The use of cannabinoids in the treatment of attention deficit hyperactivity disorder - a review of the latest literature
DOI:
https://doi.org/10.12775/JEHS.2022.12.08.093Keywords
cannabinoids, ADHD, literature reviewAbstract
Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is a common problem in adolescents and adults around the world. ADHD is particularly characterized by inattention, impulsiveness and hyperactivity, and in order to deal with these problems, patients often resort to other methods of treatment in addition to classic pharmacotherapy. Increasing numbers of ADHD patients are self-medicating with cannabis, despite the lack of specific evidence on its efficacy and safety.
Aim of the study: The purpose of this study was to review the most recent available literature on the use of cannabidiol in the treatment of ADHD. For this purpose, PubMed and scopus databases were reviewed. The phrase "cannabidiol and ADHD" was used in the database search. After reviewing the titles and abstracts, 15 articles and articles cited in them were obtained and analyzed in detail.
Results: Cannabinoids are reported to have pharmacological anxiolytic, neuroprotective, antidepressant, antipsychotic and hypnotic effects. Single-case studies of patients treated with them show that cannabinoids reduced hyperactivity, improved focus and control of impulsive behavior. Patients also reported side effects of cannabis use, the most common being mild short-term memory problems, dry mouth, sleepiness, and occasional experiences of constant thirst and greater forgetfulness. Most of the acute side effects were related to neuropsychiatric symptoms and were associated with cardiac sympathomimetic effects
Conclusion: There is evidence for the effects of cannabinoids on ADHD symptoms as well as the influence of the cannabinoid system on involvement in neurological and psychiatric disorders. However, more controlled clinical trials are needed to determine the effect of cannabis use on ADHD symptoms and the norms of its use in this indication.
References
Fayyad J, Sampson NA, Hwang I, et al. The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys. ADHD Atten Deficit Hyperact Disord 2016 91. 2016;9(1):47-65. doi:10.1007/S12402-016-0208-3
Cawkwell PB, Hong DS, Leikauf JE. Neurodevelopmental Effects of Cannabis Use in Adolescents and Emerging Adults with ADHD: A Systematic Review. Harv Rev Psychiatry. 2021;29(4):251-261. doi:10.1097/HRP.0000000000000303
Reale L, Bartoli B, Cartabia M, et al. Comorbidity prevalence and treatment outcome in children and adolescents with ADHD. Eur Child Adolesc Psychiatry. 2017;26(12):1443-1457. doi:10.1007/S00787-017-1005-Z
Hoch E, Niemann D, von Keller R, et al. How effective and safe is medical cannabis as a treatment of mental disorders? A systematic review. Eur Arch Psychiatry Clin Neurosci. 2019;269(1):87-105. doi:10.1007/S00406-019-00984-4
Saad AK, Akour A, Mahboob A, AbuRuz S, Sadek B. Role of Brain Modulators in Neurodevelopment: Focus on Autism Spectrum Disorder and Associated Comorbidities. Pharm 2022, Vol 15, Page 612. 2022;15(5):612. doi:10.3390/PH15050612
Baykal S, Albayrak Y, Durankuş F, et al. Decreased serum orexin A levels in drug-naive children with attention deficit and hyperactivity disorder. Neurol Sci 2019 403. 2019;40(3):593-602. doi:10.1007/S10072-018-3692-8
Canseco-Alba A, Sanabria B, Hammouda M, et al. Cell-Type Specific Deletion of CB2 Cannabinoid Receptors in Dopamine Neurons Induced Hyperactivity Phenotype: Possible Relevance to Attention-Deficit Hyperactivity Disorder. Front Psychiatry. 2022;12:2651. doi:10.3389/FPSYT.2021.803394/BIBTEX
Mansell H, Quinn D, Kelly LE, Alcorn J. Cannabis for the Treatment of Attention Deficit Hyperactivity Disorder: A Report of 3 Cases. Med Cannabis Cannabinoids. 2022;5(1):1-6. doi:10.1159/000521370
Chao Y-S, McCormack S, Cite. Medicinal and Synthetic Cannabinoids for Pediatric Patients: A Review of Clinical Effectiveness and Guidelines. CADTH rapid response Rep Summ with Crit Apprais. October 2019:1-18. https://www.ncbi.nlm.nih.gov/books/NBK551866/. Accessed August 18, 2022.
