Medical Cannabis for the Management of Pain and Quality of Life in Chronic Pain Patients: A Prospective Observational Study DOI

Ramin Safakish,

Gordon Ko,

Vahid Salimpour

et al.

Pain Medicine, Journal Year: 2020, Volume and Issue: 21(11), P. 3073 - 3086

Published: April 25, 2020

To evaluate the short-term and long-term effects of plant-based medical cannabis in a chronic pain population over course one year.A longitudinal, prospective, 12-month observational study.Patients were recruited treated at clinic specializing care from October 2015 to March 2019.A total 751 patients initiating treatment.Study participants completed Brief Pain Inventory 12-item Short Form Survey (SF-12), as well surveys on opioid medication use adverse events, baseline once month for 12 months.Medical treatment was associated with improvements severity interference (P < 0.001) observed maintained observation period. Significant also SF-12 physical mental health domains 0.002) starting three months. decreases headaches, fatigue, anxiety, nausea after initiation ≤ 0.002). In who reported baseline, there significant reductions oral morphine equivalent doses 0.0001), while correlates significantly improved by end study period.Taken together, findings this add cumulative evidence support safe effective option potential substitute or augmentation therapy management symptoms quality life patients.

Language: Английский

Industrial Hemp (Cannabis sativa subsp. sativa) as an Emerging Source for Value-Added Functional Food Ingredients and Nutraceuticals DOI Creative Commons
H.P. Vasantha Rupasinghe,

Amy Davis,

Shanthanu Krishna Kumar

et al.

Molecules, Journal Year: 2020, Volume and Issue: 25(18), P. 4078 - 4078

Published: Sept. 7, 2020

Industrial hemp (

Language: Английский

Citations

195

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

The Pharmacological Case for Cannabigerol DOI Creative Commons
Rahul Nachnani, Wesley M. Raup‐Konsavage, Kent E. Vrana

et al.

Journal of Pharmacology and Experimental Therapeutics, Journal Year: 2020, Volume and Issue: 376(2), P. 204 - 212

Published: Nov. 9, 2020

Medical cannabis and individual cannabinoids, such as Δ9-tetrahydrocannabinol (Δ9-THC) cannabidiol (CBD), are receiving growing attention in both the media scientific literature. The Cannabis plant, however, produces over 100 different cannabigerol (CBG) serves precursor molecule for most abundant phytocannabinoids. CBG exhibits affinity activity characteristics between Δ9-THC CBD at cannabinoid receptors but appears to be unique its interactions with α-2 adrenoceptors 5-hydroxytryptamine (5-HT1A). Studies indicate that may have therapeutic potential treating neurologic disorders (e.g., Huntington disease, Parkinson multiple sclerosis) inflammatory bowel well having antibacterial activity. There is interest commercial use of this unregulated phytocannabinoid. This review focuses on pharmacology CBG, our current knowledge possible utility, toxicological hazards.

SIGNIFICANCE STATEMENT

Cannabigerol currently being marketed a dietary supplement and, (CBD) before, many claims made about benefits. Unlike CBD, little research has been performed molecule, much what known warrants further investigation identify areas uses

Language: Английский

Citations

149

The Cannabis Terpenes DOI Creative Commons
Sarana Rose Sommano,

Chuda Chittasupho,

Warintorn Ruksiriwanich

et al.

Molecules, Journal Year: 2020, Volume and Issue: 25(24), P. 5792 - 5792

Published: Dec. 8, 2020

Terpenes are the primary constituents of essential oils and responsible for aroma characteristics cannabis. Together with cannabinoids, terpenes illustrate synergic and/or entourage effect their interactions have only been speculated in last few decades. Hundreds identified that allude to cannabis sensory attributes, contributing largely consumer's experiences market price. They also enhance many therapeutic benefits, especially as aromatherapy. To shed light on importance industry, purpose this review is morphologically describe sources explain biosynthesis diversity terpene profiles different chemovars.

Language: Английский

Citations

141

Terpenoids in essential oils: Chemistry, classification, and potential impact on human health and industry DOI Creative Commons

Tohfa Siddiqui,

Mohammad Umar Khan, Vikram Sharma

et al.

