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医用大麻在癌症疼痛和痉挛性疾病治疗中的应用以及临床实践中的给药方式

Medical cannabis in the treatment of cancer pain and spastic conditions and options of drug delivery in clinical practice.

作者信息

Landa Leos, Jurica Jan, Sliva Jiri, Pechackova Monika, Demlova Regina

机构信息

Department of Pharmacology, Faculty of Medicine, Masaryk University, Brno, Czech Republic.

Department of Applied Pharmacy, Faculty of Pharmacy, University of Veterinary and Pharmaceutical Sciences, Brno, Czech Republic.

出版信息

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2018 Mar;162(1):18-25. doi: 10.5507/bp.2018.007. Epub 2018 Mar 19.

Abstract

The use of cannabis for medical purposes has been recently legalised in many countries including the Czech Republic. As a result, there is increased interest on the part of physicians and patients in many aspects of its application. This mini review briefly covers the main active substances of the cannabis plant and mechanisms of action. It focuses on two conditions, cancer pain and spasticity in multiple sclerosis, where its effects are well-documented. A comprehensive overview of a few cannabis-based products and the basic pharmacokinetics of marijuana's constituents follows. The review concludes with an outline for preparing cannabis (dried inflorescence) containing drug dosage forms that can be produced in a hospital pharmacy.

摘要

包括捷克共和国在内的许多国家最近已将大麻用于医疗目的合法化。因此,医生和患者对其应用的许多方面的兴趣都有所增加。本微型综述简要介绍了大麻植物的主要活性成分及其作用机制。它重点关注两种情况,即癌症疼痛和多发性硬化症中的痉挛,其效果已有充分记录。随后是对几种基于大麻的产品以及大麻成分的基本药代动力学的全面概述。综述最后概述了如何制备可在医院药房生产的含大麻(干燥花序)的药物剂型。

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