1. Cannabis constituents for chronic neuropathic pain; reconciling the clinical and animal evidence.
- Author
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Sokolaj E, Assareh N, Anderson K, Aubrey KR, and Vaughan CW
- Subjects
- Animals, Humans, Dronabinol pharmacology, Dronabinol therapeutic use, Cannabinoids pharmacology, Cannabinoids therapeutic use, Plant Extracts pharmacology, Plant Extracts therapeutic use, Medical Marijuana therapeutic use, Medical Marijuana pharmacology, Medical Marijuana adverse effects, Neuralgia drug therapy, Cannabis chemistry, Chronic Pain drug therapy
- Abstract
Chronic neuropathic pain is a debilitating pain syndrome caused by damage to the nervous system that is poorly served by current medications. Given these problems, clinical studies have pursued extracts of the plant Cannabis sativa as alternative treatments for this condition. The vast majority of these studies have examined cannabinoids which contain the psychoactive constituent delta-9-tetrahydrocannabinol (THC). While there have been some positive findings, meta-analyses of this clinical work indicates that this effectiveness is limited and hampered by side-effects. This review focuses on how recent preclinical studies have predicted the clinical limitations of THC-containing cannabis extracts, and importantly, point to how they might be improved. This work highlights the importance of targeting channels and receptors other than cannabinoid CB1 receptors which mediate many of the side-effects of cannabis., (© 2023 International Society for Neurochemistry.)
- Published
- 2024
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