Herbal Preparations of Medical Cannabis: A Vademecum for Prescribing Doctors DOI Creative Commons
Pietro Brunetti, Simona Pichini,

Roberta Pacifici

и другие.

Medicina, Год журнала: 2020, Номер 56(5), С. 237 - 237

Опубликована: Май 15, 2020

Cannabis has been used for centuries therapeutic purposes. In the last century, plant was demonized due to its high abuse liability and supposedly insufficient health benefits. However, recent decriminalization policies new scientific evidence have increased interest in cannabis potential of paved way release marketing authorizations cannabis-based products. Although several synthetic standardized products are currently available on market, patients’ preferences lean towards herbal preparations, because they easy handle self-administer. A literature search conducted multidisciplinary research databases international agencies or institutional websites. Despite growing popularity medical cannabis, little data is chemical composition preparation methods extracts. The authors hereby report most common presenting their indications, routes administration recommended dosages. practical helpful guide prescribing doctors provided, including suggested posology, titration strategies cannabinoid amounts preparations obtained from different sources cannabis.

Язык: Английский

Anti-Cancer Potential of Cannabinoids, Terpenes, and Flavonoids Present in Cannabis DOI Open Access
Andrea M. Tomko, Erin G. Whynot, Lee Ellis

и другие.

Cancers, Год журнала: 2020, Номер 12(7), С. 1985 - 1985

Опубликована: Июль 21, 2020

In recent years, and even more since its legalization in several jurisdictions, cannabis the endocannabinoid system have received an increasing amount of interest related to their potential exploitation clinical settings. Cannabinoids been suggested shown be effective treatment various conditions. cancer, is altered numerous types tumours can relate cancer prognosis disease outcome. Additionally, cannabinoids display anticancer effects models by suppressing proliferation, migration and/or invasion cells, as well tumour angiogenesis. However, therapeutic use currently limited symptoms pain associated with chemotherapy, while cytotoxic drugs chemotherapy still requires validation patients. Along cannabinoids, contains other compounds that also exert anti-tumorigenic actions. The anti-cancer terpenes flavonoids, present cannabis, are explored this literature review.

Язык: Английский

Процитировано

178

Therapeutic Approaches for Peripheral and Central Neuropathic Pain DOI Creative Commons
Délia Szok, János Tajti, Aliz Nyári

и другие.

Behavioural Neurology, Год журнала: 2019, Номер 2019, С. 1 - 13

Опубликована: Ноя. 21, 2019

Neuropathic pain is a chronic secondary condition, which consequence of peripheral or central nervous (somatosensory) system lesions diseases. It devastating affects around 7% the general population. Numerous etiological factors contribute to development neuropathic pain. can originate from part such as in case trigeminal postherpetic neuralgia, nerve injury, painful polyneuropathies, radiculopathies. Central develop result spinal cord brain stroke, multiple sclerosis. As first-line pharmacological treatment options, tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, and gabapentinoids are recommended. In carbamazepine oxcarbazepine first-choice drugs. drug-refractory cases, interventional, physical, psychological therapies available. This review was structured based on PubMed search papers published field 2010 until May 2019.

Язык: Английский

Процитировано

173

Cannabinoids: Therapeutic Use in Clinical Practice DOI Open Access
Cristina Pagano, Giovanna Navarra, Laura Coppola

и другие.

International Journal of Molecular Sciences, Год журнала: 2022, Номер 23(6), С. 3344 - 3344

Опубликована: Март 19, 2022

Medical case reports suggest that cannabinoids extracted from Cannabis sativa have therapeutic effects; however, the employment is limited due to psychotropic effect of its major component, Δ9-tetrahydrocannabinol (THC). The new scientific discoveries related endocannabinoid system, including receptors, ligands, and mediators, allowed development targets for treatment several pathological disorders minimizing undesirable effects some constituents this plant. Today, FDA-approved drugs, such as nabiximols (a mixture THC non-psychoactive cannabidiol (CBD)), are employed in alleviating pain spasticity multiple sclerosis. Dronabinol nabilone used chemotherapy-induced nausea vomiting cancer patients. was approved anorexia patients with AIDS (acquired immune deficiency syndrome). In review, we highlighted potential efficacy natural synthetic their clinical relevance cancer, neurodegenerative dermatological diseases, viral infections.

