Many US states have recently made significant changes to their legislation making the recreational and/or medical use of marijuana by adults legal. Although these laws have largely not targeted the adolescent population, they have created an environment in which marijuana is increasingly viewed as more acceptable, safe, and therapeutic Rapé. This clinical report offers practical guidance to the pediatrician in counseling adolescents and their parents about marijuana and its use based on existing evidence and the expert opinion/consensus of the American Academy of Pediatrics.
Talking Points for Parents and Teens (Handout):
Cannabis is not a benign drug for adolescents. The adolescent brain is still developing and cannabis can cause abnormal brain development.
Adolescents who use cannabis regularly can develop serious mental health disorders, including addiction problems, depression and psychosis.
There are no studies on the medical use of cannabis in adolescents, so its indications, the most appropriate doses, effects and adverse effects are unknown. The only data available on the use of cannabis for medical indication in the pediatric population is limited to its use in children with severe refractory seizures.
The consumption of cannabis by minors and young adults under 21 years of age is illegal (in the US).
You should never drive under the influence of cannabis or ride in a car where the driver is under the influence. Traffic accidents due to cannabis use are common.
Cannabis smoke is toxic, similar to the harmful effect of tobacco smoke.
For parents. Parents are a model for your children. Your actions are more powerful than your words. Therefore, if you use cannabis in front of your teenager, there is a greater probability that he/she will use it, even if you tell him/her that it is harmful and he/she should not consume it.
For parents. It is important to keep all cannabis products out of your children’s reach. As with other medications and toxic products, child-resistant containers should be used and kept out of reach. As for younger children, marijuana edibles and drinks can be particularly dangerous.
For parents. Remember that intoxication and euphoria are predictable effects of cannabis use. Being “high” from your own recreational or medicinal use of marijuana can impair your ability to act safely as a parent or to provide a safe environment for babies and children.
For parents. If your child directly asks you if she has used marijuana, a brief, honest answer can help your child feel comfortable talking to you about drug use problems. However, it is not advisable to share your own consumption stories with your children. A general discussion of possible drug use scenarios may be a more useful approach.