Research output: Contribution to journal › Article › peer-review
Is there a teratogenicity risk associated with cannabis and synthetic cannabimimetics’ (’Spice’) intake? / Orsolini, Laura; Papanti, Duccio; Corkery, John; De Luca, Maria Antonietta; Cadoni, Cristina; Di Chiara, Gaetano; Schifano, Fabrizio.
In: CNS & Neurological Disorders - Drug Targets, Vol. 16, 13.04.2017.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Is there a teratogenicity risk associated with cannabis and synthetic cannabimimetics’ (’Spice’) intake?
AU - Orsolini, Laura
AU - Papanti, Duccio
AU - Corkery, John
AU - De Luca, Maria Antonietta
AU - Cadoni, Cristina
AU - Di Chiara, Gaetano
AU - Schifano, Fabrizio
N1 - Submitted: December 12, 2016 Revised: January 15, 2017 Accepted: March 10, 2017
PY - 2017/4/13
Y1 - 2017/4/13
N2 - Background: Substance use, including cannabis, has been documented amongst women both in the pre-conception period and during pregnancy, particularly during the 1st trimester, which is clearly the most critical period in the organogenesis. The recent emergence on the drug market of syntheticcannabimimetics/SC (‘spice’) may represent a new challenge for clinicians.Objective: A literature overview on the teratogenicity profile of both cannabis and synthetic cannabimimetics was here carried out.Methods: The PubMed database was searched in order to collect all relevant cases and data regarding the possible evidence of teratogenicity issues associated with cannabis and SC intake.Results: The use of cannabis in pregnant women has been associated with a plethora of both obstetrical/gestational complications and neurobehavioral/neurological effects on newborns. Conversely, onlyfew and conflicting data are related to SC misuse issues.Conclusion: Although cannabis use may be considered a risk factor for the occurrence of pregnancy related morbidity issues, many studies relied on self-reports and showed inconsistent results when controlling for potential confounders, including tobacco use. Given the role of the endocannabinoid system in both pregnancy and delivery, SC potency at interacting with the endocannabinoid system may be a reason of concern. Clinicians should carefully assess each woman planning a pregnancy, or who is pregnant already, and who is at risk of persisting in her current cannabis and/or SC intake. A nonjudgmental approach, aiming at collecting both a history of drug/alcohol use and at providing information regarding the risks associated with cannabis/SC intake during pregnancy is here advised.
AB - Background: Substance use, including cannabis, has been documented amongst women both in the pre-conception period and during pregnancy, particularly during the 1st trimester, which is clearly the most critical period in the organogenesis. The recent emergence on the drug market of syntheticcannabimimetics/SC (‘spice’) may represent a new challenge for clinicians.Objective: A literature overview on the teratogenicity profile of both cannabis and synthetic cannabimimetics was here carried out.Methods: The PubMed database was searched in order to collect all relevant cases and data regarding the possible evidence of teratogenicity issues associated with cannabis and SC intake.Results: The use of cannabis in pregnant women has been associated with a plethora of both obstetrical/gestational complications and neurobehavioral/neurological effects on newborns. Conversely, onlyfew and conflicting data are related to SC misuse issues.Conclusion: Although cannabis use may be considered a risk factor for the occurrence of pregnancy related morbidity issues, many studies relied on self-reports and showed inconsistent results when controlling for potential confounders, including tobacco use. Given the role of the endocannabinoid system in both pregnancy and delivery, SC potency at interacting with the endocannabinoid system may be a reason of concern. Clinicians should carefully assess each woman planning a pregnancy, or who is pregnant already, and who is at risk of persisting in her current cannabis and/or SC intake. A nonjudgmental approach, aiming at collecting both a history of drug/alcohol use and at providing information regarding the risks associated with cannabis/SC intake during pregnancy is here advised.
KW - Cannabis
KW - pregnancy
KW - synthetic cannabimimetics
KW - synthetic cannabinoids
KW - teratogenicity
UR - https://www.ncbi.nlm.nih.gov/pubmed/28412917
U2 - 10.2174/1871527316666170413101257
DO - 10.2174/1871527316666170413101257
M3 - Article
VL - 16
JO - CNS & Neurological Disorders - Drug Targets
JF - CNS & Neurological Disorders - Drug Targets
SN - 1871-5273
ER -