大麻使用是否可以替代阿片类药物? 在阿片类药物维持患者中进行了初步探索性调查
Nina Kim Bekier1,2, Ulrich Frischknecht3,4, Katharina Eidenmueller3
1Department of Addictive Behavior and Addiction Medicine, Medical Faculty Mannheim, Central Institute of Mental Health, University of Heidelberg, Square J5, 68159, Mannheim, Germany. nina.kroeher@googlemail.com.
European archives of psychiatry and clinical neuroscience
|March 19, 2024
概括
在阿片类药物维持治疗 (OMT) 中的患者经常使用大麻来减少戒断或替代其他药物,如海洛因. 这表明大麻可能作为OMT的降低危害策略.
科学领域:
- 成 药物 药物 药物 药物
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 药物使用障碍 (SUD) 患者经常使用大麻来控制戒断症状或减少对主要非法物质的依赖.
- 片维持治疗 (OMT) 是管理阿片类药物使用障碍的关键干预措施.
研究的目的:
- 调查在德国接受OMT的患者中使用大麻的流行率和使用模式.
- 评估大麻作为阿片类药物和其他药物的替代品的感知效果.
- 探索大麻作为自我治疗的作用及其与该人口相关的负面影响.
主要方法:
- 在德国对118名OMT参与者进行了基于问卷的调查.
- 收集的数据包括自我报告的大麻使用,使用原因 (替代,自我治疗),感知替代有效性和负面后果.
- 用德国学校评分系统来评价物质替代疗效 (1=非常好,6=差).
主要成果:
- 60%的OMT参与者报告使用大麻.
- 在使用大麻的人中,72%的人将大麻作为替代其他药物的策略.
- 大麻经常被用于替代海洛因 (44.8%) 和二类药物 (16.4%),海洛因的平均感知替代度为2.6.
- 47%的大麻使用者报告自行治疗疼痛.
结论:
- 在OMT患者中使用大麻似乎是减少更危险物质摄入量的重要策略.
- 这些发现支持将大麻使用视为OMT计划中的潜在危害减轻方法.
- 需要进一步的研究,以充分了解大麻使用在这种临床环境中的风险和益处.
相关概念视频
Opioid Analgesics: Synthetic and Semisynthetic Opioids
289
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
289
Analgesia and Pain Management
614
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
614
Opioid Analgesics: Morphine and Other Natural Cogeners
244
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
244
Drug Dependence
1.0K
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
1.0K
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
277
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
277
CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
192
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its...
192


