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Recreational Cannabis Legalization: No Contribution to Rising Prescription Stimulants in the USA.
Alexander, Garrett D; Cavanah, Luke R; Goldhirsh, Jessica L; Huey, Leighton Y; Piper, Brian J.
Afiliação
  • Alexander GD; Geisinger Commonwealth School of Medicine, Scranton, PA.
  • Cavanah LR; Geisinger Commonwealth School of Medicine, Scranton, PA.
  • Goldhirsh JL; Geisinger Commonwealth School of Medicine, Scranton, PA.
  • Huey LY; Geisinger Commonwealth School of Medicine, Scranton, PA.
  • Piper BJ; Behavioral Health Initiative, Scranton, PA.
Pharmacopsychiatry ; 57(5): 249-254, 2024 Sep.
Article em En | MEDLINE | ID: mdl-39084319
ABSTRACT

INTRODUCTION:

There have been substantial increases in the use of Schedule II stimulants in the United States. Schedule II stimulants are the gold standard treatment for attention-deficit hyperactivity disorder (ADHD), but also carry the risk of addiction. Since the neurocognitive deficits seen in ADHD resemble those of chronic cannabis use, and the rise in stimulant use is incompletely understood, this study sought to determine if recreational cannabis (RC) legalization increased distribution rates of Schedule II stimulants.

METHODS:

The distribution of amphetamine, lisdexamfetamine, and methylphenidate were extracted from the ARCOS database of the Drug Enforcement Administration. The three-year population-corrected slopes of distribution before and after RC sales were evaluated.

RESULTS:

Total stimulant distribution rates were significantly higher in states with RC sales after (p=0.049), but not before (p=0.221), program implementation compared to states without RC. Significant effects of time (p<0.001) and RC sales status (p=0.045) were observed, while time x RC sales status interaction effects were not significant (p=0.406).

DISCUSSION:

RC legalization did not contribute to a more pronounced rise in Schedule II stimulant distribution in states. Future studies could explore the impact of illicit cannabis use on stimulant rates and the impact of cannabis sales on distribution rates of non-stimulant ADHD pharmacotherapies and ADHD diagnoses.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estimulantes do Sistema Nervoso Central Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Pharmacopsychiatry Ano de publicação: 2024 Tipo de documento: Article País de publicação: Alemanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Estimulantes do Sistema Nervoso Central Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Pharmacopsychiatry Ano de publicação: 2024 Tipo de documento: Article País de publicação: Alemanha