大麻素治疗酒精使用障碍。

International review of neurobiology Pub Date : 2024-01-01 Epub Date: 2024-09-12 DOI:10.1016/bs.irn.2024.08.005
Júlia Dalfovo Marquez, Talissa Dezanetti, Roger Walz, Cristiane Ribeiro de Carvalho
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引用次数: 0

摘要

一些证据表明,内源性大麻素系统与多巴胺能间叶脑奖赏有关,大麻素受体 CB1 和 CB2 在调节药物滥用的强化特性方面具有潜在作用,因此可用于治疗药物使用障碍,包括酗酒。此外,越来越多的证据表明,大麻或大麻素化合物可能有助于治疗酒精使用障碍(AUD)。大麻在同时饮酒的人群中很普遍。虽然一些作者报告称大麻可能是一种很有前途的治疗 AUD 的替代药物,但一些研究表明,同时使用酒精和大麻可能会增加不良后果的风险。考虑到大麻合法化和非刑罪化运动的进展已导致大麻在全球范围内的供应量增加,本章旨在提供证据,说明酒精和大麻同时使用的益处和风险,以及大麻素化合物在治疗 AUD 方面的潜在治疗用途。
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Cannabinoid for alcohol use disorder.

Several pieces of evidence have implicated the endocannabinoid system on dopaminergic mesolimbic brain reward, as well as the potential role of cannabinoid receptors CB1 and CB2 on modulation of reinforced properties of drug abuse and consequently to the treatment of substance use disorder, including alcoholism. Moreover, growing evidence has been proposed that cannabis or cannabinoid compounds may be helpful to treat alcohol use disorder (AUD). Cannabis is prevalent among individuals who also consume alcohol. While some authors reported that cannabis may be a promising candidate as a substitute medication for AUD, some studies have demonstrated that concomitant use of alcohol and cannabis may increase the risk of adverse outcomes. Considering that advances in the legalization and decriminalization movements regarding cannabis have led to increased availability worldwide, the current chapter aims to provide evidence on the benefits and risks of combining alcohol and cannabis, as well as the potential therapeutic use of cannabinoid compounds in treating AUD.

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