The Canadian Journal of Psychiatry,
Journal Year:
2023,
Volume and Issue:
68(8), P. 557 - 571
Published: June 27, 2023
Objective
The
drug
poisoning
crisis
throughout
North
America
necessitates
novel
harm
reduction
approaches.
Emerging
evidence
suggests
that
cannabidiol
(CBD)
may
have
some
utility
as
a
modality
for
those
with
problematic
substance
use.
This
rapid
review
aimed
to
synthesize
available
on
CBD
potential
tool
people
who
use
drugs
while
providing
clinical
and
research
insights.
Method
A
systematic
search
in
EMBASE,
MEDLINE,
CENTRAL,
CINAHL
was
completed
July
2022.
For
inclusion,
studies
had
meet
the
following
criteria:
(1)
drawn
from
an
adult
population
of
drugs;
(2)
investigates
intervention
or
reduction–related
outcomes;
(3)
be
published
after
year
2000
English;
(4)
primary
article.
narrative
synthesis
used
group
outcomes
relevant
provide
Results
We
screened
3,134
records,
which
27
(5
randomized
trials)
were
included.
remains
limited,
but
support
reduce
drug-induced
craving
anxiety
opioid
disorder.
There
low-quality
suggesting
improve
mood
general
well-being
drugs.
Evidence
monotherapy
not
adequate
strategy
rather
adjunct
standard
care.
Conclusion
Low-quality
cravings
other
addiction-related
symptoms
However,
there
is
significant
need
more
accurately
reflects
dosing
administration
regimens
real-world
context.
Translational Psychiatry,
Journal Year:
2023,
Volume and Issue:
13(1)
Published: Oct. 6, 2023
Abstract
Substance
use
in
adolescence
is
a
known
risk
factor
for
the
development
of
neuropsychiatric
and
substance
disorders
adulthood.
This
part
due
to
fact
that
critical
aspects
brain
occur
during
adolescence,
which
can
be
altered
by
drug
use.
Despite
concerted
efforts
educate
youth
about
potential
negative
consequences
use,
initiation
remains
common
amongst
adolescents
world-wide.
Additionally,
though
there
has
been
substantial
research
on
topic,
many
questions
remain
predictors
adolescent
In
following
review,
we
will
highlight
some
most
recent
literature
neurobiological
behavioral
effects
rodents,
non-human
primates,
humans,
with
specific
focus
alcohol,
cannabis,
nicotine,
interactions
between
these
substances.
Overall,
consumption
substances
produce
long-lasting
changes
across
variety
structures
networks
have
enduring
behavior,
emotion,
cognition.
Brain Sciences,
Journal Year:
2023,
Volume and Issue:
13(2), P. 325 - 325
Published: Feb. 14, 2023
Background:
There
is
a
growing
liberalization
of
cannabis-based
preparations
for
medical
and
recreational
use.
In
multiple
instances,
anxiety
depression
are
cited
as
either
primary
or
secondary
reason
the
use
cannabinoids.
Aim:
The
purpose
this
review
to
explore
association
between
dysregulation
endogenous
endocannabinoid
system
(ECS),
well
phytocannabinoids
synthetic
cannabinoids
in
remediation
depression/anxiety
symptoms.
After
brief
description
constituents
cannabis,
cannabinoid
receptors
system,
most
important
evidence
presented
involvement
both
human
from
animal
models
anxiety.
Finally,
clinical
treat
Conclusions:
Although
common
belief
that
cannabinoids,
including
its
main
studied
components—tetrahydrocannabinol
(THC)
cannabidiol
(CBD)—or
other
derivatives
have
been
suggested
therapeutic
role
certain
mental
health
conditions,
all
recent
systematic
reviews
we
report
concluded
improve
depressive
disorders
weak,
very-low-quality,
offers
no
guidance
on
conditions
within
regulatory
framework.
an
urgent
need
high-quality
studies
examining
effects
general
particular,
consequences
long-term
these
due
possible
risks
such
addiction
even
reversal
improvement.
