A tale of two cannabinoids : The therapeutic rationale for combining tetrahydrocannabinol and cannabidiol

作者: Ethan Russo , Geoffrey W. Guy

DOI: 10.1016/J.MEHY.2005.08.026

关键词:

摘要: This study examines the current knowledge of physiological and clinical effects tetrahydrocannabinol (THC) cannabidiol (CBD) presents a rationale for their combination in pharmaceutical preparations. Cannabinoid vanilloid receptor as well non-receptor mechanisms are explored, such capability THC CBD to act anti-inflammatory substances independent cyclo-oxygenase (COX) inhibition. is demonstrated antagonise some undesirable including intoxication, sedation tachycardia, while contributing analgesic, anti-emetic, anti-carcinogenic properties its own right. In modern trials, this has permitted administration higher doses THC, providing evidence efficacy safety cannabis based extracts treatment spasticity, central pain lower urinary tract symptoms multiple sclerosis, sleep disturbances, peripheral neuropathic pain, brachial plexus avulsion symptoms, rheumatoid arthritis intractable cancer pain. Prospects future application whole neuroprotection, drug dependency, neoplastic disorders further examined. The hypothesis that increases reducing adverse events supported.

参考文章(109)
Zvia Rudich, Jennifer Stinson, Michael Jeavons, Stephen C Brown, Treatment of chronic intractable neuropathic pain with dronabinol: Case report of two adolescents Pain Research & Management. ,vol. 8, pp. 221- 224 ,(2003) , 10.1155/2003/675976
Bernhard Watzl, Philip Scuderi, Ronald R. Watson, Influence of marijuana components (THC and CBD) on human mononuclear cell cytokine secretion in vitro. Advances in Experimental Medicine and Biology. ,vol. 288, pp. 63- 70 ,(1991) , 10.1007/978-1-4684-5925-8_7
Cannabis: The Genus Cannabis Harwood Academic Publishers. ,(1998) , 10.1201/9780203304228
Mahmoud A. ElSohly, Samir A. Ross, Zlatko Mehmedic, Rawia Arafat, Bao Yi, Benjamin F. Banahan, Potency trends of delta9-THC and other cannabinoids in confiscated marijuana from 1980-1997. Journal of Forensic Sciences. ,vol. 45, pp. 24- 30 ,(2000) , 10.1520/JFS14636J
Ethan Russo, Journal of Cannabis Therapeutics Journal of Cannabis Therapeutics. ,vol. 1, pp. 1- 4 ,(2001) , 10.1300/J175V01N01_01
Roger G. Pertwee, Cannabis and Cannabinoids: Pharmacology and Rationale for Clinical Use Pharmacy and Pharmacology Communications. ,vol. 3, pp. 539- 545 ,(1997) , 10.1111/J.2042-7158.1997.TB00491.X
V M Showalter, M E Abood, D R Compton, B R Martin, Evaluation of binding in a transfected cell line expressing a peripheral cannabinoid receptor (CB2): identification of cannabinoid receptor subtype selective ligands. Journal of Pharmacology and Experimental Therapeutics. ,vol. 278, pp. 989- 999 ,(1996)