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基于大麻的产品用于纤维肌痛综合征患者医疗用途的有效性和安全性:一项系统评价。

Effectiveness and safety of cannabis-based products for medical use in patients with fibromyalgia syndrome: A systematic review.

作者信息

Lopera Valentina, Restrepo Juan Carlos, Amariles Pedro

机构信息

Research Group on Pharmaceutical Promotion and Prevention, University of Antioquia, UdeA, AA 1226, Medellin 050010, Colombia.

El Dorado Botanical, Independent Researcher and Advisor in Bioinformatics and Precision Medicine, Medellin, Colombia.

出版信息

Explor Res Clin Soc Pharm. 2024 Oct 11;16:100524. doi: 10.1016/j.rcsop.2024.100524. eCollection 2024 Dec.

Abstract

BACKGROUND

There is a need to explore pharmacological options for syndrome (FMS), such as medical cannabis. The aim of this systematic review was to synthesize and analyze the available information about the effectiveness/efficacy and safety of cannabis-based products for medical use (CBPMs) and cannabis-based medicines (CBMs), in patients with FMS.

METHODS

Interventional or observational studies, systematic reviews and meta-analysis regarding the effectiveness/efficacy and safety of CBPMs and CBMs in patients with FMS were retrieved from the PubMed/Medline database until April 2024. Then, the information was summarized in tables, with the type of CBPM and CBM, the method used in the study and the effective-ness/efficacy and safety outcomes.

RESULTS

19 publications were selected from the search or form the relevant references. Different CBPM and CBM were used across the studies. Also, different instruments for measuring the effectiveness were used. In general, the use of CBPMs and CBM showed an important improvement in pain, quality of life, and sleep habits. There were no serious adverse events.

CONCLUSIONS

The results show that CBMPs and CBMs could be effective and safe in patients with FMS; however, the evidence is limited and there is a need for high-quality clinical studies conducted with improved methodological design.

摘要

背景

需要探索针对纤维肌痛综合征(FMS)的药理学选择,如医用大麻。本系统评价的目的是综合分析关于医用大麻制品(CBPMs)和大麻类药物(CBMs)对FMS患者有效性及安全性的现有信息。

方法

从PubMed/Medline数据库检索截至2024年4月关于CBPMs和CBMs对FMS患者有效性及安全性的干预性或观察性研究、系统评价和荟萃分析。然后,将信息汇总到表格中,包括CBPM和CBM的类型、研究中使用的方法以及有效性和安全性结果。

结果

从检索结果或相关参考文献中筛选出19篇出版物。各项研究中使用了不同的CBPM和CBM,且用于衡量有效性的工具也各不相同。总体而言,CBPMs和CBMs的使用在疼痛、生活质量和睡眠习惯方面有显著改善,未出现严重不良事件。

结论

结果表明,CBMPs和CBMs对FMS患者可能有效且安全;然而,证据有限,需要开展方法设计更完善的高质量临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5011/11533093/a14475bcb94f/gr1.jpg

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