The therapeutic potential of purified cannabidiol DOI Creative Commons
Saoirse E. O’Sullivan, Sanne Jensen,

Gitte Nykjaer Nikolajsen

et al.

Journal of Cannabis Research, Journal Year: 2023, Volume and Issue: 5(1)

Published: June 13, 2023

Abstract The use of cannabidiol (CBD) for therapeutic purposes is receiving considerable attention, with speculation that CBD can be useful in a wide range conditions. Only one product, purified form plant-derived solution (Epidiolex), approved the treatment seizures patients Lennox-Gastaut syndrome, Dravet or tuberous sclerosis complex. Appraisal evidence base complicated by fact products sometimes have additional phytochemicals (like tetrahydrocannabinol (THC)) present, which make identification active pharmaceutical ingredient (API) positive studies difficult. aim present review to critically clinical using only, order establish upcoming indications might beneficial. areas there most support are anxiety (positive data 7 uncontrolled and 17 randomised controlled trials (RCTs)), psychosis schizophrenia 1 study 8 RCTs), PTSD 2 4 RCTs) substance abuse 3 RCTs). Seven improve sleep quality, but this has only been verified small RCT. Limited supports Parkinson’s (3 autism smoking cessation (2 graft-versus-host disease intestinal permeability (1 RCT each). Current does not oral pain (at least as an acute analgesic) COVID symptoms, cancer, Huntington’s type diabetes. In conclusion, published multiple beyond epilepsy. However, limited number investigating effects CBD, testing healthy volunteers, very patient numbers. Large confirmatory phase required all indications.

Language: Английский

The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders DOI
Gin S. Malhi, Erica Bell,

Darryl Bassett

et al.

Australian & New Zealand Journal of Psychiatry, Journal Year: 2020, Volume and Issue: 55(1), P. 7 - 117

Published: Dec. 22, 2020

Objectives: To provide advice and guidance regarding the management of mood disorders, derived from scientific evidence supplemented by expert clinical consensus to formulate s that maximise utility. Methods: Articles information sourced search engines including PubMed, EMBASE, MEDLINE, PsycINFO Google Scholar were literature known disorders committee (e.g. books, book chapters government reports) published depression bipolar disorder guidelines. Relevant was appraised discussed in detail members committee, with a view formulating developing consensus-based recommendations guidance. The guidelines subjected rigorous consultation external review involving: advisors, key stakeholders, professional bodies specialist groups interest disorders. Results: Royal Australian New Zealand College Psychiatrists practice 2020 (MDcpg ) up-to-date is informed experience. guideline intended for use psychiatrists, psychologists, primary care physicians others an mental health care. Conclusion: MDcpg builds on previous 2015 maintains its joint focus both depressive It provides within evidence-based framework, consensus. Mood committee: Gin S Malhi (Chair), Erica Bell, Darryl Bassett, Philip Boyce, Richard Bryant, Hazell, Malcolm Hopwood, Bill Lyndon, Roger Mulder, Porter, Ajeet B Singh Greg Murray.

Language: Английский

Citations

399

Cannabidiol: A Potential New Alternative for the Treatment of Anxiety, Depression, and Psychotic Disorders DOI Creative Commons
María S. García‐Gutiérrez, Francisco Navarrete, Ani Gasparyan

et al.

Biomolecules, Journal Year: 2020, Volume and Issue: 10(11), P. 1575 - 1575

Published: Nov. 19, 2020

The potential therapeutic use of some Cannabis sativa plant compounds has been attracting great interest, especially for managing neuropsychiatric disorders due to the relative lack efficacy current treatments. Numerous studies have carried out using main phytocannabinoids, tetrahydrocannabinol (THC) and cannabidiol (CBD). CBD displays an interesting pharmacological profile without becoming a drug abuse, unlike THC. In this review, we focused on anxiolytic, antidepressant, antipsychotic effects found in animal human studies. rodents, results suggest that depend dose, strain, administration time course (acute vs. chronic), route administration. addition, certain key targets related with these actions, including cannabinoid receptors (CB1r CB2r), 5-HT1A receptor neurogenesis factors. Preliminary clinical trials also support as antipsychotic, more importantly, positive risk-benefit profile. These promising development large-scale further evaluate new treatment psychiatric disorders.

Language: Английский

Citations

212

A Review of Hemp as Food and Nutritional Supplement DOI
Pellegrino Cerino, Carlo Buonerba, Giuseppe Cannazza

et al.

