Tobacco and cannabis co-use : toxicity, dependence and cessation management.

Volume 7, Issue 2, April 2023     |     PP. 25-45      |     PDF (232 K)    |     Pub. Date: November 13, 2023
DOI: 10.54647/pmh330309    77 Downloads     113162 Views  

Author(s)

Jean PERRIOT M.D., Dispensaire Emile Roux ; Centre de lutte contre la tuberculose et d’aide à l’arrêt du tabac. Université Clermont Auvergne, 63100 Clermont-Ferrand, France.
Michel UNDERNER M.D., Centre Henri Laborit ; Unité de recherche clinique. Université de Poitiers, F - 86021 Poitiers, France.
Elsa CHAPOT M.D., Dispensaire Emile Roux ; Centre de lutte contre la tuberculose et d’aide à l’arrêt du tabac. Université Clermont Auvergne, 63100 Clermont-Ferrand, France.
Gérard PEIFFER M.D., Centre Hospitalier Régional de Metz-Thionville, Service de Pneumologie et Tabacologie. F -57038 Metz, France.

Abstract
Objectives: Tobacco and cannabis are the most used inhaled drugs worldwide. This review looked at the effects of their combined use, the dependence induced, and the ways of helping people to quit.
Method: Medline was searched using the keywords « tobacco smoking » or « cannabis use » or « tobacco marijuana co-use » and « health effects » or « dependence » or ' « smoking cessation intervention » with « Title/Abstract » limits and search period from 1980 to 2023. A selection of articles in English or in French was analyzed.
Results: Combustion smoke from tobacco and cannabis is more toxic than of tobacco or cannabis, induced dependence is more elevated, tobacco and cannabis cessation is more difficult than quitting tobacco or cannabis alone.
Conclusion: The marketing of cannabis with a high active ingredient content, the availability of synthetic forms and the increasing legalization of recreational use, against a backdrop of a slow decline in the prevalence of smoking, is leading to the danger of an increase in the combined use of tobacco and cannabis ; this risk should be a concern for all health authorities and professionnals.

Keywords
Tobacco smoking ; Cannabis use ; Marijuana tobacco co-use ; Dependence ; Treatment.

Cite this paper
Jean PERRIOT M.D., Michel UNDERNER M.D., Elsa CHAPOT M.D., Gérard PEIFFER M.D., Tobacco and cannabis co-use : toxicity, dependence and cessation management. , SCIREA Journal of Health. Volume 7, Issue 2, April 2023 | PP. 25-45. 10.54647/pmh330309

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