Язык: Английский

Процитировано

154

Prevalence and self-reported reasons of cannabis use for medical purposes in USA and Canada DOI Creative Commons
Janni Leung, Gary Chan, Daniel Stjepanović

и другие.

Psychopharmacology, Год журнала: 2022, Номер 239(5), С. 1509 - 1519

Опубликована: Янв. 12, 2022

There has been increasing attention on cannabis use for medical purposes, but there is currently a lack of data its epidemiology.To examine the epidemiology self-reported purposes by (1) estimating prevalence, (2) comparing gender and age differences, (3) investigating what reasons they were used to manage.Participants included 27,169 respondents (aged 16-65) who completed Wave 1 The International Cannabis Policy Study (ICPS) conducted across Canada USA in 2018 via online surveys. policy conditions "US legal-recreational" (legal both recreational uses), legal-medical only", illegal", "Canada-medical only".The overall prevalence ever was 27%, with similar rates sex highest young adults. Prevalence higher US legal-recreational states (34%) than illegal (23%), only (25%), (25%). most common physical health include manage pain (53%), sleep (46%), headaches/migraines (35%), appetite (22%), nausea/vomiting (21%). For mental reasons, anxiety (52%), depression (40%), PTSD/trauma (17%). 11% reported using managing other drug or alcohol 4% psychosis.A substantial proportion North American population variety including those living jurisdictions without legal markets. Further research needed understand safety efficacy these forms use.

Язык: Английский

Процитировано

87

Small molecules in the treatment of COVID-19 DOI Creative Commons
Sibei Lei, Xiaohua Chen, Jieping Wu

и другие.

Signal Transduction and Targeted Therapy, Год журнала: 2022, Номер 7(1)

Опубликована: Дек. 5, 2022

Abstract The outbreak of COVID-19 has become a global crisis, and brought severe disruptions to societies economies. Until now, effective therapeutics against are in high demand. Along with our improved understanding the structure, function, pathogenic process SARS-CoV-2, many small molecules potential anti-COVID-19 effects have been developed. So far, several antiviral strategies were explored. Besides directly inhibition viral proteins such as RdRp M pro , interference host enzymes including ACE2 proteases, blocking relevant immunoregulatory pathways represented by JAK/STAT, BTK, NF-κB, NLRP3 pathways, regarded feasible drug development. development treat achieved strategies, computer-aided lead compound design screening, natural product discovery, repurposing, combination therapy. Several representative remdesivir paxlovid proved or authorized emergency use countries. And candidates entered clinical-trial stage. Nevertheless, due epidemiological features variability issues it is necessary continue exploring novel COVID-19. This review discusses current findings for treatment. Moreover, their detailed mechanism action, chemical structures, preclinical clinical efficacies discussed.

Язык: Английский

Процитировано

85

Medicinal Cannabis—Potential Drug Interactions DOI Creative Commons

Indeewarie Hemamali Dissanayake,

Chun Guang Li

Medicines, Год журнала: 2018, Номер 6(1), С. 3 - 3

Опубликована: Дек. 23, 2018

The endocannabinoids system (ECS) has garnered considerable interest as a potential therapeutic target in various carcinomas and cancer-related conditions alongside neurodegenerative diseases. Cannabinoids are implemented several physiological processes such appetite stimulation, energy balance, pain modulation the control of chemotherapy-induced nausea vomiting (CINV). However, pharmacokinetics pharmacodynamics interactions could be perceived drug combinations, so this short review we tried to shed light on medicinal cannabis. Hitherto, few data have been provided healthcare practitioners about drug⁻drug cannabinoids with other prescription medications. In general, usually well tolerated, but bidirectional effects may expected concomitant administered agents via affected membrane transporters (Glycoprotein p, breast cancer resistance proteins, multidrug proteins) metabolizing enzymes (Cytochrome P450 UDP-glucuronosyltransferases). Caution should undertaken closely monitor responses cannabis users certain drugs guard their safety, especially for elderly people chronic diseases or kidney liver conditions.

