Regional Anesthesia & Pain Medicine,
Journal Year:
2023,
Volume and Issue:
48(3), P. 97 - 117
Published: Jan. 3, 2023
The
past
two
decades
have
seen
an
increase
in
cannabis
use
due
to
both
regulatory
changes
and
interest
potential
therapeutic
effects
of
the
substance,
yet
many
aspects
substance
their
health
implications
remain
controversial
or
unclear.In
November
2020,
American
Society
Regional
Anesthesia
Pain
Medicine
charged
Cannabis
Working
Group
develop
guidelines
for
perioperative
cannabis.
Perioperative
Use
Cannabinoids
Guidelines
Committee
was
with
drafting
responses
nine
key
questions
using
a
modified
Delphi
method
overall
goal
producing
document
focused
on
safe
management
surgical
patients
cannabinoids.
A
consensus
recommendation
required
≥75%
agreement.Nine
were
selected,
100%
achieved
third-round
voting.
Topics
addressed
included
screening,
postponement
elective
surgery,
concomitant
opioid
perioperatively,
parturients,
adjustment
anesthetic
analgesics
intraoperatively,
postoperative
monitoring,
disorder,
concerns.
Surgical
cannabinoids
are
at
increased
risk
negative
outcomes.Specific
clinical
recommendations
successfully
created.
Antioxidants,
Journal Year:
2019,
Volume and Issue:
9(1), P. 21 - 21
Published: Dec. 25, 2019
Cannabidiol
(CBD)
is
one
of
the
main
pharmacologically
active
phytocannabinoids
Cannabis
sativa
L.
CBD
non-psychoactive
but
exerts
a
number
beneficial
pharmacological
effects,
including
anti-inflammatory
and
antioxidant
properties.
The
chemistry
pharmacology
CBD,
as
well
various
molecular
targets,
cannabinoid
receptors
other
components
endocannabinoid
system
with
which
it
interacts,
have
been
extensively
studied.
In
addition,
preclinical
clinical
studies
contributed
to
our
understanding
therapeutic
potential
for
many
diseases,
diseases
associated
oxidative
stress.
Here,
we
review
biological
effects
its
synthetic
derivatives,
focusing
on
cellular,
antioxidant,
properties
CBD.
Current Neuropharmacology,
Journal Year:
2019,
Volume and Issue:
17(10), P. 974 - 989
Published: June 3, 2019
Currently,
there
is
a
great
interest
in
the
potential
medical
use
of
cannabidiol
(CBD),
non-intoxicating
cannabinoid.
Productive
pharmacological
research
on
CBD
occurred
1970s
and
intensified
recently
with
many
discoveries
about
endocannabinoid
system.
Multiple
preclinical
clinical
studies
led
to
FDA-approval
Epidiolex®,
purified
medicine
formulated
for
oral
administration
treatment
infantile
refractory
epileptic
syndromes,
by
US
Food
Drug
Administration
2018.
The
World
Health
Organization
considers
rescheduling
cannabis
cannabinoids.
around
world
expanding
diseases
that
lack
scientific
evidence
drug's
efficacy.
Preclinical
also
report
adverse
effects
(AEs)
toxicity
following
intake.Relevant
reporting
CBD's
AEs
or
were
identified
from
PubMed,
Cochrane
Central,
EMBASE
through
January
2019.
Studies
defining
beneficial
included
provide
balance
estimating
risk/benefit.CBD
not
risk-free.
In
animals,
developmental
toxicity,
embryo-fetal
mortality,
central
nervous
system
inhibition
neurotoxicity,
hepatocellular
injuries,
spermatogenesis
reduction,
organ
weight
alterations,
male
reproductive
hypotension,
although
at
doses
higher
than
recommended
human
pharmacotherapies.
Human
epilepsy
psychiatric
disorders
reported
CBD-induced
drug-drug
interactions,
hepatic
abnormalities,
diarrhea,
fatigue,
vomiting,
somnolence.CBD
has
proven
therapeutic
efficacy
serious
conditions
such
as
Dravet
Lennox-Gastaut
syndromes
likely
be
off
label
physicians
other
conditions.
However,
interactions
must
taken
into
consideration
clinicians
prior
recommending
off-label
CBD.
The Permanente Journal,
Journal Year:
2019,
Volume and Issue:
23(1)
Published: Jan. 4, 2019
Cannabidiol
(CBD)
is
one
of
many
cannabinoid
compounds
found
in
cannabis.
It
does
not
appear
to
alter
consciousness
or
trigger
a
"high."
A
recent
surge
scientific
publications
has
preclinical
and
clinical
evidence
documenting
value
for
CBD
some
neuropsychiatric
disorders,
including
epilepsy,
anxiety,
schizophrenia.
