGIA; NAUSEA; PRIORITY JOURNAL; PSYCHOSIS; RESTLESSNESS; RHINORRHEA; SELF REPORT; SMOKING; SUBSTANCE ABUSE; SWEATING; TACHYCARDIA; TREATMENT DURATION; TREMOR; VOMITING; WITHDRAWAL SYNDROME;

EID: 80052700337     PISSN: 14659891     EISSN: 14759942     Source Type: Journal    
DOI: 10.3109/14659891.2010.499491     Document Type: Article

References (31)

1. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders - fourth edition [text revision] (DSM-IV-TR). Washington, DC, USA: Library of Congress.
2. Ashton, C. H. (2001). Pharmacology and effects of cannabis: A brief review. British Journal of Psychiatry, 178, 101-106.
3. Australian Institute of Health & Welfare. (2007). Statistics on drug use in Australia 2006. Drug Statistics Series No. 18, Canberra. Cat. No. PHE 80. Retrieved from www.aihw.gov.au
4. Budney, A. J. (2006). Are specific dependence criteria necessary for different substances: How can research on cannabis inform this issue? Addiction, 101, 125-133.
5. Budney, A. J., & Hughes, J. R. (2006). The cannabis withdrawal syndrome. Current Opinions in Psychiatry, 19, 233-238.
6. Budney, A. J., Hughes, J. R., Moore, B. A., & Vandrey, R. (2004). Review of the validity and significance of cannabis withdrawal syndrome. American Journal of Psychiatry, 161, 1967-1977.
7. Budney, A. J., & Moore, B. A. (2002). Development and consequences of cannabis dependence. Journal of Clinical Pharmacology, 42, 1-6.
8. Budney, A. J.,Moore, B. A., Vandrey, R. G., & Hughes, J. R. (2003). The time course and significance of cannabis withdrawal. Journal of Abnormal Psychology, 112(3), 393-402.
9. Buston-Wheelock, B. (2002). Physiological and psychological effects of cannabis: A review of the research findings. Report prepared for the Senate Special Committee on Illegal Drugs, Ottawa, ON: Senate of Canada. Office of Senator Eileen Rossiter. Retrieved from http://www.ukcia.org/research/ PhysioPsychoEffects.pdf
10. Colasanti, B. K. (1990). Contemporary drug abuse. In C. R. Craig & R. E. Stitzel (Ed.), Modern pharmacology (3d ed.). Boston, MA: Little, Brown & Co.
11. Degenhardt, L., Hall, W., & Lynskey, M. (2003). Testing hypotheses about the relationship between cannabis use and psychosis. Drug & Alcohol Dependence, 71, 37-48.
12. Hall, W. D., Degenhardt, L., & Lynsky, M. (2001). The health & physiological effects of cannabis use. Canberra: Commonwealth Department of Health and Aged Care, Commonwealth of Australia. ISBN 0644503648: 0644503648.Monograph series (National Drug Strategy (Australia)), No. 44.
13. Haney, M., Comer, S. D., Ward, A. S., Foltin, R.W., & Fischman, M. W. (1999). Abstinence symptoms following smoked marijuana in humans. Psychopharmacology, 14, 385-294.
14. Hughes, J. R. (1992). Tobacco withdrawal in self-quitters. Journal of Consulting and Clinical Psychology, 60, 689-697.
15. Iversen, L. (2003). Cannabis & the brain. Brain, 126, 1252-1270.
16. Johns, A. (2001). Psychiatric effects of cannabis. British Journal of Psychiatry, 178, 116-122.
17. Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 62(6), 617-627.
18. Kouri, E. M., & Pope, H. G. (2000). Abstinence symptoms during withdrawal from chronic marijuana use. Experimental & Clinical Psychopharmacology, 8(4), 483-492.
19. Latt, N., Conigrave, K., Saunders, J. B., Marshall, E. J., & Nutt, D. (2009). Addiction medicine. Oxford: Oxford University Press.
20. Linszen, D., & van Amelsvoort, T. (2007). Cannabis and psychosis: An update on course and biological plausible mechanisms. Current Opinions in Psychiatry, 20, 116-120.
21. McLennan, W. (1997). Mental health & wellbeing: profile of adults. Australia: Australian Bureau of Statistics, ABS Catalogue No. 4326.0.
22. Mental Health Council of Australia (2006). Where there's smoke ⋯- cannabis and mental health. ISBN 0 97754415 X. Retrieved from www.mhca.org.au/mhcashop
23. Microsoft (2007). Office - Excel, USA. Retrieved from http://office.microsoft.com/excel
24. Murray, P., Lintzeris, N., Gijsbers, A., & Dunlop, A. (2002). Clinical treatment guidelines for alcohol and drug clinicians, No. 9: Prescribing for drug withdrawal. Fitzroy, VIC: Turning Point Alcohol & Drug Centre.
25. New South Wales Department of Health (2007). New South Wales drug & alcohol withdrawal clinical practice guidelines. Retrieved from http://www.health.nsw.gov.au/policies/gl/2008/GL2008-011.html
26. Raphael, B., Wooding, S., Stevens, G., & Connor, J. (2005). Comorbidity: Cannabis and complexity. Journal of Psychiatric Practice, 11, 161-176.
27. Saunders, J. B., Yang, J., & Jenner, M. (2001). Clinical protocols for detoxification for general practice and community settings. Brisbane: Alcohol and Drug Services, Royal Brisbane Hospital and The Prince Charles Hospital Health Service Districts.
28. Smith, N. T. (2002). A review of the published literature into cannabis withdrawal symptoms in human users. Addiction, 97, 621-632.
29. Systat Software, Inc. (2008), SYSTAT 13.0. Chicago, IL.
30. United Nations Office on Drug & Alcohol (2006). 2006 world drug report: Volume 1. Blue Ridge Summit, PA: United Nations Publication (Sales No. E.06.XI.10, ISBN 92-1-148214-3).
31. World Health Organisation (1997). Cannabis: A health perspective and research agenda. Frankfort, KY: Division of Mental Health and Prevention of Substance Abuse. Document No. WHO/MSA/PS/97.4. Retrieved from http://whqlibdoc.who.int/hq/1997/WHO-MSA-PSA-97.4.pdf