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Tetrahydrocannabinol and Cannabidiol for Pain Treatment-An Update on the Evidence.

作者信息

Safi Kawthar, Sobieraj Jan, Błaszkiewicz Michał, Żyła Joanna, Salata Bartłomiej, Dzierżanowski Tomasz

机构信息

Palliative Medicine Clinic, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, Poland.

出版信息

Biomedicines. 2024 Jan 29;12(2):307. doi: 10.3390/biomedicines12020307.


DOI:10.3390/biomedicines12020307
PMID:38397910
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10886939/
Abstract

In light of the current International Association for the Study of Pain (IASP) clinical practice guidelines (CPGs) and the European Society for Medical Oncology (ESMO) guidelines, the topic of cannabinoids in relation to pain remains controversial, with insufficient research presently available. Cannabinoids are an attractive pain management option due to their synergistic effects when administered with opioids, thereby also limiting the extent of respiratory depression. On their own, however, cannabinoids have been shown to have the potential to relieve specific subtypes of chronic pain in adults, although controversies remain. Among these subtypes are neuropathic, musculoskeletal, cancer, and geriatric pain. Another interesting feature is their effectiveness in chemotherapy-induced peripheral neuropathy (CIPN). Analgesic benefits are hypothesized to extend to HIV-associated neuropathic pain, as well as to lower back pain in the elderly. The aim of this article is to provide an up-to-date review of the existing preclinical as well as clinical studies, along with relevant systematic reviews addressing the roles of various types of cannabinoids in neuropathic pain settings. The impact of cannabinoids in chronic cancer pain and in non-cancer conditions, such as multiple sclerosis and headaches, are all discussed, as well as novel techniques of administration and relevant mechanisms of action.

摘要

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本文引用的文献

[1]
A randomized, double-blind, placebo-controlled, repeated-dose pilot study of the safety, tolerability, and preliminary effects of a cannabidiol (CBD)- and cannabigerol (CBG)-based beverage powder to support recovery from delayed onset muscle soreness (DOMS).

J Int Soc Sports Nutr. 2023-12

[2]
Effect of Cannabidiol Oil on Post-ureteroscopy Pain for Urinary Calculi: A Randomized, Double-blind, Placebo-controlled Trial.

J Urol. 2023-4

[3]
Efficacy and safety of olorinab, a full agonist of the cannabinoid receptor 2, for the treatment of abdominal pain in patients with irritable bowel syndrome: Results from a phase 2b randomized placebo-controlled trial (CAPTIVATE).

Neurogastroenterol Motil. 2023-5

[4]
Controversial Link between Cannabis and Anticancer Treatments-Where Are We and Where Are We Going? A Systematic Review of the Literature.

Cancers (Basel). 2022-8-22

[5]
Cannabinoids and Pain for the Plastic Surgeon: What Is the Evidence?

Ann Plast Surg. 2022-6-1

[6]
Cannabis and Cannabis Derivatives for Abdominal Pain Management in Inflammatory Bowel Disease.

Med Cannabis Cannabinoids. 2021-6-21

[7]
Cannabinoid Therapeutics in Chronic Neuropathic Pain: From Animal Research to Human Treatment.

Front Physiol. 2021-11-30

[8]
Cannabinoids and Cancer Chemotherapy-Associated Adverse Effects.

J Natl Cancer Inst Monogr. 2021-11-28

[9]
Medical Cannabis for Headache Pain: a Primer for Clinicians.

Curr Pain Headache Rep. 2021-10-9

[10]
The Effectiveness of Cannabis and Cannabis Derivatives in Treating Lower Back Pain in the Aged Population: A Systematic Review.

Gerontology. 2022

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