Cannabis and Cannabinoid Research, Journal Year: 2020, Volume and Issue: 6(1), P. 19 - 27

Published: April 9, 2020

The term "hemp" refers to Cannabis sativa cultivars grown for industrial purposes that are characterized by lower levels of tetrahydrocannabinol (THC), the active principle responsible psychotropic effects. Hemp is an extraordinary crop, with enormous social and economic value, since it can be used produce food, textiles, clothing, biodegradable plastics, paper, paint, biofuel, animal feed, as well lighting oil. Various parts hemp plant represent a valuable source food ingredients nutritional supplements. While inflorescence rich in nonpsychoactive, yet biologically cannabinoids, such cannabidiol (CBD), which exerts potent anxiolytic, spasmolytic, anticonvulsant effects, hempseed has pleasant nutty taste represents essential amino acids fatty acids, minerals, vitamins, fibers. In addition, oil healthy polyunsaturated sprouts antioxidants. This review article aims provide comprehensive outlook from multidisciplinary perspective on scientific evidence supporting beneficial properties when consumed or supplement. Marketing hemp-derived products subjected diversified complex regulations worldwide several reasons, including fact CBD also principal pharmaceutical agents regulatory bodies some cases ban regardless its THC content. Some key aspects scenario analyzed discussed this article.

Language: Английский

Citations

177

Therapeutic Potential of Cannabis, Cannabidiol, and Cannabinoid-Based Pharmaceuticals DOI Open Access

Christopher A. Legare,

Wesley M. Raup‐Konsavage, Kent E. Vrana

et al.

Pharmacology, Journal Year: 2022, Volume and Issue: 107(3-4), P. 131 - 149

Published: Jan. 1, 2022

<b><i>Background:</i></b> There is a growing interest in the use of cannabis (and its extracts), as well CBD oil (hemp extracts containing cannabidiol), for therapeutic purposes. While there reason to believe that cannabinoids may be efficacious number different diseases and syndromes, exist limited objective data supporting crude materials (CBD oil, extracts, and/or itself). <b><i>Summary:</i></b> In present review, we examined pure cannabinoid compounds (dronabinol, nabilone, CBD), partially purified medicinal (nabiximols), provide guidance on potential uses high-THC oil. general, support role cannabis/cannabinoids pain, seizure disorders, appetite stimulation, muscle spasticity, treatment nausea/vomiting. Given biological activities cannabinoids, utility central nervous system disorders (such neurodegenerative diseases, PTSD, addiction) or cancer. However, those are much less compelling. <b><i>Key Message:</i></b> On balance, reasons medical extract (Δ<sup>9</sup>-THC-dominant CBD-dominant), but more careful research required.

Language: Английский

Citations

173

Evaluation of the effects of CBD hemp extract on opioid use and quality of life indicators in chronic pain patients: a prospective cohort study DOI Creative Commons

Alex Capano,

Richard D. Weaver,

Elisa Burkman

et al.

Postgraduate Medicine, Journal Year: 2019, Volume and Issue: 132(1), P. 56 - 61

Published: Nov. 12, 2019

Context: Chronic pain is highly prevalent in most of the industrialized nations around world. Despite documented adverse effects, opioids are widely used for management. Cannabinoids, and specifically Cannabidiol, proposed as an opioid alternative, having comparable efficacy with better safety profile.Objectives: We aim to investigate impact full hemp extract cannabidiol (CBD) on use quality life indicators among chronic patients.Methods: An initial sample 131 patients was recruited from a private management center's investigative population. Ninety-seven completed 8-week study. The primary inclusion criteria included between 30 65 years old who have been at least 1 year. Data were collected three different time points: baseline, 4, 8 weeks. Opioid other medication evaluated via psychiatric treatment receipt. Improvement using four indices: Pain Disability Index (PDI-4); Pittsburgh Sleep Quality (PSQI), Intensity Interference (PEG); Patient Health Questionnaire (PHQ-4).Results: Over half (53%) reduced or eliminated their within weeks after adding CBD-rich regimens. Almost all CBD users (94%) reported improvements. results indicated significant relationship PSQI (p = 0.003), PEG 0.006). There trend toward improvement but no PHQ PDI.Conclusion: could significantly reduce improve sleep currently management.Key Message: This prospective, single-arm cohort study potential role cannabinoids alternative opioids. indicate that enabled our eliminate indices.

