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Nervenheilkunde 2023; 42(04): 215-221
DOI: 10.1055/a-1948-8800
DOI: 10.1055/a-1948-8800
Schwerpunkt
Medizinisches Cannabis
Einsatzmöglichkeiten in der PsychiatrieMedical cannabisUse in psychiatry
ZUSAMMENFASSUNG
Es liegen Untersuchungen zur Wirksamkeit von Cannabinoiden bei psychischen Störungen vor, jedoch fehlen ausreichende große, randomisiert-kontrollierte Studien mit Replikation. Der genaue Effekt von Cannabinoiden auf die Psychopathologie der jeweiligen Störungen konnte ebenfalls nicht mit hinreichender Evidenz belegt werden. Es ergaben sich jedoch keine Hinweise auf schwerwiegende Nebenwirkungen. Allgemeine Empfehlungen zum Einsatz von Cannabinoiden bei psychischen Störungen sind nicht möglich, dennoch kann in Einzelfällen bei fehlender Neigung zu Substanzgebrauchsstörungen der Einsatz von Cannabinoiden durchaus sinnvoll sein, insbesondere bei Patienten mit komorbiden Schmerzstörungen.
ABSTRACT
While multiple studies for the use of cannabinoids in treating mental illness exist, sufficient evidence from large randomized controlled trials is scarce. Their precise effect on the respective psychopathology of certain patient groups has not yet been investigated sufficiently. However, current evidence does not indicate a high likelihood of serious adverse events under cannabinoid therapy. In some cases, the use of cannabinoids in psychiatry may be warranted in absence of a propensity for substance use disorders, especially so in patients with comorbid pain disorders, but there is currently no basis for a general recommendation.
Publication History
Article published online:
06 April 2023
© 2023. Thieme. All rights reserved.
© Georg Thieme Verlag KG
Stuttgart · New York
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