Phytomedicine Plus, Journal Year: 2024, Volume and Issue: 4(2), P. 100549 - 100549

Published: March 24, 2024

Terpenoids, present in essential oils (EOs), have gained significant attention due to their diverse pharmacological properties and alignment with the growing global interest natural sustainable products. EOs, derived from various plants, shown promise antimicrobial, anti-inflammatory, antioxidant, other valuable applications. This comprehensive review aims elucidate chemistry roles of terpenoids covering classification, extraction techniques, potential pharmaceutical We delve into functions human immune system, impact on health, contributions environmental sustainability. The synthesizes existing literature, categorizing distinct classes, including monoterpenoids, sesquiterpenoids, diterpenoids, sesterterpenoids, triterpenoids. explore purification methods, such as steam distillation, solvent extraction, chromatography. Additionally, we discuss terpenoids, anticancer activities. Terpenoids EOs exhibit potent antimicrobial antioxidant activities, making them pivotal plant disease resistance. They also offer therapeutic applications phytomedicine, aromatherapy, beyond, capacity enhance system combat viruses, inflammation, cancer. demonstrated multifaceted benefits, contributing well-being highlights medical treatments everyday life, emphasizing need understand pharmacokinetics efficacy for harnessing full beyond.

Language: Английский

Citations

46

The Neurotherapeutic Arsenal in Cannabis sativa: Insights into Anti-Neuroinflammatory and Neuroprotective Activity and Potential Entourage Effects DOI Creative Commons
Ahmad K. Al-Khazaleh, Xian Zhou, Deep Jyoti Bhuyan

et al.

Molecules, Journal Year: 2024, Volume and Issue: 29(2), P. 410 - 410

Published: Jan. 15, 2024

Cannabis, renowned for its historical medicinal use, harbours various bioactive compounds—cannabinoids, terpenes, and flavonoids. While major cannabinoids like delta-9-tetrahydrocannabinol (THC) cannabidiol (CBD) have received extensive scrutiny their pharmacological properties, emerging evidence underscores the collaborative interactions among these constituents, suggesting a collective therapeutic potential. This comprehensive review explores intricate relationships synergies between cannabinoids, flavonoids in cannabis. Cannabinoids, pivotal cannabis’s bioactivity, exhibit well-documented analgesic, anti-inflammatory, neuroprotective effects. Terpenes, aromatic compounds imbuing distinct flavours, not only contribute to sensory profile but also modulate cannabinoid effects through diverse molecular mechanisms. Flavonoids, another cannabis component, demonstrate antioxidant, particularly relevant neuroinflammation. The entourage hypothesis posits that combined cannabinoid, terpene, flavonoid action yields synergistic or additive effects, surpassing individual compound efficacy. Recognizing nuanced is crucial unravelling complete Tailoring treatments based on holistic composition of strains allows optimization outcomes while minimizing potential side imperative delve into roles flavonoids, offering promising prospects innovative interventions advocating continued research unlock full within realm natural plant-based medicine.

Language: Английский

Citations

26

Patterns of medicinal cannabis use, strain analysis, and substitution effect among patients with migraine, headache, arthritis, and chronic pain in a medicinal cannabis cohort DOI Creative Commons

Eric P. Baron,

Philippe Lucas,

Joshua Eades

et al.

The Journal of Headache and Pain, Journal Year: 2018, Volume and Issue: 19(1)

Published: May 24, 2018

Medicinal cannabis registries typically report pain as the most common reason for use. It would be clinically useful to identify patterns of treatment in migraine and headache, compared arthritis chronic pain, analyze preferred strains, biochemical profiles, prescription medication substitutions with cannabis. Via electronic survey medicinal patients arthritis, demographics use including methods, frequency, quantity, cannabinoid terpene were recorded. Cannabis among headache was assessed via ID Migraine™ questionnaire, a validated screen used predict probability migraine. Of 2032 patients, 21 illnesses treated Pain syndromes accounted 42.4% (n = 861) overall; 29.4% 598;), 9.3% 188), 3.7% 75;). Across all illnesses, symptom 24.9% 505). These given 68% 343) giving 3 "Yes" responses, 20% 102) 2 responses (97% 93% migraine, respectively). Therefore, 88% 445) treating probable Hybrid strains across subtypes, "OG Shark" strain groups. Many substituted medications (41.2–59.5%), commonly opiates/opioids (40.5–72.8%). Prescription substitution included (43.4%), anti-depressant/anti-anxiety (39%), NSAIDs (21%), triptans (8.1%), anti-convulsants (7.7%), muscle relaxers (7%), ergots (0.4%). Chronic use, consistent registries. The majority positive Migraine™, groups, Shark", high THC (Δ9-tetrahydrocannabinol)/THCA (tetrahydrocannabinolic acid), low CBD (cannabidiol)/CBDA (cannabidiolic predominant terpenes β-caryophyllene β-myrcene, This could reflect potent analgesic, anti-inflammatory, anti-emetic properties THC, anti-inflammatory analgesic β-myrcene. Opiates/opioids Prospective studies are needed, but results may provide early insight into optimizing crossbred synergistic dosing, syndromes.

