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大麻二酚(CBD)在神经疾病管理与治疗中的当前应用。

Current application of cannabidiol (CBD) in the management and treatment of neurological disorders.

作者信息

Fiani Brian, Sarhadi Kasra John, Soula Marisol, Zafar Atif, Quadri Syed A

机构信息

Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA, USA.

Miller School of Medicine, University of Miami, Miami, FL, USA.

出版信息

Neurol Sci. 2020 Nov;41(11):3085-3098. doi: 10.1007/s10072-020-04514-2. Epub 2020 Jun 16.

Abstract

Cannabidiol (CBD), which is nonintoxicating pharmacologically relevant constituents of Cannabis, demonstrates several beneficial effects. It has been found to have antioxidative, anti-inflammatory, and neuroprotective effects. As the medicinal use of CBD is gaining popularity for treatment of various disorders, the recent flare-up of largely unproven and unregulated cannabis-based preparations on medical therapeutics may have its greatest impact in the field of neurology. Currently, as lot of clinical trials are underway, CBD demonstrates remarkable potential to become a supplemental therapy in various neurological conditions. It has shown promise in the treatment of neurological disorders such as anxiety, chronic pain, trigeminal neuralgia, epilepsy, and essential tremors as well as psychiatric disorders. While recent FDA-approved prescription drugs have demonstrated safety, efficacy, and consistency enough for regulatory approval in spasticity in multiple sclerosis (MS) and in Dravet and Lennox-Gastaut Syndromes (LGS), many therapeutic challenges still remain. In the current review, the authors have shed light on the application of CBD in the management and treatment of various neurological disorders.

摘要

大麻二酚(CBD)是大麻中无药理致醉作用的相关成分,具有多种有益效果。已发现它具有抗氧化、抗炎和神经保护作用。随着CBD在治疗各种疾病方面的药用越来越普遍,近期大量未经证实且不受监管的大麻类制剂在医学治疗中的突然兴起,可能对神经学领域产生最大影响。目前,由于许多临床试验正在进行,CBD在成为各种神经疾病补充疗法方面显示出显著潜力。它在治疗焦虑、慢性疼痛、三叉神经痛、癫痫和特发性震颤等神经疾病以及精神疾病方面已展现出前景。虽然近期美国食品药品监督管理局(FDA)批准的处方药已显示出足够的安全性、有效性和一致性,从而获得了在多发性硬化症(MS)的痉挛以及德雷维特综合征和伦诺克斯 - 加斯托综合征(LGS)方面的监管批准,但仍存在许多治疗挑战。在当前综述中,作者阐述了CBD在各种神经疾病管理和治疗中的应用。

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