Lam AP, Moeller S, Speitling C, Lam MC, Philipsen A, Müller HHO. Consumption of Synthetic Cannabinoids in Adult Attention-Deficit/Hyperactivity Disorder: a Pilot Study. Int J Ment Health Addict. 2021;19(5):1586-1604. doi:10.1007/S11469-020-00248-6/TABLES/6
Cooper RE, Williams E, Seegobin S, Tye C, Kuntsi J, Asherson P. Cannabinoids in attention-deficit/hyperactivity disorder: A randomised-controlled trial. Eur Neuropsychopharmacol. 2017;27(8):795-808. doi:10.1016/J.EURONEURO.2017.05.005
Navarrete F, García-Gutiérrez MS, Jurado-Barba R, et al. Endocannabinoid System Components as Potential Biomarkers in Psychiatry. Front Psychiatry. 2020;11:315. doi:10.3389/FPSYT.2020.00315/BIBTEX
Mansell H, Quinn D, Kelly LE, Szafron M, Alcorn J. Pharmacokinetics and Perceptions of Children and Young Adults Using Cannabis for Attention-Deficit/Hyperactivity Disorder and Oppositional Defiant Disorder: Protocol for a Mixed Methods Proof-of-Concept Study. JMIR Res Protoc. 2021;10(10). doi:10.2196/31281
Hupli AMM. Medical Cannabis for Adult Attention Deficit Hyperactivity Disorder: Sociological Patient Case Report of Cannabinoid Therapeutics in Finland. Med Cannabis Cannabinoids. 2018;1(2):112-118. doi:10.1159/000495307
Rasmussen J, Casey BJ, van Erp TGM, et al. ADHD and cannabis use in young adults examined using fMRI of a Go/NoGo task. Brain Imaging Behav 2015 103. 2015;10(3):761-771. doi:10.1007/S11682-015-9438-9
Spera V, Pallucchini A, Carli M, et al. Does Cannabis, Cocaine and Alcohol Use Impact Differently on Adult Attention Deficit/Hyperactivity Disorder Clinical Picture? J Clin Med 2021, Vol 10, Page 1481. 2021;10(7):1481. doi:10.3390/JCM10071481
Sarris J, Sinclair J, Karamacoska D, Davidson M, Firth J. Medicinal cannabis for psychiatric disorders: A clinically-focused systematic review. BMC Psychiatry. 2020;20(1):1-14. doi:10.1186/S12888-019-2409-8/TABLES/1
Hergenrather JY, Aviram J, Vysotski Y, Campisi-Pinto S, Lewitus GM, Meiri D. Cannabinoid and Terpenoid Doses are Associated with Adult ADHD Status of Medical Cannabis Patients. Rambam Maimonides Med J. 2020;11(1). doi:10.5041/RMMJ.10384
Mitchell JT, Sweitzer MM, Tunno AM, Kollins SH, Joseph McClernon F. “I Use Weed for My ADHD”: A Qualitative Analysis of Online Forum Discussions on Cannabis Use and ADHD. PLoS One. 2016;11(5):e0156614. doi:10.1371/JOURNAL.PONE.0156614
Schoedel KA, Chen N, Hilliard A, et al. A randomized, double-blind, placebo-controlled, crossover study to evaluate the subjective abuse potential and cognitive effects of nabiximols oromucosal spray in subjects with a history of recreational cannabis use. Hum Psychopharmacol. 2011;26(3):224-236. doi:10.1002/HUP.1196
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Tomasz Skubel, Jakub Czarnota, Michał Dobrzyński, Agnieszka Kopystecka, Ilona Kozioł, Małgorzata Drozd, Natalia Rybak, Rafał Patryn
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 837
Number of citations: 0