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涉及产品使用的研究与临床实践,重点是大麻二酚:一项叙述性综述。

Research and Clinical Practice Involving the Use of Products, with Emphasis on Cannabidiol: A Narrative Review.

作者信息

Simei João Luís Q, Souza José Diogo R, Pedrazzi João Francisco, Guimarães Francisco S, Campos Alline Cristina, Zuardi Antônio, Hallak Jaime Eduardo C, Crippa José Alexandre S

机构信息

Department of Neuroscience and Behavior, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, São Paulo, Brazil.

National Institute for Science and Technology-Translational Medicine, Ribeirão Preto 14049-900, São Paulo, Brazil.

出版信息

Pharmaceuticals (Basel). 2024 Dec 6;17(12):1644. doi: 10.3390/ph17121644.

Abstract

BACKGROUND

Emerging evidence supports cannabidiol (CBD) as a promising therapeutic compound for various health conditions, despite its approval as a medication (product for medical purposes) remaining restricted to a limited range of clinical indications. Simultaneously, the regulation of cannabis-derived products for medicinal and recreational use has expanded their global market availability to meet local community demands. This scenario presents a complex challenge for clinicians, researchers, and industry, as the global appeal of therapeutic uses of CBD is growing more rapidly than the scientific evidence supporting its safety and effectiveness.

OUTCOMES

A narrative review was conducted to discuss the best evidence regarding the pharmacological profile of CBD, its efficacy, and safety within the context of regulation and perspectives on the development of new cannabinoid-based drugs. Key articles addressing the various facets of this issue were selected for comprehensive analysis.

CONCLUSIONS

Clinicians and researchers may face unique challenges in understanding the pharmacological profile of CBD and the prospects for developing its clinical indications, given the heterogeneity of clinical terminologies and the quality and composition of cannabis-based medical products available on the market. More basic and clinical research that complies with regulatory agencies' testing guidelines, such as good manufacturing practices (GMPs), good laboratory practices (GLPs), and good clinical practices (GCPs), is needed to obtain approval for CBD or any other cannabinoid as a therapeutic for broader clinical indications.

摘要

背景

越来越多的证据表明,大麻二酚(CBD)是一种有前景的治疗化合物,可用于多种健康状况,尽管其作为药物(用于医疗目的的产品)的批准仍局限于有限的临床适应症范围。与此同时,对用于医疗和娱乐用途的大麻衍生产品的监管扩大了其在全球市场的可获得性,以满足当地社区的需求。这种情况给临床医生、研究人员和行业带来了复杂的挑战,因为CBD治疗用途的全球吸引力增长速度超过了支持其安全性和有效性的科学证据。

结果

进行了一项叙述性综述,以讨论关于CBD的药理学特性、其疗效以及在监管背景下的安全性的最佳证据,以及对新型大麻素类药物开发的展望。选择了涉及该问题各个方面的关键文章进行全面分析。

结论

鉴于临床术语的异质性以及市场上可用的基于大麻的医疗产品的质量和成分,临床医生和研究人员在理解CBD的药理学特性及其临床适应症开发前景方面可能面临独特的挑战。需要更多符合监管机构测试指南(如良好生产规范(GMPs)、良好实验室规范(GLPs)和良好临床规范(GCPs))的基础和临床研究,以获得CBD或任何其他大麻素作为更广泛临床适应症治疗药物的批准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fcc/11677192/3a9d1ea3c31a/pharmaceuticals-17-01644-g001.jpg

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