assessment and management of cannabis use …

800 BMJ | 10 april 2010 | VoluMe 340 CliniCal ReviewFor the full versions of these articles see and management of cannabis use disorders in primary careAdam R Winstock,1 Chris Ford,2 3 John Witton11 National Addiction Centre, Institute of Psychiatry, King s College London, London SE5 8AF 2 Substance Misuse management in General Practice (SMMGP), c/o NTA, Skipton House, London SE1 6LH324 Lonsdale Road, London NW6 6 SYCorrespondence to: a r Winstock this as: BMJ 2010;340:c1571doi: a third of adults in the UK have tried cannabis , and million people, mostly 16-29 year olds, have used it in the past Although most people who smoke cannabis will develop neither severe mental health problems nor depend-ence, regular use of cannabis may be associated with a range of health, emotional, behavioural, social, and legal prob-lems, particularly in young, pregnant, and severely mentally ill 3 The past decade has seen a shift in available cannabis preparations from resinous hash to intensively grown high potency herbal preparations, often referred to as skunk, which now dominates the UK Compared with traditional cannabis preparations, skunk tends to have higher levels of tetrahydrocannabinol, the main psychoac-tive constituent of cannabis , and lower levels of the anxi-olytic cannabinoid cannabidiol.

800 BMJ | 10 april 2010 | VoluMe 340 CliniCal Review For the full versions of these articles see bmj.com assessment and management of cannabis use disorders in primary care Adam R Winstock,1 Chris Ford,2 3 John Witton1 1National Addiction Centre, Institute of Psychiatry, King’s College London, London SE5 8AF

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