About a third of Americans live in a state that allows recreational marijuana.
is very common among his patients with opioid addiction, and it doesn’t seem to be helping them curb opioid use. “If we thought that cannabis could help people with opioid use disorder, the ones who were using cannabis should be doing better than the ones who were not using cannabis,” he said.
He noted that one specific cannabis compound, cannabidiol , does show some early promise for reducing opioid cravings. But he said CBD has been largely bred out of most marijuana sold for recreational use, in favor of higher levels of the intoxicating tetrahydrocannabinol compound. CBD does not cause intoxication.
One of the researchers studying pure CBD is Yasmin Hurd, director of the Mount Sinai Addiction Institute in New York. She and her colleagues published research in the American Journal of Psychiatry in 2019 showing thatin people with a history of heroin addiction who were not currently using the drug. “Those are the things that usually trigger relapse in people,” she said.
But while the CBD findings are promising, Hurd said, more research is needed. And she emphasized that not all marijuana products are alike, so people shouldn’t generalize that any form of cannabis potentially could help. Marijuana also is intoxicating and can lead to dependence, and there are “scary” reports of marijuana on the streets being laced with fentanyl, she warned.
“It's important that they talk to their doctors and not just switch out” of a proven treatment for an unproven one, she said. “There really needs to be a partnership with their physician.”NBC News contributor Jacqueline Stenson is a health and fitness journalist who has written for the Los Angeles Times, Reuters, Health, Self and Shape, among others. She also teaches at the UCLA Extension Writers' Program.
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