Evidence
points
toward
calming
effect
the
central
nervous
system.
Interest
as
treatment
wide
range
disorders
exploded,
yet
few
studies
exist
psychiatric
literature.To
determine
whether
helps
improve
sleep
and/or
anxiety
population.A
large
retrospective
case
series
at
clinic
involving
application
complaints
an
adjunct
usual
treatment.
The
chart
review
included
monthly
documentation
quality
103
adult
patients.Sleep
scores,
using
validated
instruments,
baseline
after
treatment.The
final
sample
consisted
72
adults
presenting
with
primary
concerns
(n
=
47)
poor
25).
Anxiety
scores
decreased
within
first
month
57
patients
(79.2%)
remained
during
study
duration.
Sleep
improved
48
(66.7%)
but
fluctuated
over
time.
In
this
review,
was
well
tolerated
all
3
patients.Cannabidiol
may
hold
benefit
anxiety-related
disorders.
Controlled
are
needed.
American Journal of Psychiatry,
Journal Year:
2019,
Volume and Issue:
176(11), P. 911 - 922
Published: May 21, 2019
Despite
the
staggering
consequences
of
opioid
epidemic,
limited
nonopioid
medication
options
have
been
developed
to
treat
this
medical
and
public
health
crisis.
This
study
investigated
potential
cannabidiol
(CBD),
a
nonintoxicating
phytocannabinoid,
reduce
cue-induced
craving
anxiety,
two
critical
features
addiction
that
often
contribute
relapse
continued
drug
use,
in
drug-abstinent
individuals
with
heroin
use
disorder.This
exploratory
double-blind
randomized
placebo-controlled
trial
assessed
acute
(1
hour,
2
hours,
24
hours),
short-term
(3
consecutive
days),
protracted
(7
days
after
last
three
daily
administrations)
effects
CBD
administration
(400
or
800
mg,
once
for
3
days)
on
anxiety
disorder.
Secondary
measures
participants'
positive
negative
affect,
cognition,
physiological
status.Acute
administration,
contrast
placebo,
significantly
reduced
both
induced
by
presentation
salient
cues
compared
neutral
cues.
also
showed
significant
these
7
final
(3-day)
exposure.
In
addition,
heart
rate
salivary
cortisol
levels.
There
were
no
there
serious
adverse
effects.CBD's
provides
strong
basis
further
investigation
phytocannabinoid
as
treatment
option
Frontiers in Immunology,
Journal Year:
2018,
Volume and Issue:
9
Published: Sept. 21, 2018
Background:
Among
the
many
cannabinoids
in
cannabis
plant,
cannabidiol
(CBD)
is
a
compound
that
does
not
produce
typical
subjective
effects
of
marijuana.
Objectives:
The
aim
present
review
to
describe
main
advances
development
experimental
and
clinical
use
CBD
neuropsychiatry.
Methods:
A
non-systematic
search
was
performed
for
studies
dealing
with
therapeutic
applications
CBD,
especially
by
Brazilian
researchers.
Results:
shown
have
anxiolytic,
antipsychotic
neuroprotective
properties.
In
addition,
basic
investigations
on
been
carried
out
context
other
health
conditions,
including
its
potential
epilepsy,
substance
abuse
dependence,
schizophrenia,
social
phobia,
post-traumatic
stress,
depression,
bipolar
disorder,
sleep
disorders,
Parkinson.
Discussion:
an
useful
promising
molecule
may
help
patients
number
conditions.
Controlled
trials
different
neuropsychiatric
populations
are
currently
under
investigation
should
bring
important
answers
near
future
support
translation
research
findings
settings.
British Journal of Pharmacology,
Journal Year:
2019,
Volume and Issue:
177(6), P. 1227 - 1240
Published: Dec. 4, 2019
The
nutraceuticals
market
is
vast,
encompassing
many
different
products
with
inconsistent
levels
of
evidence
available
to
support
their
use.
This
overview
represents
a
Western
perspective
the
market,
brief
comparison
that
in
China,
as
an
illustration
how
individual
health
supplements
increase
and
decrease
popularity
regional
terms.
Recent
changes
sales
patterns,
mainly
taken
from
US
are
summarized
selection
five
newer
products,
which
have
not
been
subject
extensive
recent
review
profiled:
astaxanthin,
carotenoid
found
red
algae,
seafood,
salmon
trout,
antioxidant;
cannabidiol,
non-euphoric
marijuana
ingredient
used
mood
enhancer
for
painful/inflammatory
conditions;
modified
extracts
ginseng
new
indications
including
dementia
space
travel;
monk
fruit,
non-sugar
high
intensity
sweetener
nigella
seed,
popular
food
Asian
medicine,
has
experienced
extraordinary
rise
recently.
