Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN.
Department of Neurology, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2018 Dec;93(12):1842-1847. doi: 10.1016/j.mayocp.2018.09.005.
Medicolegal realities surrounding "medical marijuana" or "medical cannabis" are rapidly evolving in the United States. Clinicians are increasingly being asked by patients to share information about or certify them for medical cannabis. In order to engage in informed discussions with patients or be comfortable certifying them in states with medical cannabis laws, clinicians may benefit from an understanding of the current state of medical knowledge about medical cannabis. Intended for the generalist and subspecialist, this review provides an overview of the legal status, pharmacology, benefits, risks, and abuse liability of medical cannabis along with a general framework for counseling patients.
围绕“医用大麻”或“医用大麻”的法律现实在美国迅速发展。越来越多的患者要求临床医生分享有关医用大麻的信息或为其提供证明。为了与患者进行知情讨论或在有医用大麻法律的州为其提供证明,临床医生可能需要了解医用大麻的当前医学知识状况。本综述面向通科医生和亚专科医生,概述了医用大麻的法律地位、药理学、益处、风险和滥用可能性,并为患者咨询提供了一个通用框架。