Language: Английский

Citations

149

Reasons for cannabidiol use: a cross-sectional study of CBD users, focusing on self-perceived stress, anxiety, and sleep problems DOI Creative Commons
Julie Moltke, Chandni Hindocha

Journal of Cannabis Research, Journal Year: 2021, Volume and Issue: 3(1)

Published: Feb. 18, 2021

Abstract Background Public and medical interest in cannabidiol (CBD) has been rising, CBD is now available from various sources. Research into the effects of low-dose on outcomes like stress, anxiety, sleep problems have scarce, so we conducted an online survey users to better understand patterns use, dose, self-perceived CBD. Methods The sample consisted 387 current or past-CBD who answered a 20-question survey. was sent out through email databases social media. Participants reported basic demographics, use patterns, reasons for sleep, stress. Results ( N = 387) 61.2% females, mostly between 25 54 years old (72.2%) primarily based UK (77.4%). top 4 using were anxiety (42.6%), (42.5%), stress (37%), general health wellbeing (37%). Fifty-four per cent less than 50 mg daily, 72.6% used sublingually. Adjusted logistic models show females had lower odds males [OR 0.45, 95% CI 0.30–0.72] post-workout muscle-soreness 0.46, 95%CI 0.24–0.91] but higher 1.60, 0.02–2.49] insomnia 1.87, 1.13–3.11]. Older individuals wellbeing, sore muscles, skin conditions, focusing, pain. Respondents that effective problems, those drug conditions. Conclusion This indicated take manage other symptoms, often low doses, these vary by demographic characteristics. Further research required how representative user, might impact mental symptoms problems.

Language: Английский

Citations

111

Cannabidiol (CBD) use in psychiatric disorders: A systematic review DOI

Stefania Bonaccorso,

A Ricciardi,

Caroline Zangani

et al.

NeuroToxicology, Journal Year: 2019, Volume and Issue: 74, P. 282 - 298

Published: Aug. 11, 2019

Language: Английский

Citations

142

Mapping cannabis potency in medical and recreational programs in the United States DOI Creative Commons
Mary Catherine Cash,

Katharine Cunnane,

Chuyin Fan

et al.

PLoS ONE, Journal Year: 2020, Volume and Issue: 15(3), P. e0230167 - e0230167

Published: March 26, 2020

Cannabis related online searches are associated with positive attitudes toward medical cannabis, particularly when information is obtained from dispensaries. Since pain the main reason for medicinal cannabis use, dispensary websites has potential to shape attitude of patients towards cannabis. This relevant because demonstrated efficacy in neuropathic low tetrahydrocannabinol (THC) concentrations (< 5–10%), contrast potent (>15% THC), which highly rewarded recreational realm. The role CBD not clear, however it gained popularity. Thus, we hypothesize that potency advertised similar purposes, would potentially create a misconception current lack knowledge surrounding potencies legal market limits ability generate clear policies regarding advertising protect willing use their condition. evaluated THC and content products offered dispensaries United States determine products' suitability compare strength programs. We recorded all herb provided by compared them between or within states. Four Western states (CA, CO, NM, WA) five Northeastern (ME, MA, NH, RI, VT) were included. A total 8,505 across 653 sampled. Despite differences uses average concentration programs was (19.2% ±6.2) (21.5% ±6.0) different programs, same (CO WA). Lower accompanied higher products. majority products, regardless have >15% (70.3% - 91.4% products). These stated seem unsuitable chronic pain. Therefore, this could induce high safe treat data consistent reports nationwide illegal actually measured, indicates consuming these may be at risk acute intoxication long-term side effects. Our study offers grounds develop help prevent misconceptions reduce risks patients.

Language: Английский

Citations

120

Supercritical fluid technologies applied to the extraction of compounds of industrial interest from Cannabis sativa L. and to their pharmaceutical formulations: A review DOI
Lucia Baldino, Mariarosa Scognamiglio, Ernesto Reverchon

et al.

The Journal of Supercritical Fluids, Journal Year: 2020, Volume and Issue: 165, P. 104960 - 104960

Published: June 25, 2020

Language: Английский

Citations

103

Therapeutic Efficacy of Cannabidiol (CBD): a Review of the Evidence From Clinical Trials and Human Laboratory Studies DOI
Dennis J. Sholler,

Lauren Schoene,

Tory R. Spindle

et al.

Current Addiction Reports, Journal Year: 2020, Volume and Issue: 7(3), P. 405 - 412

Published: July 25, 2020

Language: Английский

Citations

102