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Marijuana


Acknowledgment

The authors would like to acknowledge the contributions of Drs. Joshua W. Sappenfield and Christopher T. Stephens to this chapter in the previous edition.

Uses

  • Antiemetic

  • Appetite stimulation

  • Analgesia

  • Recreational

  • Epilepsy

  • Glaucoma

  • Mood disorders

  • Spastic disorders

Perioperative Risks

  • Cross-tolerance with barbiturates, opioids, benzodiazepines, and phenothiazines

  • Tachycardia, vasodilation with hypotension, anxiety, dysphoria, hallucinations (acute use)

  • Airway hyperreactivity from chronic smoking (carbon monoxide inhalation)

  • Decreased efficacy of oral birth control medication

  • Possible procoagulant effect in immunocompromised and certain other populations

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