- Cannabis dependence is a category of disorders associated with cannabis use, also referred to as marijuana dependence.
- The use of cannabis products containing THC is a key related factor, and the impact may vary depending on the amount, frequency, THC concentration of the product, and method of use.
- THC, a major component of cannabis, acts on the brain to alter mood and thought, while CBD generally does not produce intoxication.
- Representative acute manifestations may include changes in sensory and time perception and mood, difficulties with thought, memory, and problem-solving, impaired motor control, increased appetite, and slowed reaction time.
- The risk of dependence may increase with daily use, starting use during adolescence, or using products with high THC concentrations; individual age, sex, experience, comorbidities, and other drug use can also contribute to differences.
- Withdrawal symptoms such as irritability, sleep difficulties, decreased appetite, anxiety, and cravings may occur upon cessation, and long-term excessive use may be associated with respiratory problems or recurrent nausea, vomiting, and abdominal pain.
- Diagnosis is determined by clinically synthesizing usage patterns, loss of control, continued use, cravings, withdrawal, and impairment of daily functioning, and is not confirmed by a single test alone.
- Symptoms and risks vary depending on amount, frequency, THC concentration, route of administration, co-used drugs, and health status; therefore, cannabis use itself should not be used to conclude dependence or severity.
- Management is conducted by identifying goals to reduce or cease use, assessing withdrawal and accompanying mental health or substance use issues, and providing continuous support, including counseling and relapse prevention.
- Treatment for cannabis dependence focuses on individual assessment and psychosocial approaches, and MedlinePlus materials alone cannot be used to conclude the standard treatment or approval status of specific drugs.