Medical Cannabis and Cannabinoids,
Journal Year:
2024,
Volume and Issue:
7(1), P. 1 - 9
Published: Jan. 29, 2024
<b><i>Introduction:</i></b>
Cannabidiol
(CBD)
is
a
widely
utilized
nonpsychoactive
cannabinoid
available
as
prescriptive
drug
treatment
and
over-the-counter
supplement.
In
humans,
CBD
metabolized
forms
the
major
active
metabolite
7-hydroxy-cannabidiol
(7-OH-CBD),
which
further
to
7-carboxy-cannabidiol
(7-COOH-CBD).
current
study,
plasma
concentrations
of
CBD,
7-OH-CBD,
7-COOH-CBD
were
measured,
potential
influences
sex,
race,
body
mass
index
(BMI)
on
pharmacokinetic
variability
assessed.
<b><i>Methods:</i></b>
Blood
samples
from
previously
conducted
interaction
study
in
healthy
volunteers
(<i>n</i>
=
12)
utilized.
The
subjects
received
orally
administered
(Epiodiolex<sup>®</sup>),
750
mg
twice
daily
for
3
days
single
dose
4th
day.
Nine
collected,
analyzed
by
LC-MS/MS.
Peak
concentration
(C<sub>max</sub>),
time
C<sub>max</sub>
(T<sub>max</sub>),
area
under
curve
(AUC),
metabolite‐to‐parent
exposure
ratios
(MPR)
calculated.
Statistical
analysis
was
performed
determine
correlations
C<sub>max</sub>,
AUC,
MPR
different
BMI,
weight.
<b><i>Results:</i></b>
For
mean
389.17
±
153.23
ng/mL,
AUC
1,542.19
488.04
ng/mL*h.
81.35
36.64
364.70
105.59
ng/mL*h,
0.25
0.07.
7-COOH-CBD,
1,717.33
769.22
9,888.42
3,961.47
7.11
3.48.
2.25-fold
higher
observed
female
(<i>p</i>
0.0155)
1.97-fold
0.0285)
with
normalization
A
significant
linearity
0.0135)
7-OH-CBD
weight
females
observed.
No
differences
identified
PMR
race
BMI.
<b><i>Conclusion:</i></b>
Observed
sex
agreement
reported
findings.
larger
population
pharmacokinetics
warranted
validate
study.
Stresses,
Journal Year:
2025,
Volume and Issue:
5(1), P. 7 - 7
Published: Jan. 15, 2025
Chronic
pain
represents
a
complex
and
debilitating
condition
that
affects
millions
of
people
worldwide,
significantly
compromising
their
quality
life.
The
conventional
approach
to
treating
this
type
often
relies
on
the
use
opioid
analgesics
anti-inflammatory
drugs.
While
these
agents
are
effective
in
short
term,
they
present
several
limitations,
including
risk
dependence,
severe
side
effects,
and,
some
cases,
ineffectiveness
reducing
pain.
In
context,
medical
cannabis
has
emerged
as
promising
therapeutic
alternative,
given
its
potential
ability
relieve
effectively
with
favorable
safety
profile.
This
work
aims
provide
comprehensive
up-to-date
review
existing
literature
effects
treatment
chronic
Cannabis
sativa
contains
pharmacologically
active
compounds,
most
prominent
which
delta-9-tetrahydrocannabinol
(∆9-THC)
cannabidiol
(CBD),
interact
body’s
endocannabinoid
system,
thereby
modulating
response.
Clinical
evidence
shown
cannabinoids
can
reduce
intensity
pain,
particularly
cases
neuropathy,
multiple
sclerosis,
arthritis,
other
painful
conditions
unresponsive
treatments.
However,
full
integration
into
clinical
practice
faces
significant
obstacles,
need
for
standardized
dosing,
long-term
data,
regulatory
frameworks.
These
issues,
alongside
concerns
over
adverse
drug
interactions,
must
be
addressed
unlock
cannabinoids,
patients,
who
endure
both
physical
suffering
added
burden
stress.
