Marijuana anxiety

Restlessness, dizziness, or giddiness failure to obey orders, confusion, erratic behavior stumbling or staggering vomiting. Anticholinergics (eg., BZ), indoles (eg., LSD), cannabinols (eg., marijuana), anxiety reaction... 

Patients seen for flashbacks are treated with oral diazepam (15—30 mg/day for adults) if symptoms of anxiety are severe (Rumack 1987). Neuroleptics, especially haloperidol, have been implicated in a transient increase in visual flashbacks and are not recommended (Moskowitz 1971 Strassman 1984). Risperidone and selective serotonin reuptake inhibitors may also worsen symptoms of hallucinogen persisting perception disorder (Halpern and Pope 2003). The patient needs assurance of the self-limiting nature of the phenomenon and its decreasing frequency of reoccurrence with time. The patient should be reminded that any future use of hallucinogens or marijuana may precipitate similar symptoms (Strassman 1984). 

Father was an alcoholic and died in his 50s of cirrhosis mother is alive and has an anxiety disorder and emphysema brother was incarcerated for attempted murder and drug trafficking sister has an anxiety disorder and self-medicates with marijuana SH... 

The average increase in rCMR after THC administration was less in marijuana users than in controls, and users had lower cerebellar metabolism than the controls at baseline [8]. Thus the cerebellum shows the greatest metabolic increase in response to acute THC and responds to chronic marijuana exposure with a decrease in baseline CMR. Habitual users but not controls responded to THC administration with increased rCMR in prefrontal cortex, orbitofrontal cortex, and basal ganglia. In contrast to the robust effects of THC on relative rCMR, changes in global CMR in response to THC were quite variable, with increases, decreases, and no changes seen in equal numbers of subjects. There was also variability in subjective effects, which were pleasurable for most subjects but either minimal or unpleasant (anxiety or paranoia) for others. 

Marijuana intoxication precipitates psychosis, paranoid thoughts, anxiety, and restlessness... 

Teenagers with anxiety, like adults, are more likely to abuse drugs. Sometimes this involves drinking alcohol, but more often, anxiety-ridden teens try to self-medicate with marijuana. These individuals report that marijuana calms their symptoms of anxiety, and so they use it regularly. Teens who use marijuana often will experience symptoms of withdrawal when they do not use the drug, including nervousness and irritability—the same symptoms produced by their anxiety disorders. This makes these teens more sensitive to marijuana withdrawal, and they will use more marijuana to avoid the... 

The Schedule I designation of marijuana has been disputed over the past 15 or more years. Some physicians would like to see it as a Schedule II drug so that it could be used therapeutically in the treatment of the nausea, vomiting and anxiety caused by cancer chemotherapy and as an antiglaucoma agent (lowers intraocular pressure). It should be noted that the neuroleptic prochlorperazine is an effective antinausea drug which can be used without producing the psychoactive effects of marijuana. 

Dronabinol (Marinof) [C-ll] [Anriemeric, Appetite Stimulant/ Antivertigo] Uses N/V associated w/ CA chemo appetite stimulation Action Antiemetic 4- V center in the medulla Dose Adults Peds. Antiemetic 5-15 mg/m2/dose q4-6h PRN Adults. Appetite stimulant 2.5 mg PO before lunch dinner max 20 mg/d Caution [C, ] Contra Hx schizophrenia, sesame oil hypersensitivity Disp Caps SE Drowsiness, dizziness, anxiety, mood change, hallucinations, depersonalization, orthostatic 4- BP, tach Interactions T Effects W/ anticholinergics, CNS depressants, EtOH 4- effects of theophylline EMS Use caution w/ sympathomimetics, can T hypertension and tach use caution w/ anticholinergics and antihistamines, can T tach concurrent EtOH use can T CNS depression this is a principal psychoactive substance present in marijuana OD May cause extreme psychiatric effects (anxiety, mood changes and depersonalization) keep pt in a quiet environment and provide reassurance activated charcoal may be effective... 

Users often experience a mellow sense of wellbeing and relaxation that makes them feel expansive, creative, and more sensitive to all types of stimuli. Perception of time slows, and ability to gauge distance, depth, and speed accurately is distorted. Users can also spiral downward into anxiety, paranoia, panic attacks, and hallucinations. This effect is more pronounced when larger doses of THC are ingested, such as when hashish or other more concentrated forms of marijuana are used. Higher doses are also possible when marijuana is eaten rather than smoked this occurs when more of the drug is ingested before it can be metabolized. 

Eating or smoking marijuana has been shown to increase heart rate by 20 to 50 percent. This effect can occur within a few minutes to a quarter of an hour and can last for up to three hours. Because of the brain s tolerance to THC, it has been shown that these effects are temporary. However, marijuana users who do not know about or expect these acute health effects may find them unpleasant or even scary, resulting in panic or anxiety reactions. And, those with heart problems or other physical disorders may have disturbing or even harmful effects as a result of cannabis use. 

Daily users often seem to use marijuana to deal with depression, anger, anxiety, and family/school problems and to get away from problems. These negative reasons for getting... 

Heavy marijuana users may use marijuana to cope with emotional problems like depression and anxiety. Marijuana affects areas of the brain associated with memories, judgment, and reward. Using marijuana may exacerbate the problems the user is experiencing. 

Teens may use marijuana to cope with family stress, low self-esteem, depression, anger, and anxiety. 

Marijuana is a mixture of dried flowers and leaves from the plant Cannabis sativa. It is known by other names such as weed, pot, herb, Mary Jane, boom, gangster, and chronic. People use marijuana in the form of cigarette or in pipes. It also is often mixed with foods or brewed tea. Marijuana use affects the CNS as observed with memory and learning, difficulty in thinking, loss of coordination, increased heart rate, and anxiety. 

A South American group has shown that CBD (27) has anxiolytic and antipsychotic properties [181,182] and decreases the anxiety effects of THC [183], Thus, it is quite possible that CBD (and other constituents ) in marijuana mellow the THC effect. Most of the clinical trials published so far are with THC or nabilone. Is it possible that marijuana is a better drug than THC, as is often claimed, because of the presence in it of both CBD and THC If this is correct, is it also possible that other inactive constituents... 

Set can also be as important as pharmacology in shaping longterm relationships with drugs. For example, some people expect marijuana to make them relaxed and tired and so will use it only occasionally at bedtime to help fall asleep, whereas others, who feel that pot reduces their anxiety and makes it easier to relate to people, use it so frequently throughout the day that they become dependent on it. 

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