Does cannabis use substitute for opioids? A preliminary exploratory survey in opioid maintenance patients.

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Bibliographic Details
Title: Does cannabis use substitute for opioids? A preliminary exploratory survey in opioid maintenance patients.
Authors: Bekier, Nina Kim (AUTHOR), Frischknecht, Ulrich (AUTHOR), Eidenmueller, Katharina (AUTHOR), Grimm, Franz (AUTHOR), Bach, Patrick (AUTHOR), Stenger, Manuel (AUTHOR), Kiefer, Falk (AUTHOR), Hermann, Derik (AUTHOR)
Source: European Archives of Psychiatry & Clinical Neuroscience. Mar2025, Vol. 275 Issue 2, p565-572. 8p.
Subjects: Marijuana, Opioids, Harm reduction, Self medication, Substance-induced disorders, Pain management, Substance abuse treatment
Geographic Terms: Germany
Abstract: Various studies showed that people with substance use disorder use cannabis to reduce withdrawal or dose of their main drug. Using a questionnaire about their cannabis use, 118 participants in an opioid maintenance treatment (OMT) in Germany were examined regarding this strategy. 60% reported to use cannabis. Of those, 72% were using cannabis in the suggested way. Cannabis was used to substitute for, e.g., heroin (44.8%) and benzodiazepines (16.4%). We also asked for an estimation of how good cannabis was able to substitute for several substances (in German school grades (1 till 6)); heroin average grade: 2.6 ± 1.49. Besides that we asked about the idea of cannabis as "self-medication", e.g., to reduce pain (47%) and about negative consequences from cannabis use. Our results suggest to consider the use of cannabis by patients in OMT rather as a harm reduction strategy to reduce the intake of more dangerous drugs. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Various studies showed that people with substance use disorder use cannabis to reduce withdrawal or dose of their main drug. Using a questionnaire about their cannabis use, 118 participants in an opioid maintenance treatment (OMT) in Germany were examined regarding this strategy. 60% reported to use cannabis. Of those, 72% were using cannabis in the suggested way. Cannabis was used to substitute for, e.g., heroin (44.8%) and benzodiazepines (16.4%). We also asked for an estimation of how good cannabis was able to substitute for several substances (in German school grades (1 till 6)); heroin average grade: 2.6 ± 1.49. Besides that we asked about the idea of cannabis as "self-medication", e.g., to reduce pain (47%) and about negative consequences from cannabis use. Our results suggest to consider the use of cannabis by patients in OMT rather as a harm reduction strategy to reduce the intake of more dangerous drugs. [ABSTRACT FROM AUTHOR]
ISSN:09401334
DOI:10.1007/s00406-023-01718-3