Biomedicines,
Journal Year:
2025,
Volume and Issue:
13(3), P. 530 - 530
Published: Feb. 20, 2025
Background/Objectives:
Chronic
pain
remains
a
pervasive
and
challenging
public
health
issue,
often
resistant
to
conventional
treatments
such
as
opioids,
which
carry
substantial
risks
of
dependency
adverse
effects.
Cannabinoids,
bioactive
compounds
derived
from
the
Cannabis
sativa
plant
their
synthetic
analogs,
have
emerged
potential
alternative
for
management,
leveraging
interaction
with
endocannabinoid
system
modulate
inflammation.
Methods:
The
current,
evolving
literature
regarding
history,
efficacy,
applications,
safety
cannabinoids
in
treatment
chronic
was
reviewed
summarized
provide
most
current
review
cannabinoids.
Results:
Evidence
suggests
that
moderate
efficacy
managing
neuropathic
pain,
fibromyalgia,
cancer-related
multiple
sclerosis-related
spasticity.
Patient-reported
outcomes
further
indicate
widespread
perceptions
safer
opioid-sparing
However,
quality
existing
evidence
is
limited
by
small
sample
sizes
methodological
inconsistencies.
Regulatory
barriers,
including
classification
cannabis
Schedule
I
substance
United
States,
continue
hinder
robust
research
clinical
integration.
Moreover,
associated
cannabinoids,
psychiatric
effects,
addiction
potential,
drug
interactions,
necessitate
cautious
application.
Conclusions:
Cannabinoids
represent
promising,
albeit
complex,
particularly
given
limitations
traditional
therapies
opioids.
significant
deficiencies
remain
research.
While
smaller
trials
systematic
reviews
therapeutic
low
due
sizes,
short
study
durations,
Large-scale,
randomized
controlled
long-term
follow-up
are
urgently
needed
confirm
across
diverse
patient
populations
etiologies.
Frontiers in Pharmacology,
Journal Year:
2021,
Volume and Issue:
11
Published: Jan. 21, 2021
Background:
Accumulating
evidence
suggests
that
the
non-intoxicating
cannabinoid
compound
cannabidiol
(CBD)
may
have
antipsychotic
and
anxiolytic
properties,
thus
be
a
promising
new
agent
in
treatment
of
psychotic
anxiety
disorders.
However,
neurobiological
substrates
underlying
potential
therapeutic
effects
CBD
are
still
unclear.
The
aim
this
systematic
review
is
to
provide
detailed
up-to-date
literature
overview
neuroimaging
studies
investigated
acute
impact
on
human
brain
function.
Methods:
Papers
published
until
May
2020
were
included
from
PubMed
following
comprehensive
search
strategy
pre-determined
set
criteria
for
article
selection.
We
examined
function
healthy
volunteers
individuals
diagnosed
with
psychiatric
disorder,
comprising
both
alone
as
well
direct
comparison
those
induced
by
∆9-tetrahydrocannabinol
(THC),
main
psychoactive
component
Cannabis
.
Results:
One-ninety
four
identified,
which
17
met
inclusion
criteria.
All
during
resting
state
or
context
cognitive
tasks.
In
volunteers,
enhanced
fronto-striatal
connectivity,
compared
placebo
THC.
Furthermore,
modulated
activity
had
opposite
when
THC
task-specific
patterns
various
paradigms,
such
emotional
processing
(fronto-temporal),
verbal
memory
(fronto-striatal),
response
inhibition
(fronto-limbic-striatal),
auditory/visual
(temporo-occipital).
at
clinical
high
risk
psychosis
patients
established
psychosis,
showed
intermediate
controls
task
performance.
limbic
subjects
metabolite
levels
autism
spectrum
Conclusion:
Neuroimaging
shown
induces
significant
alterations
connectivity
performance
tasks
disorder.
This
modulation
functional
networks
relevant
disorders,
possibly
reflecting
CBD’s
effects.
