Pediatric cannabis intoxication trends in the pre and post-legalization era

Cohen, Neta; Blanco, Laura; Davis, Adrienne L.; Kahane, Alyssa; Mathew, Mathew T.; Schuh, Suzanne; Kestenbom, Inbal; Test, Gidon; Pasternak, Yael; Verstegen, Ruud H J; Jung, Benjamin; Maguire, B. A.; d'Astous, Soha Rached; Rumantir, Maggie; Finkelstein, Yaron

doi:10.1080/15563650.2021.1939881

Cited by 35 publications

(60 citation statements)

References 36 publications

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“…One of the underappreciated effects of decriminalization and legalization of cannabis is the impact it has on both the unintentional and intentional exposure to infants and young children [41,42]. Widespread use of cannabis simply translates to greater access to children.…”

Section: Cannabis Consumptionmentioning

confidence: 99%

“…A very recent publication comparing pre versus peri-post legalization of cannabis found children presenting to the emergency department peri-post legalization were significantly more likely to have altered mental status and respiratory involvement that required pediatric intensive care admissions. Additional clinical findings include behavioral changes of the child, ataxia, respiratory depression, seizures, apnea and coma [42].…”

Section: Cannabis Consumptionmentioning

confidence: 99%

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Pediatric Brain on Cannabinoids: Adverse Effects of Cannabinoid Products in Children and Adolescents

Chase¹

2023

Cannabinoids - Recent Perspectives and Applications in Human Health

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Cannabinoids (phytocannabinoids and synthetic cannabinoids) are most often used during adolescence and given the changing norms, enhanced potency, reduced societal perceptions of risk and multitude forms of products for consumption, clinicians need to be become more cognizant of cannabinoid products and their effects. The aim of this narrative review is to briefly discuss acute toxicities and a few chronic toxicities associated with cannabinoids that clinicians are likely to treat. In addition, cannabinoid toxicokinetics and toxicodynamics as it pertains to the clinical effects will be discussed as well as the route of exposure and the clinical implications for therapeutics. Although the neurodevelopmental effects of naturally occurring endocannabinoids will be briefly mentioned, it is beyond the scope of this review to discuss in detail. Regardless, clinicians, parents and patients should be aware of the potential implications that exogenous cannabinoids (cannabis) may have in altering the normative trajectory of brain maturation in pediatric patients.

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Section: Cannabis Consumptionmentioning

confidence: 99%

Section: Cannabis Consumptionmentioning

confidence: 99%

Pediatric Brain on Cannabinoids: Adverse Effects of Cannabinoid Products in Children and Adolescents

Chase¹

2023

Cannabinoids - Recent Perspectives and Applications in Human Health

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“…This pre-emptive consideration for protecting youth reflects the understanding that brain response to drugs and toxins have great variability during the life span, especially where neuro-toxicity is concerned [ 10 ]. Despite these proactive interventions, Canada has witnessed increases in severe cannabis intoxication in pediatric patients since legalization, with the ingestion of cannabis edibles the strongest predictor of intensive care admissions [ 11 ].…”

Section: Impact Of Legalizationmentioning

confidence: 99%

Public Health Implications of Cannabis Legalization: An Exploration of Adolescent Use and Evidence-Based Interventions

Donnelly

Young

Marshall

et al. 2022

IJERPH

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This article examines the relaxation of state marijuana laws, changes in adolescent use of marijuana, and implications for drug education. Under federal law, use of marijuana remains illegal. In spite of this federal legislation, as of 1 June 2021, 36 states, four territories and the District of Columbia have enacted medical marijuana laws. There are 17 states, two territories and the District of Columbia that have also passed recreational marijuana laws. One of the concerns regarding the enactment of legislation that has increased access to marijuana is the possibility of increased adolescent use of marijuana. While there are documented benefits of marijuana use for certain medical conditions, we know that marijuana use by young people can interfere with brain development, so increased marijuana use by adolescents raises legitimate health concerns. A review of results from national survey data, including CDC’s YRBS, Monitoring the Future, and the National Household Survey on Drug Use, allows us to document changes in marijuana use over time. Increased legal access to marijuana also has implications for educational programming. A “Reefer Madness” type educational approach no longer works (if it ever did). We explore various strategies, including prevention programs for education about marijuana, and make recommendations for health educators.

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“…This event represents a deleterious and noxious issue for children and adolescents who may be exposed passively or actively to cannabis or marijuana smoke. Also, a harmful effect may be associated with the spread of edible cannabis products (14)(15)(16).…”

mentioning

confidence: 99%

Translational pediatrics: reflections for the 21st century and beyond

Sergi¹

2022

Transl Pediatr

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Pediatric cannabis intoxication trends in the pre and post-legalization era

Cited by 35 publications

References 36 publications

Pediatric Brain on Cannabinoids: Adverse Effects of Cannabinoid Products in Children and Adolescents

Pediatric Brain on Cannabinoids: Adverse Effects of Cannabinoid Products in Children and Adolescents

Public Health Implications of Cannabis Legalization: An Exploration of Adolescent Use and Evidence-Based Interventions

Translational pediatrics: reflections for the 21st century and beyond

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