Язык: Английский

Процитировано

150

Single-Dose Pharmacokinetics and Preliminary Safety Assessment with Use of CBD-Rich Hemp Nutraceutical in Healthy Dogs and Cats DOI Creative Commons
Kelly A. Deabold,

Wayne S. Schwark,

Lisa Wolf

и другие.

Animals, Год журнала: 2019, Номер 9(10), С. 832 - 832

Опубликована: Окт. 19, 2019

The use of CBD-rich hemp products is becoming popular among pet owners with no long-term safety data related to consumption in adult dogs and cats. purpose this study was determine the single-dose oral pharmacokinetics CBD, provide a preliminary assessment adverse effects during 12-week administration using hemp-based product healthy Eight each species were provided 2 mg/kg total CBD concentration orally twice daily for 12 weeks screening six species. Pharmacokinetics revealed mean maximum (Cmax) 301 ng/mL 43 ng/mL, area under curve (AUC) 1297 ng-h/mL 164 ng-h/mL, time maximal (Tmax) 1.4 h h, cats, respectively. Serum chemistry CBC results showed clinically significant alterations, however one cat persistent rise alanine aminotransferase (ALT) above reference range duration trial. In an supplement administered every not detrimental based on or biochemistry values. Cats do appear absorb eliminate differently than dogs, showing lower serum concentrations excessive licking head-shaking oil administration.

Язык: Английский

Процитировано

127

Cannabidiol differentially regulates basal and LPS-induced inflammatory responses in macrophages, lung epithelial cells, and fibroblasts DOI
Thivanka Muthumalage, Irfan Rahman

Toxicology and Applied Pharmacology, Год журнала: 2019, Номер 382, С. 114713 - 114713

Опубликована: Авг. 19, 2019

Язык: Английский

Процитировано

108

Cannabis sativa: Much more beyond Δ9-tetrahydrocannabinol DOI
Patrícia Alves, Cristina Amaral, Natércia Teixeira

и другие.

Pharmacological Research, Год журнала: 2020, Номер 157, С. 104822 - 104822

Опубликована: Апрель 23, 2020

Язык: Английский

Процитировано

106

A Guide to Targeting the Endocannabinoid System in Drug Design DOI Open Access
Adam Stasiulewicz, Katarzyna Znajdek,

Monika Grudzień

и другие.

International Journal of Molecular Sciences, Год журнала: 2020, Номер 21(8), С. 2778 - 2778

Опубликована: Апрель 16, 2020

The endocannabinoid system (ECS) is one of the most crucial systems in human organism, exhibiting multi-purpose regulatory character. It engaged a vast array physiological processes, including nociception, mood regulation, cognitive functions, neurogenesis and neuroprotection, appetite, lipid metabolism, as well cell growth proliferation. Thus, ECS proteins, cannabinoid receptors their endogenous ligands’ synthesizing degrading enzymes, are promising therapeutic targets. Their modulation has been employed or extensively studied treatment multiple diseases. However, due to complex nature its crosstalk with other biological systems, development novel drugs turned out be challenging task. In this review, we summarize potential applications for ECS-targeting drugs, especially focusing on synthetic compounds preclinical studies. We put emphasis specific proteins different pathophysiological areas. addition, stress possible difficulties risks highlight proposed solutions. By presenting point information pivotal spotlight drug design, provide an overview current state knowledge ECS-related pharmacodynamics show directions needed research.

Язык: Английский

Процитировано

104