Future
should
consider
replication
findings
enlarge
patients,
combining
longer-term
assessments.
Complex Psychiatry,
Journal Year:
2022,
Volume and Issue:
9(1-4), P. 24 - 43
Published: Sept. 15, 2022
Chronic
pain
is
a
common
condition
with
high
socioeconomic
and
public
health
burden.
A
wide
range
of
psychiatric
conditions
are
often
comorbid
chronic
conditions,
negatively
impacting
successful
treatment
either
condition.
The
receiving
most
attention
in
the
past
regard
to
comorbidity
has
been
major
depressive
disorder,
despite
fact
that
many
other
also
demonstrate
epidemiological
genetic
overlap
pain.
Further
understanding
potential
mechanisms
involved
could
lead
new
strategies
both
for
each
type
disorder
isolation
scenarios
comorbidity.
Frontiers in Behavioral Neuroscience,
Journal Year:
2023,
Volume and Issue:
17
Published: March 16, 2023
Endocannabinoids
(eCBs)
and
the
expanded
endocannabinoid
system
(ECS)-“endocannabinoidome”,
consists
of
endogenous
ligands,
eCBs,
their
canonical
non-canonical
receptor
subtypes,
synthesizing
metabolizing
enzymes.
This
modulates
a
wide
range
body
functions
acts
as
retrograde
signaling
within
central
nervous
(CNS)
by
inhibition
classical
transmitters,
plays
vital
modulatory
function
on
dopamine,
major
neurotransmitter
in
CNS.
Dopamine
is
involved
different
behavioral
processes
contributes
to
brain
disorders—including
Parkinson’s
disease,
schizophrenia,
drug
addiction.
After
synthesis
neuronal
cytosol,
dopamine
packaged
into
synaptic
vesicles
until
released
extracellular
signals.
Calcium
dependent
activation
results
vesicular
release
interacts
with
systems.
The
ECS,
among
others,
regulation
interaction
occurs
either
through
direct
or
indirect
mechanisms.
cross-talk
between
ECS
dopaminergic
has
important
influence
various
dopamine-related
neurobiological
pathologic
conditions
investigating
this
might
help
identify
therapeutic
targets
options
disorders
CNS
associated
dysregulation.
Translational Psychiatry,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Feb. 19, 2024
Abstract
G
protein-coupled
receptor
55
(GPR55)
has
been
thought
to
be
a
putative
cannabinoid
receptor.
However,
little
is
known
about
its
functional
role
in
action
and
substance
use
disorders.
Here
we
report
that
GPR55
predominantly
found
glutamate
neurons
the
brain,
activation
reduces
self-administration
of
cocaine
nicotine
rats
mice.
Using
RNAscope
situ
hybridization,
mRNA
was
identified
cortical
vesicular
transporter
1
(VgluT1)-positive
subcortical
VgluT2-positive
neurons,
with
no
detection
midbrain
dopamine
(DA)
neurons.
Immunohistochemistry
detected
GPR55-like
signal
both
wildtype
GPR55-knockout
mice,
suggesting
non-specific
staining.
analysis
using
fluorescent
CB1/GPR55
ligand
(T1117)
CB1-knockout
mice
confirmed
binding
not
DA
Systemic
administration
agonist
O-1602
didnt
impact
∆
9
-THC-induced
analgesia,
hypothermia
catalepsy,
but
significantly
mitigated
cocaine-enhanced
brain-stimulation
reward
caused
by
optogenetic
alone
failed
alter
extracellar
DA,
elevated
extracellular
glutamate,
nucleus
accumbens.
In
addition,
also
demonstrated
inhibitory
effects
on
or
under
low
fixed-ratio
and/or
progressive-ratio
reinforcement
schedules
such
observed
Together,
these
findings
suggest
may
functionally
modulate
drug-taking
drug-seeking
behavior
possibly
via
glutamate-dependent
mechanism,
therefore,
deserves
further
study
as
new
therapeutic
target
for
treating