Cannabis-Induced Psychosis: Which Antipsychotics Best Prevent Hospitalization?
August 29, 2025 DOI: 10.64239/pi-qt7803
Summary
AI-generated from the abstractAntipsychotic medication reduced hospitalization risk by 25% for psychosis, 25% for substance use disorders, and 50% for medical conditions among people with cannabis-induced psychosis. Long-acting injectable aripiprazole or olanzapine reduced psychosis-related hospitalization risk by 75%, twice as effective as oral formulations. Clozapine was also effective for psychosis-related hospitalization, 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.
Study at a glance
| Characteristics | Observational cohort |
|---|---|
| Population | People with cannabis-induced psychosis |
| Interventions | antipsychotic medication long-acting injectable aripiprazole oral olanzapine injectable aripiprazole oral clozapine |
| Key finding | 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.