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Presse Med. 2015 Jul-Aug;44(7-8):707-15. doi: 10.1016/j.lpm.2014.11.014. Epub 2015 Jul 2.

[Cannabis use: what to do in general practice?].

[Article in French]

Author information

1
CHU de Lille, université Lille Nord de France, service d'addictologie, 59000 Lille, France.
2
Université Lille Nord de France, département de médecine générale, 59000 Lille, France.
3
Hôpital universitaire Bichat-Claude Bernard, service d'addictologie, 75018 Paris, France.
4
AP-HP, hôpital Paul-Brousse, université Paris Sud-11, centre d'enseignement, de recherche et de traitement des addictions, Inserm-CEA U1000, 94800 Villejuif, France. Electronic address: laurent.karila@pbr.aphp.fr.

Abstract

Cannabis use is now more frequent than alcohol drinking or tobacco smoking among young people (15-34years), whereas it may induce numerous medical aftermaths. Identifying and assessing cannabis use in general practice have become a current public health issue. The two steps of screening consist in spotting risky use of cannabis, and then in checking criteria for cannabis use disorder (CUD). Risky use requires a "brief intervention" by the general practitioner (GP). In case of CUD, the new DSM-5 criteria allow measuring the severity of the subsequent disorder, and listing the medical and social consequences. Using these criteria can help the GP to decide when the patient should be referred to an addiction-specialized unit. The GP has also to spot the different physical and psychiatric complications of cannabis use, in order to coordinate care between the different specialists.

PMID:
26144274
DOI:
10.1016/j.lpm.2014.11.014
[Indexed for MEDLINE]

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