Pharmacothérapie de l’addiction au cannabis

The scientific literature on the treatment of cannabis addiction carries mainly on psychosocial therapies For twenty years, however, a growing number of pharmacotherapy studies have been published which allow today to make some cautious proposals

The treatment of cannabis addiction consists mainly of approaches psychosocial The interventions that received the most scientific support are CBT, the interview motivational and contingency management Combined, these approaches seem to increase their efficiency even more For two substances currently there is evidence of sufficient efficacy N-acetylcysteine, originally a dietary supplement, a liver protector, and a mucolytic, increases extracellular glutamate concentrations

Several positive studies have been published The second substance, for which we have less data, is the antiepileptic gabapentin On the basis of available studies, it may be suggested that the duration of treatment from 2 to 3 months Pharmacotherapy will be, it is important to remember, prescribed in addition to a psychotherapeutic intervention Other tested substances have been shown to be ineffective and can not be recommended : Dronabinol, that is, THC Naltrexone Atomoxetine The Baclofen The Valproate And various antidepressants

If there have ever been case descriptions regarding the use of cannabidiol, we will have to wait for the first studies before we can also take into consideration this substance

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