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Withdrawal drug could help cannabis addicts kick the habit

An extract of cannabis itself could be the perfect drug to treat the growing numbers of people who want to kick their habit but suffer withdrawal symptoms
Kick back: it's legal in Colorado
Kick back: it鈥檚 legal in Colorado
(Image: Ana Nance/Redux/Eyevine)

IT IS considered a soft drug, but increasing numbers of people are seeking help for cannabis addiction 鈥 and there鈥檚 growing interest in finding ways to treat them.

Paradoxically, the most promising treatment may be an extract of cannabis. Last month, researchers at the in Edinburgh, UK, described how the compound, called cannabidiol, helped one person who was severely addicted. A clinical trial is underway.

Unlike most forms of drug addiction, there are no medical treatments to help people reduce their cannabis use. 鈥淐annabis dependence is a huge unmet need with no pharmacological treatments,鈥 says of University College London, who is involved in the trial. 鈥淚t鈥檚 vital we get one.鈥

A possible connection between smoking pot and schizophrenia is fairly well known, but the link is controversial and it affects only a small minority of users. Addiction seems to be a more common problem 鈥 yet is often overlooked.

There is no universal definition of addiction or dependence. Someone is usually deemed to be addicted to a drug if they want to stop but cannot, or if it has a negative impact on their life. They would probably be experiencing withdrawal symptoms that make it hard to give up. In the case of heavy cannabis use, these can include anxiety and insomnia.

It is unclear how many marijuana users get hooked. A commonly quoted figure is that about 9 per cent of regular users become dependent, which probably stems from a .

This would make cannabis relatively non-habit-forming compared with other drugs 鈥 the same figure for heroin is 23 per cent and for alcohol is 15 per cent. Yet the risks of cannabis addiction are compounded because people think it is non-addictive, says Luke Mitcheson, who treats drug users at South London and Maudsley NHS Foundation Trust. 鈥淭he perception is that it鈥檚 fine, but we shouldn鈥檛 underestimate its habit-forming potential.鈥

What is less controversial is that the number of people looking for help with their cannabis use is on the up, especially among teenagers. In the past decade the number of under-18s seeking treatment for cannabis addiction has risen by 50 per cent. 鈥淧eople are coming for help and you can鈥檛 argue with that,鈥 says Freeman.

聯The number of teenagers seeking treatment for addiction has risen 50 per cent in the past decade聰

This may be because the cannabis available is becoming more potent, with increasing levels of THC, the compound that gets you high. , a chemical called anandamide.

Levels recover after stopping the drug, but in the meantime there are withdrawal symptoms. That鈥檚 why cannabidiol, another chemical in cannabis, might help as it boosts anandamide.

In 2012, doctors in S茫o Paulo in Brazil suggested synthetic cannabidiol as a treatment for a whenever she tried to quit cannabis. She had smoked it daily since she was 13. Her symptoms eased within a day or two of taking cannabidiol, and she managed to quit. This suggests a way to help people through withdrawal, Jos茅 Crippa of the University of S茫o Paulo told the conference.

Freeman鈥檚 team at UCL is doing a comparing cannabidiol with a placebo in 48 people, expanding to 168 people if the first results are positive. 鈥淲e shouldn鈥檛 overstate the results of a single case,鈥 says Freeman. 鈥淏ut it鈥檚 going to be exciting to see what happens with this study.鈥

Another strategy being looked at is using THC itself as kind of substitution therapy, however Crippa points out this still leaves people addicted to THC.

Going legit

Cannabis is being legalised or decriminalised in a growing number of countries. Yet it has more potential for addiction than people realise (see main story).

That鈥檚 no argument for keeping it illegal, says Danny Kushlick of , a UK think tank that campaigns to legalise drugs. 鈥淒rugs need to be legalised and regulated precisely because they carry risks. Why would you want to leave supply in the hands of organised criminals?鈥

Kushlick also points out that keeping cannabis illegal makes it less likely that people will seek medical help if they have trouble quitting, for fear of a criminal record. And at the moment, drug dealers make more money by selling the most potent kinds of cannabis, which probably increases the risk of dependency.

Topics: Addiction / Alcohol / Psychoactive drugs