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: 滥用药物和治疗药物,同一枚硬币的两面。

: Drug of Abuse and Therapeutic Agent, Two Sides of the Same Coin.

机构信息

Laboratory of Reticular Formation Physiology, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Department of Pharmacobiology, Center for Research and Advanced Studies (Cinvestav), National Polytechnic Institute, Mexico City, Mexico.

出版信息

Rev Invest Clin. 2023;75(3):105-128. doi: 10.24875/RIC.23000112.

Abstract

The consumption of plant, known as marijuana in the Western world, for different purposes (therapeutic, intoxicating, and spiritual) due to its psychoactive effects, can be traced back to ancient times. is the most used illicit drug worldwide; however, its legal status is changing rapidly. regulation will allow a better understanding of its effects as a misused drug, including new challenges, such as the availability of highly potent . Furthermore, scientific research is making significant efforts to take advantage of the potential therapeutic uses of active compounds. The science of derivatives started with the identification of the phytocannabinoids Δ-tetrahydrocannabinol (Δ-THC) and cannabidiol (CBD), allowing the formal study of the complex set of effects triggered by consumption and the deciphering of its pharmacology. Δ-THC is recognized as the compound responsible for the psychoactive and intoxicating effects of . Its study led to the discovery of the endocannabinoid system, a neuromodulatory system widespread in the human body. CBD does not induce intoxication and for that reason, it is the focus of the search for cannabinoid potential clinical applications. This review examines the current state of knowledge about contrasting perspectives on the effects of , Δ-THC, and CBD: their abuse liability and potential therapeutic use; two sides of the same coin.

摘要

植物的消费,在西方世界被称为大麻,由于其具有致幻作用,被用于不同的目的(治疗、致幻和精神)。大麻是世界上使用最广泛的非法药物;然而,它的法律地位正在迅速改变。大麻的监管将允许更好地了解其作为被滥用药物的效果,包括新的挑战,如高效力大麻的可获得性。此外,科学研究正在努力利用大麻活性化合物的潜在治疗用途。大麻衍生物的科学始于鉴定出植物大麻素 Δ-四氢大麻酚(Δ-THC)和大麻二酚(CBD),从而可以正式研究大麻消费引发的复杂作用,并揭示其药理学。Δ-THC 被认为是导致大麻致幻和致醉作用的化合物。对其的研究导致了内源性大麻素系统的发现,这是一种广泛存在于人体中的神经调制系统。CBD 不会引起致醉,因此,它是寻找大麻潜在临床应用的焦点。这篇综述审查了关于大麻、Δ-THC 和 CBD 作用的对比观点的当前知识状况:它们的滥用倾向和潜在的治疗用途;同一枚硬币的两面。

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