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Cannabis-Induced Psychosis: Which Antipsychotics Best Prevent Hospitalization?

David A. Gorelick

August 29, 2025 DOI: 10.64239/pi-qt7803 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort
Population People with cannabis-induced psychosis
Interventions antipsychotic medication long-acting injectable aripiprazole oral olanzapine injectable aripiprazole oral clozapine
Topics Cannabis
Key findings Antipsychotic medication reduced hospitalization risk by 25% for psychosis and substance use disorders, and 50% for medical conditions; long-acting injectable aripiprazole or olanzapine reduced psychosis-related hospitalization risk by 75%.

Abstract

The prevalence of cannabis-induced psychosis has increased substantially, possibly due to higher cannabis potency and greater use. Antipsychotic medication reduced hospitalization risk by 25% for psychosis, 25% for substance use disorders, and 50% for medical conditions. For psychosis-related hospitalization, long-acting injectable aripiprazole or olanzapine reduced risk by 75%—twice as effective as oral formulations. Clozapine was also effective, while risperidone, quetiapine, and paliperidone were not. For substance use–related hospitalization, effective options included injectable or oral olanzapine, injectable aripiprazole and paliperidone, and oral clozapine and risperidone.