Language: Английский

Citations

159

Role of chronic cannabis use: Cyclic vomiting syndrome vs cannabinoid hyperemesis syndrome DOI Creative Commons
Thangam Venkatesan, David J. Levinthal, B U.K. Li

et al.

Neurogastroenterology & Motility, Journal Year: 2019, Volume and Issue: 31(S2)

Published: June 1, 2019

Abstract Cannabis is commonly used in cyclic vomiting syndrome ( CVS ) due to its antiemetic and anxiolytic properties. Paradoxically, chronic cannabis use the context of has led recognition a putative new disorder called cannabinoid hyperemesis CHS ). Since first description 2004, numerous case series reports have emerged describing this phenomenon. Although not pathognomonic, patient behavior “compulsive hot water bathing” been associated with . There considerable controversy about how defined. Most data remain heterogenous limited follow‐up, making it difficult ascertain whether causal, merely clinical association , or unmasks triggers symptoms patients inherently predisposed develop This article will discuss role regulation nausea vomiting, specifically focusing on both order address controversies context. To objective, we collated analyzed published determine number reported cases that meet current Rome IV criteria for We also identified limitations existing diagnostic framework propose revised diagnose Future research area should improve our understanding help us better understand manage disorder.

Language: Английский

Citations

111

Terpenes/Terpenoids in <b><i>Cannabis</i></b>: Are They Important? DOI Creative Commons
L Hanŭs, Yotam Hod

Medical Cannabis and Cannabinoids, Journal Year: 2020, Volume and Issue: 3(1), P. 25 - 60

Published: Aug. 10, 2020

Cannabis sativa plant has not only cannabinoids as crucial compounds but also the other that play important role synergistic and/or entourage compound. Cannabis/hemp materials and essential oils were analyzed with help of gas chromatography/mass spectrometry detector for content terpenes terpenoids. The main terpenes/terpenoids their abundance in samples evaluated. Results this study will be helpful next evaluation these compound mixture importance medical treatment.

Language: Английский

Citations

111

The Effects of Cannabidiol, a Non-Intoxicating Compound of Cannabis, on the Cardiovascular System in Health and Disease DOI Open Access
Aleksandra Kicman, Marek Toczek

International Journal of Molecular Sciences, Journal Year: 2020, Volume and Issue: 21(18), P. 6740 - 6740

Published: Sept. 14, 2020

Cannabidiol (CBD) is a non-intoxicating and generally well-tolerated constituent of cannabis which exhibits potential beneficial properties in wide range diseases, including cardiovascular disorders. Due to its complex mechanism action, CBD may affect the system different ways. Thus, we reviewed influence on this health disease determine risk side effects during use for medical wellness purposes elucidate therapeutic diseases. Administration healthy volunteers or animals usually does not markedly hemodynamic parameters. Although has been found exhibit vasodilatory antioxidant hypertension, it affected blood pressure hypertensive animals. Hypotensive action mainly revealed under stress conditions. Many positive have observed experimental models heart diseases (myocardial infarction, cardiomyopathy, myocarditis), stroke, neonatal hypoxic ischemic encephalopathy, sepsis-related encephalitis, complications diabetes, ischemia/reperfusion injures liver kidneys. In these pathological conditions decreased organ damage dysfunction, oxidative nitrative stress, inflammatory processes apoptosis, among others. Nevertheless, further clinical research needed recommend treatment

Language: Английский

Citations

105