LINKED
ARTICLES:
article
part
themed
section
on
Pharmacology
Nutraceuticals.
To
view
other
articles
this
visit
http://onlinelibrary.wiley.com/doi/10.1111/bph.v177.6/issuetoc.
Cannabis and Cannabinoid Research,
Journal Year:
2018,
Volume and Issue:
3(1), P. 152 - 161
Published: July 1, 2018
Introduction:
Preclinical
and
clinical
studies
suggest
that
cannabidiol
(CBD)
found
in
Cannabis
spp.
has
broad
therapeutic
value.
CBD
products
can
currently
be
purchased
online,
over
the
counter
at
Cannabis-specific
dispensaries
throughout
most
of
country,
despite
fact
is
generally
deemed
a
Schedule
I
controlled
substance
by
U.S.
Drug
Enforcement
Administration
renounced
as
dietary
supplement
ingredient
Food
Administration.
Consumer
demand
for
high
growing,
but
few
have
examined
reasons
increasing
use.
Materials
Methods:
A
self-selected
convenience
sample
(n
=
2409)
was
recruited
via
an
online
survey
designed
to
characterize
whom,
how,
why
individuals
are
using
CBD.
The
anonymous
questionnaire
accessed
from
October
25,
2017
January
2018.
Participants
were
through
social
media.
Results:
Almost
62%
users
reported
treat
medical
condition.
top
three
conditions
pain,
anxiety,
depression.
36%
respondents
treats
their
condition(s)
"very
well
itself,"
while
only
4.3%
"not
very
well."
One
out
every
nonserious
adverse
effect.
odds
condition
1.44
(95%
confidence
interval,
1.16-1.79)
times
greater
among
nonregular
than
regular
users.
Conclusion:
Consumers
specific
therapy
multiple
diverse
conditions-particularly
depression,
sleep
disorders.
These
data
provide
compelling
rationale
further
research
better
understand
potential
Journal of Clinical Medicine,
Journal Year:
2019,
Volume and Issue:
8(7), P. 989 - 989
Published: July 8, 2019
Cannabidiol
(CBD)
is
ubiquitous
in
state-based
medical
cannabis
programs
and
consumer
products
for
complementary
health
or
recreational
use.
CBD
has
intrinsic
pharmacologic
effects
associated
adverse
drug
events
(ADEs)
along
with
the
potential
pharmacokinetic
pharmacodynamic
drug–drug
interactions
(DDIs).
Given
use
among
patients
complex
conditions
treatment
regimens,
as
well
its
expanded
use,
awareness
of
safety
issues
needed.
Prescribing
information
federally
approved
containing
were
reviewed.
Data
on
ADEs
DDIs
extracted
summarized.
Nearly
one-half
users
experienced
ADEs,
which
displayed
a
general
dose-response
relationship.
Common
include
transaminase
elevations,
sedation,
sleep
disturbances,
infection,
anemia.
common
biological
targets
implicated
metabolism
(e.g.,
CYP3A4/2C19)
excretion
P-glycoprotein),
commonly
used
medication
high.
General
clinical
recommendations
reducing
substrate
doses,
monitoring
finding
alternative
therapy
should
be
considered,
especially
medically
patients.
both
victim
perpetrator
own
ADE
profile.
These
considered
risk-benefit
assessment
consumers
made
aware
International Journal of Molecular Sciences,
Journal Year:
2020,
Volume and Issue:
21(22), P. 8870 - 8870
Published: Nov. 23, 2020
Cannabis
has
a
long
history
of
medical
use.
Although
there
are
many
cannabinoids
present
in
cannabis,
Δ9tetrahydrocannabinol
(Δ9-THC)
and
cannabidiol
(CBD)
the
two
components
found
highest
concentrations.
CBD
itself
does
not
produce
typical
behavioral
cannabimimetic
effects
was
thought
to
be
responsible
for
psychotropic
cannabis.
Numerous
anecdotal
findings
testify
therapeutic
CBD,
which
some
cases
were
further
supported
by
research
findings.
However,
data
regarding
CBD's
mechanism
action
potential
abundant
omnifarious.
Therefore,
we
review
basic
molecular
with
particular
focus
on
its
analgesic
potential.
Moreover,
this
article
describes
detailed
anti-inflammatory
various
models,
including
neuropathic
pain,
inflammatory
osteoarthritis
others.
The
dose
route
administration-dependent
effect
reduction
hyperalgesia
or
allodynia,
as
well
production
pro
cytokines,
described
depending
disease
model.
clinical
applications
CBD-containing
drugs
also
mentioned.
presented
herein
unravel
what
is
known
about
pharmacodynamics
provide
reader
current
state-of-art
knowledge
future
perspectives
research.