Marijuana use among patients with epilepsy at a tertiary care center
| Autor: | Alysse Kerr, Victoria Walston, Marissa Kellogg, Victoria S.S. Wong, Lia D. Ernst |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Medical Marijuana Self Medication Epilepsy types Tertiary care Article Tertiary Care Centers 03 medical and health sciences Behavioral Neuroscience Epilepsy Oregon 0302 clinical medicine Marijuana use mental disorders medicine Cannabidiol Humans 030212 general & internal medicine Dronabinol Longitudinal Studies Tetrahydrocannabinol Psychiatry Aged biology business.industry Middle Aged medicine.disease biology.organism_classification Clinical research Treatment Outcome Neurology Health Care Surveys Anticonvulsants Female Marijuana Use Neurology (clinical) Cannabis business Attitude to Health 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Epilepsy Behav |
| ISSN: | 1525-5069 |
| Popis: | The expansion of medical and recreational marijuana legalization facilitates patient access to cannabis, and many patients with epilepsy pursue marijuana as a treatment for seizures. We administered a nine-item survey on marijuana use to patients seen in an epilepsy clinic over a 9 month period at a tertiary care center in Oregon where recreational use was legalized in 2015. The majority of respondents (n = 39) reported cannabis use for the purpose of treating epilepsy (87.2%, n = 34), and strongly agreed (53.8%, n = 21) or agreed (28.2%, n = 11) that cannabis use improved seizure control. The most commonly selected cannabis strains were high cannabidiol (CBD) (30.8%, n = 12) or multiple types (30.8%, n = 12), with administration methods of smoking (66.7%, n = 26), edibles (48.7%, n = 19), and concentrates (43.6%, n = 17). More participants reported using marijuana with primarily CBD than primarily tetrahydrocannabinol (THC) or equal CBD:THC content, and very few women reported using marijuana with primarily THC compared with men (10% of female versus 47% of male respondents). Only 2 of 39 participants were able to give an exact dosage used in milligrams. Medical and recreational dispensaries were the most common cannabis sources, followed by homegrown and friends/family members. Although pharmaceutical CBD extract is now Food and Drug Administration (FDA)-approved for certain epilepsy types, access remains limited. Further research is needed to understand recreational cannabis use among patients with epilepsy while clinical research for pharmaceutical cannabis products continues. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect