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Erschienen in: Current Pain and Headache Reports 10/2015

01.10.2015 | Anesthetic Techniques in Pain Management (D Wang, Section Editor)

Medical Marijuana and Chronic Pain: a Review of Basic Science and Clinical Evidence

verfasst von: Bjorn Jensen, Jeffrey Chen, Tim Furnish, Mark Wallace

Erschienen in: Current Pain and Headache Reports | Ausgabe 10/2015

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Abstract

Cannabinoid compounds include phytocannabinoids, endocannabinoids, and synthetics. The two primary phytocannabinoids are delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD), with CB1 receptors in the brain and peripheral tissue and CB2 receptors in the immune and hematopoietic systems. The route of delivery of cannabis is important as the bioavailability and metabolism are very different for smoking versus oral/sublingual routes. Gold standard clinical trials are limited; however, some studies have thus far shown evidence to support the use of cannabinoids for some cancer, neuropathic, spasticity, acute pain, and chronic pain conditions.
Literatur
1.
Zurück zum Zitat Mechoulam R. The pharmacohistory of cannabis sativa. In: Mechoulam R, editor. Cannabinoids as therapeutic agents. Boca Raton: CRC Press; 1986. p. 1–19. Mechoulam R. The pharmacohistory of cannabis sativa. In: Mechoulam R, editor. Cannabinoids as therapeutic agents. Boca Raton: CRC Press; 1986. p. 1–19.
2.
Zurück zum Zitat O’Shaugnessy WB. On the preparations of the Indian hemp, or gunjah (Cannabis indica): their effects on the animal system in health, and their utility in the treatment of tetanus and other convulsive diseases. Trans Med Phys Soc., Bengal., 71–102, 1838–40;421–46, 1842. O’Shaugnessy WB. On the preparations of the Indian hemp, or gunjah (Cannabis indica): their effects on the animal system in health, and their utility in the treatment of tetanus and other convulsive diseases. Trans Med Phys Soc., Bengal., 71–102, 1838–40;421–46, 1842.
4.
Zurück zum Zitat Fankhauser M. Chapter 4: history of cannabis in Western medicine. In: Grotenhermen F, Russo R, editors. Cannabis and cannabinoids: pharmacology, toxicology and therapeutic potential. New York: The Haworth Integrative Healing Press; 2002. p. 37–51. Fankhauser M. Chapter 4: history of cannabis in Western medicine. In: Grotenhermen F, Russo R, editors. Cannabis and cannabinoids: pharmacology, toxicology and therapeutic potential. New York: The Haworth Integrative Healing Press; 2002. p. 37–51.
5.
Zurück zum Zitat Russo EB, Hohmann AG. Role of cannabinoids in pain management. In: Deer T, Gordin V, editors. Comprehensivetreatment of chronic pain by medical, interventional and behavioral approaches. New York: Springer; 2013. pp. 181–197. Russo EB, Hohmann AG. Role of cannabinoids in pain management. In: Deer T, Gordin V, editors. Comprehensivetreatment of chronic pain by medical, interventional and behavioral approaches. New York: Springer; 2013. pp. 181–197. 
6.
Zurück zum Zitat Gaoni Y, Mechoulam R. Isolation, structure and partial synthesis of an active constituent of hashish. J Am Chem Soc. 1964;86(8):1646–7.CrossRef Gaoni Y, Mechoulam R. Isolation, structure and partial synthesis of an active constituent of hashish. J Am Chem Soc. 1964;86(8):1646–7.CrossRef
7.
Zurück zum Zitat Ljubiša G. A comparative study on some chemical and biological characteristics of various samples of cannabis resin. Bull Narcotic (UNODC). 1962;3:37–46. Ljubiša G. A comparative study on some chemical and biological characteristics of various samples of cannabis resin. Bull Narcotic (UNODC). 1962;3:37–46.
8.
Zurück zum Zitat Mechoulam R, Peters M, Murillo-Rodriguez. Cannabidiol—recent advances. Chem Biodivers. 2007;4(8):1678–92.CrossRefPubMed Mechoulam R, Peters M, Murillo-Rodriguez. Cannabidiol—recent advances. Chem Biodivers. 2007;4(8):1678–92.CrossRefPubMed
9.
Zurück zum Zitat Pertwee RG. The diverse CB1 and CB2 receptor pharmacology of three plant cannabinoids: delta-9-tetrahydrocannabinol, cannabidiol and delta-9-tetrahydrocannabivarin. Br J Pharmacol. 2008;153(2):199–215.PubMedCentralCrossRefPubMed Pertwee RG. The diverse CB1 and CB2 receptor pharmacology of three plant cannabinoids: delta-9-tetrahydrocannabinol, cannabidiol and delta-9-tetrahydrocannabivarin. Br J Pharmacol. 2008;153(2):199–215.PubMedCentralCrossRefPubMed
10.
11.
Zurück zum Zitat Munro S, Thomas KL, Abu-Shaar M. Molecular characterization of a peripheral receptor for cannabinoids. Nature (Lond). 1993;365:61–5.CrossRef Munro S, Thomas KL, Abu-Shaar M. Molecular characterization of a peripheral receptor for cannabinoids. Nature (Lond). 1993;365:61–5.CrossRef
13.
Zurück zum Zitat Howlett AC, Barth F, Bonner TI, Cabral G, Casellas P, Devane WA, et al. International Union of Pharmacology. XXVII. Classification of cannabinoid receptors. Pharmacol Rev. 2002;54:161–202.CrossRefPubMed Howlett AC, Barth F, Bonner TI, Cabral G, Casellas P, Devane WA, et al. International Union of Pharmacology. XXVII. Classification of cannabinoid receptors. Pharmacol Rev. 2002;54:161–202.CrossRefPubMed
14.
Zurück zum Zitat Pertwee RG, Ross RA. Cannabinoid receptors and their ligands. Prostaglandins Leukot Essent Fatty Acids. 2002;66:101–21.CrossRefPubMed Pertwee RG, Ross RA. Cannabinoid receptors and their ligands. Prostaglandins Leukot Essent Fatty Acids. 2002;66:101–21.CrossRefPubMed
15.
Zurück zum Zitat Szabo B, Schlicker E. Effects of cannabinoids on neurotransmission cannabinoids. In: Pertwee RG, editor. Handbook of experimental pharmacology, vol. 168. Heidelberg: Springer; 2005. p. 327–65. Szabo B, Schlicker E. Effects of cannabinoids on neurotransmission cannabinoids. In: Pertwee RG, editor. Handbook of experimental pharmacology, vol. 168. Heidelberg: Springer; 2005. p. 327–65.
16.
Zurück zum Zitat Kreitzer AC. Neurotransmission: emerging roles of endocannabinoids. Curr Biol. 2005;15:R549–51.CrossRefPubMed Kreitzer AC. Neurotransmission: emerging roles of endocannabinoids. Curr Biol. 2005;15:R549–51.CrossRefPubMed
17.
Zurück zum Zitat Vaughan CW, Christie MJ. Retrograde signaling by endocannabinoids cannabinoids. In: Pertwee RG, editor. Handbook of experimental pharmacology, vol. 168. Heidelberg: Springer; 2005. p. 367–83. Vaughan CW, Christie MJ. Retrograde signaling by endocannabinoids cannabinoids. In: Pertwee RG, editor. Handbook of experimental pharmacology, vol. 168. Heidelberg: Springer; 2005. p. 367–83.
19.
Zurück zum Zitat Cabral GA, Staab A. Effects on the immune system cannabinoids. In: Pertwee RG, editor. Handbook of experimental pharmacology, vol. 168. Heidelberg: Springer; 2005. p. 385–423. Cabral GA, Staab A. Effects on the immune system cannabinoids. In: Pertwee RG, editor. Handbook of experimental pharmacology, vol. 168. Heidelberg: Springer; 2005. p. 385–423.
20.
Zurück zum Zitat Pertwee RG. Pharmacological actions of cannabinoids. In: Pertwee RG, editor. Handbook of experimental pharmacology, vol. 168. Heidelberg: Springer; 2005. p. 1–51. Pertwee RG. Pharmacological actions of cannabinoids. In: Pertwee RG, editor. Handbook of experimental pharmacology, vol. 168. Heidelberg: Springer; 2005. p. 1–51.
21.
Zurück zum Zitat Bloom AS, Dewey WL. A comparison of some pharmacological actions of morphine and ∆9-tetrahydrocannabinol in the mouse. Psycho Pharmacol. 1978;57:243–8.CrossRef Bloom AS, Dewey WL. A comparison of some pharmacological actions of morphine and ∆9-tetrahydrocannabinol in the mouse. Psycho Pharmacol. 1978;57:243–8.CrossRef
22.
Zurück zum Zitat Pugh G, Smith PB, Dombrowski DS, Welch SP. The role of endogenous opioids in enhancing the antinociception produced by the combination of ∆9-tetrahydrocannabinol and morphine in the spinal cord. J Pharmacol Exp Ther. 1996;279:608–16.PubMed Pugh G, Smith PB, Dombrowski DS, Welch SP. The role of endogenous opioids in enhancing the antinociception produced by the combination of ∆9-tetrahydrocannabinol and morphine in the spinal cord. J Pharmacol Exp Ther. 1996;279:608–16.PubMed
23.
Zurück zum Zitat Smith FL, Cichewicz D, Martin ZL, Welch SP. The enhancement of morphine antinociception in mice by ∆9-tetrahydrocannabinol. Pharmacol Biochem Behav. 1998;60:559–66.CrossRefPubMed Smith FL, Cichewicz D, Martin ZL, Welch SP. The enhancement of morphine antinociception in mice by ∆9-tetrahydrocannabinol. Pharmacol Biochem Behav. 1998;60:559–66.CrossRefPubMed
24.
Zurück zum Zitat Corchero J, Fuentes JA, Manzanares J. ∆9Tetrahydrocannabinol increases proopimelanocortin gene expression in the arcuate nucleus of the rat hypothalamus. Eur J Pharmacol. 1997;323:193–5.CrossRefPubMed Corchero J, Fuentes JA, Manzanares J. ∆9Tetrahydrocannabinol increases proopimelanocortin gene expression in the arcuate nucleus of the rat hypothalamus. Eur J Pharmacol. 1997;323:193–5.CrossRefPubMed
25.
Zurück zum Zitat Valverde O, Noble F, Beslot F, Dauge V, Fournie-Zaluski MC, Roques BP. ∆9-Tetrahydrocannabinol releases and facilitates the effects of endogenous enkephalins: reduction in morphine withdrawal syndrome without change in rewarding effect. Eur J Neurosci. 2001;13:1816–24.CrossRefPubMed Valverde O, Noble F, Beslot F, Dauge V, Fournie-Zaluski MC, Roques BP. ∆9-Tetrahydrocannabinol releases and facilitates the effects of endogenous enkephalins: reduction in morphine withdrawal syndrome without change in rewarding effect. Eur J Neurosci. 2001;13:1816–24.CrossRefPubMed
26.
27.
Zurück zum Zitat Wall ME, Sadler BM, Brine D, Taylor H, Perez-Reyes M. Metabolism, disposition, and kinetics of delta-9-tetrahydrocannabinoln men and women. Clin Pharmacol Ther. 1983;34:352–63.CrossRefPubMed Wall ME, Sadler BM, Brine D, Taylor H, Perez-Reyes M. Metabolism, disposition, and kinetics of delta-9-tetrahydrocannabinoln men and women. Clin Pharmacol Ther. 1983;34:352–63.CrossRefPubMed
28.
Zurück zum Zitat Mechoulam R, Parker LA, Gallily R. Cannabidiol: an overview of some pharmacological aspects. J Clin Pharmacol. 2002;42:11S–9.CrossRefPubMed Mechoulam R, Parker LA, Gallily R. Cannabidiol: an overview of some pharmacological aspects. J Clin Pharmacol. 2002;42:11S–9.CrossRefPubMed
29.•
Zurück zum Zitat Borgelt LL, Franson KM, Nussbaum AM, Wang GS. The pharmacologic and clinical effects of medical cannabis. Pharmacotherapy. 2013;33.3:195–209. Web. A helpful source for describing pharmacodynamics and pharmacokinetics. It also touched on the uses of medical cannabis for pain and muscles spasms, as well as safety concerns with medical cannabis use. CrossRef Borgelt LL, Franson KM, Nussbaum AM, Wang GS. The pharmacologic and clinical effects of medical cannabis. Pharmacotherapy. 2013;33.3:195–209. Web. A helpful source for describing pharmacodynamics and pharmacokinetics. It also touched on the uses of medical cannabis for pain and muscles spasms, as well as safety concerns with medical cannabis use. CrossRef
30.
Zurück zum Zitat Agurell S, Halldin M, Lindgren JE, et al. Pharmacokinetics and metabolism of delta 1-tetrahydrocannabinol and other cannabinoids with emphasis on man. Pharmacol Rev. 1986;38:21–43.PubMed Agurell S, Halldin M, Lindgren JE, et al. Pharmacokinetics and metabolism of delta 1-tetrahydrocannabinol and other cannabinoids with emphasis on man. Pharmacol Rev. 1986;38:21–43.PubMed
31.
Zurück zum Zitat Strougo A, Zuurman L, Roy C, et al. Modelling of the concentration–effect relationship of THC on central nervous system parameters and heart rate—insight into its mechanisms of action and a tool for clinical research and development of cannabinoids. J Psychopharmacol. 2008;22:717–26.CrossRefPubMed Strougo A, Zuurman L, Roy C, et al. Modelling of the concentration–effect relationship of THC on central nervous system parameters and heart rate—insight into its mechanisms of action and a tool for clinical research and development of cannabinoids. J Psychopharmacol. 2008;22:717–26.CrossRefPubMed
32.
Zurück zum Zitat Ohlsson A, Lindgren JE, Wahlen A, Agurell S, Hollister LE, Gillespie HK. Plasma delta-9 tetrahydrocannabinol concentrations and clinical effects after oral and intravenous administration and smoking. Clin Pharmacol Ther. 1980;28:409–16.CrossRefPubMed Ohlsson A, Lindgren JE, Wahlen A, Agurell S, Hollister LE, Gillespie HK. Plasma delta-9 tetrahydrocannabinol concentrations and clinical effects after oral and intravenous administration and smoking. Clin Pharmacol Ther. 1980;28:409–16.CrossRefPubMed
33.
Zurück zum Zitat Zuurman L, Ippel AE, Moin E, van Gerven JM. Biomarkers for the effects of cannabis and THC in healthy volunteers. Br J Clin Pharmacol. 2009;67:5–21.PubMedCentralCrossRefPubMed Zuurman L, Ippel AE, Moin E, van Gerven JM. Biomarkers for the effects of cannabis and THC in healthy volunteers. Br J Clin Pharmacol. 2009;67:5–21.PubMedCentralCrossRefPubMed
34.
Zurück zum Zitat Lopez HH. Cannabinoid-hormone interactions in the regulation of motivational processes. Horm Behav. 2010;58:100–10.CrossRefPubMed Lopez HH. Cannabinoid-hormone interactions in the regulation of motivational processes. Horm Behav. 2010;58:100–10.CrossRefPubMed
35.
Zurück zum Zitat Seamon MJ, Fass JA, Maniscalco-Feichtl M, Abu-Shraie NA. Medical marijuana and the developing role of the pharmacist. Am J Health Syst Pharm. 2007;64:1037–44.CrossRefPubMed Seamon MJ, Fass JA, Maniscalco-Feichtl M, Abu-Shraie NA. Medical marijuana and the developing role of the pharmacist. Am J Health Syst Pharm. 2007;64:1037–44.CrossRefPubMed
36.
Zurück zum Zitat Karschner EL, Darwin WD, Goodwin RS, Wright S, Huestis MA. Plasma cannabinoid pharmacokinetics following controlled oral delta9-tetrahydrocannabinol and oromucosal cannabis extract administration. Clin Chem. 2011;57(1):66–75. doi:10.1373/clinchem.2010.152439. Epub 2010 Nov 15. Gonzalez R, et al. Nonacute neuropsychological effects of cannabis use. J Clin Pharm 2002, 42:48S–57S.PubMedCentralCrossRefPubMed Karschner EL, Darwin WD, Goodwin RS, Wright S, Huestis MA. Plasma cannabinoid pharmacokinetics following controlled oral delta9-tetrahydrocannabinol and oromucosal cannabis extract administration. Clin Chem. 2011;57(1):66–75. doi:10.​1373/​clinchem.​2010.​152439. Epub 2010 Nov 15. Gonzalez R, et al. Nonacute neuropsychological effects of cannabis use. J Clin Pharm 2002, 42:48S–57S.PubMedCentralCrossRefPubMed
37.
Zurück zum Zitat Grant I et al. Non-acute neurocognitive effects of cannabis use: a metaanalysis. J Int Neuropsych Soc. 2003;9:679–89. Grant I et al. Non-acute neurocognitive effects of cannabis use: a metaanalysis. J Int Neuropsych Soc. 2003;9:679–89.
38.•
Zurück zum Zitat Meier MH, et al. Persistent cannabis users show neuropsychological decline from childhood to midlife. 2012; PNAS. 109(40):E2657. These studies provided insight into the debate about the long-term effects of cannabis, especially on our adolescent population. It is important to remember the difficulties associated with studying long-term effects of cannabis in populations without intentionally subjecting them to their effects for significant periods of time. Meier MH, et al. Persistent cannabis users show neuropsychological decline from childhood to midlife. 2012; PNAS. 109(40):E2657. These studies provided insight into the debate about the long-term effects of cannabis, especially on our adolescent population. It is important to remember the difficulties associated with studying long-term effects of cannabis in populations without intentionally subjecting them to their effects for significant periods of time.
39.
Zurück zum Zitat Zalesky A et al. Effect of long-term cannabis use on axonal fibre connectivity. Brain. 2012;135(7):2245–55.CrossRefPubMed Zalesky A et al. Effect of long-term cannabis use on axonal fibre connectivity. Brain. 2012;135(7):2245–55.CrossRefPubMed
40.••
Zurück zum Zitat Rogeberg O. Correlations between cannabis use and IQ change in the Dunedin cohort are consistent with confounding from socioeconomic status. Proc Natl Acad Sci U S A. 2013;110(11):4251–4. These studies provided insight into the debate about the long-term effects of cannabis, especially on our adolescent population. It is important to remember the difficulties associated with studying long-term effects of cannabis in populations without intentionally subjecting them to their effects for significant periods of time. (see references 74 and 75 for further reading). PubMedCentralCrossRefPubMed Rogeberg O. Correlations between cannabis use and IQ change in the Dunedin cohort are consistent with confounding from socioeconomic status. Proc Natl Acad Sci U S A. 2013;110(11):4251–4. These studies provided insight into the debate about the long-term effects of cannabis, especially on our adolescent population. It is important to remember the difficulties associated with studying long-term effects of cannabis in populations without intentionally subjecting them to their effects for significant periods of time. (see references 74 and 75 for further reading). PubMedCentralCrossRefPubMed
41.•
Zurück zum Zitat Bava S, Jacobus J, Thayer RE, Tapert SF. Longitudinal changes in white matter integrity among adolescent substance users. Alcohol Clin Exp Res. 2013. Alcohol Clin Exp. When considering the dangers of chronic Cannabis use, it is important to use a commonly abused substance such as alcohol as a comparison. This study focused primarily on brain scans, but provided a direct example of alcohol versus marijuana on the brain. Bava S, Jacobus J, Thayer RE, Tapert SF. Longitudinal changes in white matter integrity among adolescent substance users. Alcohol Clin Exp Res. 2013. Alcohol Clin Exp. When considering the dangers of chronic Cannabis use, it is important to use a commonly abused substance such as alcohol as a comparison. This study focused primarily on brain scans, but provided a direct example of alcohol versus marijuana on the brain.
42.
Zurück zum Zitat Watson SJ, Benson JA Jr, Joy JE. Marijuana and medicine: assessing the science base: a summary of the 1999 Institute of Medicine report. Arch Gen Psychiatry. 2000;57(6):547–52. Watson SJ, Benson JA Jr, Joy JE. Marijuana and medicine: assessing the science base: a summary of the 1999 Institute of Medicine report. Arch Gen Psychiatry. 2000;57(6):547–52.
43.
Zurück zum Zitat Noyes RJ et al. Analgesic effect of delta-9-tetrahydrocannabinol. J Clin Pharmacol. 1975;15:139–43.CrossRefPubMed Noyes RJ et al. Analgesic effect of delta-9-tetrahydrocannabinol. J Clin Pharmacol. 1975;15:139–43.CrossRefPubMed
44.
Zurück zum Zitat Noyes RJ et al. The analgesic properties of delta-9-tetrahydrocannabinol and codeine. Clin Pharmacol Ther. 1975;18:84–9.PubMed Noyes RJ et al. The analgesic properties of delta-9-tetrahydrocannabinol and codeine. Clin Pharmacol Ther. 1975;18:84–9.PubMed
45.
Zurück zum Zitat Staquet M, Gantt C, Machin D. Effect of a nitrogen analog of tetrahydrocannabinol on cancer pain. Clin J Pharm Therap. 1978;23:397–401. Staquet M, Gantt C, Machin D. Effect of a nitrogen analog of tetrahydrocannabinol on cancer pain. Clin J Pharm Therap. 1978;23:397–401.
46.
Zurück zum Zitat Jochimsen PR et al. Effect of benzopyranoperidine a delta-9-THC congener on pain. Clin J Pharm Therap. 1978;24:223–7. Jochimsen PR et al. Effect of benzopyranoperidine a delta-9-THC congener on pain. Clin J Pharm Therap. 1978;24:223–7.
47.
Zurück zum Zitat Johnson JR, Burnell-Nugent M, Lossignol D, Ganae-Motan ED, Fallon PR. Multicenter, double-blind, randomized, placebo-controlled, parallel-group study of the efficacy, safety, and tolerability of THC:CBD extract and THC extract in patients with intractable cancer-related pain. J Pain Symp Manag. 2010;39(2):167–79.CrossRef Johnson JR, Burnell-Nugent M, Lossignol D, Ganae-Motan ED, Fallon PR. Multicenter, double-blind, randomized, placebo-controlled, parallel-group study of the efficacy, safety, and tolerability of THC:CBD extract and THC extract in patients with intractable cancer-related pain. J Pain Symp Manag. 2010;39(2):167–79.CrossRef
48.
Zurück zum Zitat Portenoy RK, Ganae-Motan ED, Allende S, Yanagihara R, Shaiova L, Weinstein S, et al. Nabiximols for opioid-treated cancer patients with poorly-controlled chronic pain: a randomized, placebo-controlled, graded-dose trial. J Pain. 2012;13(5):438–49.CrossRefPubMed Portenoy RK, Ganae-Motan ED, Allende S, Yanagihara R, Shaiova L, Weinstein S, et al. Nabiximols for opioid-treated cancer patients with poorly-controlled chronic pain: a randomized, placebo-controlled, graded-dose trial. J Pain. 2012;13(5):438–49.CrossRefPubMed
49.
Zurück zum Zitat Karst M et al. Analgesic effect of the synthetic cannabinoid CT-3 on chronic neuropathic pain. JAMA. 2003;290:1757–62.CrossRefPubMed Karst M et al. Analgesic effect of the synthetic cannabinoid CT-3 on chronic neuropathic pain. JAMA. 2003;290:1757–62.CrossRefPubMed
50.
Zurück zum Zitat Berman JS, Symonds C, Birch R. Efficacy of two cannabis based medicinal extracts for relief of central neuropathic pain from brachial plexus avulsion: results of a randomized controlled trial. Pain. 2004;112(3):299–306.CrossRefPubMed Berman JS, Symonds C, Birch R. Efficacy of two cannabis based medicinal extracts for relief of central neuropathic pain from brachial plexus avulsion: results of a randomized controlled trial. Pain. 2004;112(3):299–306.CrossRefPubMed
51.
Zurück zum Zitat Wade DT, Robson P, House H, Makela P, Aram J. A preliminary controlled study to determine whether whole-plant cannabis extracts can improve intractable neurogenic symptoms. Clin Rehabil. 2003;17:18–26. Wade DT, Robson P, House H, Makela P, Aram J. A preliminary controlled study to determine whether whole-plant cannabis extracts can improve intractable neurogenic symptoms. Clin Rehabil. 2003;17:18–26.
52.
Zurück zum Zitat Rog DJ, Nurmiko T, Friede T, Young C. Randomized controlled trial of cannabis based medicine in central neuropathic pain due to multiple sclerosis. Neurology. 2005;65(6):812–9.CrossRefPubMed Rog DJ, Nurmiko T, Friede T, Young C. Randomized controlled trial of cannabis based medicine in central neuropathic pain due to multiple sclerosis. Neurology. 2005;65(6):812–9.CrossRefPubMed
53.
Zurück zum Zitat Nurmikko TJ, Serpell MG, Hoggart B, Toomey PJ, Morlion BJ, Haines D. Sativex successfully treats neuropathic pain characterized by allodynia: a randomized, double-blind, placebo-controlled clinical trial. Pain. 2007;133(1–3):210–20.CrossRefPubMed Nurmikko TJ, Serpell MG, Hoggart B, Toomey PJ, Morlion BJ, Haines D. Sativex successfully treats neuropathic pain characterized by allodynia: a randomized, double-blind, placebo-controlled clinical trial. Pain. 2007;133(1–3):210–20.CrossRefPubMed
54.
Zurück zum Zitat Zajicek J, Fox P, Sanders H, et al. Cannabinoids for treatment of spasticity and other symptoms related to multiple sclerosis (CAMS study): multicenter randomized placebo-controlled trial. Lancet. 2003;362(9395):1517–26.CrossRefPubMed Zajicek J, Fox P, Sanders H, et al. Cannabinoids for treatment of spasticity and other symptoms related to multiple sclerosis (CAMS study): multicenter randomized placebo-controlled trial. Lancet. 2003;362(9395):1517–26.CrossRefPubMed
55.
Zurück zum Zitat Zajicek J, Sanders H, Wright DE, et al. Cannabinoids in multiple sclerosis (CAMS) study: safety and efficacy data for 12 months follow up. J Neurol Neurosurg Psychiatry. 2005;76(12):1664–9.PubMedCentralCrossRefPubMed Zajicek J, Sanders H, Wright DE, et al. Cannabinoids in multiple sclerosis (CAMS) study: safety and efficacy data for 12 months follow up. J Neurol Neurosurg Psychiatry. 2005;76(12):1664–9.PubMedCentralCrossRefPubMed
56.
Zurück zum Zitat Abrams DI et al. Cannabis in painful HIV-associated sensory neuropathy. Neurology. 2007;68:515–21.CrossRefPubMed Abrams DI et al. Cannabis in painful HIV-associated sensory neuropathy. Neurology. 2007;68:515–21.CrossRefPubMed
57.
Zurück zum Zitat Ellis RJ, Toperoff W, Vaida F, et al. Smoked medicinal cannabis for neuropathic pain in HIV: a randomized, crossover clinical trial. Neuropsychopharmacology. 2009;34(3):672–80.PubMedCentralCrossRefPubMed Ellis RJ, Toperoff W, Vaida F, et al. Smoked medicinal cannabis for neuropathic pain in HIV: a randomized, crossover clinical trial. Neuropsychopharmacology. 2009;34(3):672–80.PubMedCentralCrossRefPubMed
58.
Zurück zum Zitat Wilsey B, Marcotte T, Tsodikov A, et al. A randomized, placebo controlled, crossover trial of cannabis cigarettes in neuropathic pain. J Pain. 2008;6:506–21.CrossRef Wilsey B, Marcotte T, Tsodikov A, et al. A randomized, placebo controlled, crossover trial of cannabis cigarettes in neuropathic pain. J Pain. 2008;6:506–21.CrossRef
59.
60.
Zurück zum Zitat Holdcroft A, Maze M, Dore C, Tebbs S, Thompson S. A multicenter dose-escalation study of the analgesic and adverse effects of an oral cannabis extract (Cannador) for postoperative pain management. Anesthesiology. 2006;104(5):1040–6.CrossRefPubMed Holdcroft A, Maze M, Dore C, Tebbs S, Thompson S. A multicenter dose-escalation study of the analgesic and adverse effects of an oral cannabis extract (Cannador) for postoperative pain management. Anesthesiology. 2006;104(5):1040–6.CrossRefPubMed
61.
Zurück zum Zitat Buggy DJ, Toogood L, Maric S, Sharpe P, Lambert DG, Rowbotham DJ. Lack of analgesic efficacy of oral delta-9-tetrahydrocannabinol in postoperative pain. Pain. 2003;106(1–2):169–72.CrossRefPubMed Buggy DJ, Toogood L, Maric S, Sharpe P, Lambert DG, Rowbotham DJ. Lack of analgesic efficacy of oral delta-9-tetrahydrocannabinol in postoperative pain. Pain. 2003;106(1–2):169–72.CrossRefPubMed
62.
Zurück zum Zitat Beauliu P. Effects of nabilone, a synthetic cannabinoid, on postoperative pain. Can J Anaesth. 2006;53(8):769–75.CrossRef Beauliu P. Effects of nabilone, a synthetic cannabinoid, on postoperative pain. Can J Anaesth. 2006;53(8):769–75.CrossRef
63.
Zurück zum Zitat Jain AK et al. Evaluation of intramuscular and placebo in acute postoperative pain. J Clin Pharmacol. 1981;21(8–9 Suppl):320S–6.CrossRefPubMed Jain AK et al. Evaluation of intramuscular and placebo in acute postoperative pain. J Clin Pharmacol. 1981;21(8–9 Suppl):320S–6.CrossRefPubMed
64.
Zurück zum Zitat Little PJ et al. Pharmacology and stereoselectivity of structurally novel cannabinoids in mice. J Pharmacol Exp Ther. 1988;247:1046–51.PubMed Little PJ et al. Pharmacology and stereoselectivity of structurally novel cannabinoids in mice. J Pharmacol Exp Ther. 1988;247:1046–51.PubMed
65.
Zurück zum Zitat Raft D et al. Effects of intravenous tetrahydrocannabinol on experimental and surgical pain. Clin Pharmacol Ther. 1977;21:26.PubMed Raft D et al. Effects of intravenous tetrahydrocannabinol on experimental and surgical pain. Clin Pharmacol Ther. 1977;21:26.PubMed
66.
Zurück zum Zitat Narang S, Gibson D, Wasan AD, et al. Efficacy of dronabinol as an adjuvant treatment for chronic pain patients on opioid therapy. J Pain. 2008;9(3):254–64.CrossRefPubMed Narang S, Gibson D, Wasan AD, et al. Efficacy of dronabinol as an adjuvant treatment for chronic pain patients on opioid therapy. J Pain. 2008;9(3):254–64.CrossRefPubMed
67.
Zurück zum Zitat Blake DR, Robson P, Ho M, Jubb RW, McCabe CS. Preliminary assessment of the efficacy, tolerability and safety of a cannabis-based medicine (Sativex) in the treatment of pain caused by rheumatoid arthritis. Rheumatology (Oxford). 2006;45(1):50–2. Blake DR, Robson P, Ho M, Jubb RW, McCabe CS. Preliminary assessment of the efficacy, tolerability and safety of a cannabis-based medicine (Sativex) in the treatment of pain caused by rheumatoid arthritis. Rheumatology (Oxford). 2006;45(1):50–2.
68.
Zurück zum Zitat Notcutt W et al. Initial experiences with medicinal extracts of cannabis for chronic pain: results from 34 ‘Nof1’ studies. Anaesthesia. 2004;59:440–52.CrossRefPubMed Notcutt W et al. Initial experiences with medicinal extracts of cannabis for chronic pain: results from 34 ‘Nof1’ studies. Anaesthesia. 2004;59:440–52.CrossRefPubMed
69.•
Zurück zum Zitat Yu XH, Co CQ, Martino G, et al. A peripherally restricted cannabinoid receptor agonist produces robust anti-nociceptive effects in rodent models of inflammatory and neuropathic pain. Pain. 2010;151(2):337–44. Studies on these types of cannabinoid medications are significant because they may provide alternate routes of analgesia while avoiding the psychoactive effects of medical cannabis that normally hinder their use. CrossRefPubMed Yu XH, Co CQ, Martino G, et al. A peripherally restricted cannabinoid receptor agonist produces robust anti-nociceptive effects in rodent models of inflammatory and neuropathic pain. Pain. 2010;151(2):337–44. Studies on these types of cannabinoid medications are significant because they may provide alternate routes of analgesia while avoiding the psychoactive effects of medical cannabis that normally hinder their use. CrossRefPubMed
70.
Zurück zum Zitat Izzo AA, Borrelli F, Capasso R, Di Marzo V, Mechoulam R. Nonpsychotropic plant cannabinoids: new therapeutic opportunities from an ancient herb. Trends Pharmacol Sci. 2009;30(10):515–27.CrossRefPubMed Izzo AA, Borrelli F, Capasso R, Di Marzo V, Mechoulam R. Nonpsychotropic plant cannabinoids: new therapeutic opportunities from an ancient herb. Trends Pharmacol Sci. 2009;30(10):515–27.CrossRefPubMed
71.•
Zurück zum Zitat Clapper JR, Moreno-Sanz G, Russo R, et al. Anandamide suppresses pain initiation through a peripheral endocannabinoid mechanism. Nat Neurosci. 2010;13:1265–70. Studies on these types of cannabinoid medications are significant because they may provide alternate routes of analgesia while avoiding the psychoactive effects of medical cannabis that normally hinder their use. PubMedCentralCrossRefPubMed Clapper JR, Moreno-Sanz G, Russo R, et al. Anandamide suppresses pain initiation through a peripheral endocannabinoid mechanism. Nat Neurosci. 2010;13:1265–70. Studies on these types of cannabinoid medications are significant because they may provide alternate routes of analgesia while avoiding the psychoactive effects of medical cannabis that normally hinder their use. PubMedCentralCrossRefPubMed
72.
Zurück zum Zitat Wood GW, Bache F. The dispensatory of the United States of America 6th edn. Philadelphia: Grigg and Elliot; 1845: 1238. Wood GW, Bache F. The dispensatory of the United States of America 6th edn. Philadelphia: Grigg and Elliot; 1845: 1238.
73.
Zurück zum Zitat Moffitt TE, Meier MH, Caspi A, Poulton R. Reply to Rogeberg and Daly: no evidence that socioeconomic status or personality differences confound the association between cannabis use and IQ decline. Proc Nat Acad Sci USA. 2013;110.11:E980-982. Web. 28 July 2015. http://www.pnas.org/content/110/11/E980.full. Moffitt TE, Meier MH, Caspi A, Poulton R. Reply to Rogeberg and Daly: no evidence that socioeconomic status or personality differences confound the association between cannabis use and IQ decline. Proc Nat Acad Sci USA. 2013;110.11:E980-982. Web. 28 July 2015. http://​www.​pnas.​org/​content/​110/​11/​E980.​full.
75.
Zurück zum Zitat Aldington S, et al. Effects of cannabis on pulmonary structure, function and symptoms. Thorax. 2007;62.12:1058–063. PubMed. Web. 30 July 2015. Aldington S, et al. Effects of cannabis on pulmonary structure, function and symptoms. Thorax. 2007;62.12:1058–063. PubMed. Web. 30 July 2015.
76.
Zurück zum Zitat Tashkin DP, Baldwin GC, Sarafian T, Dubinett S, Roth MD. Respiratory and immunologic consequences of marijuana smoking. J Clin Pharmacol. 2002;42(11 Suppl):71S-81S. Tashkin DP, Baldwin GC, Sarafian T, Dubinett S, Roth MD. Respiratory and immunologic consequences of marijuana smoking. J Clin Pharmacol. 2002;42(11 Suppl):71S-81S.
77.
Zurück zum Zitat Tetrault JM, Crothers K, Moore BA, Mehra R, Concato J, Fiellin DA. Effects of marijuana smoking on pulmonary function and respiratory complications: a systematic review. Arch Intern Med. 2007;167(3):221–8. Tetrault JM, Crothers K, Moore BA, Mehra R, Concato J, Fiellin DA. Effects of marijuana smoking on pulmonary function and respiratory complications: a systematic review. Arch Intern Med. 2007;167(3):221–8.
78.
Zurück zum Zitat Gordon AJ, Conley JW, Gordon JM. Medical consequences of marijuana use: a review of current literature. Curr Psychiatry Rep. 2013;15:419.CrossRefPubMed Gordon AJ, Conley JW, Gordon JM. Medical consequences of marijuana use: a review of current literature. Curr Psychiatry Rep. 2013;15:419.CrossRefPubMed
79.•
Zurück zum Zitat Hall W, Degenhardt L. The adverse health effects of chronic cannabis use. Drug Test Anal. 2014;6:39–45. Relevant to the evidence for chronic cannabis use. Important to note that there are still a large amount of research to be completed before actually accepting some of worrisome chronic effects. CrossRefPubMed Hall W, Degenhardt L. The adverse health effects of chronic cannabis use. Drug Test Anal. 2014;6:39–45. Relevant to the evidence for chronic cannabis use. Important to note that there are still a large amount of research to be completed before actually accepting some of worrisome chronic effects. CrossRefPubMed
80.
Zurück zum Zitat Hancoz RJ, Poulton R, Ely M, Welch D, Taylor DR, McLachian CR, et al. Effects of cannabis on lung function: a population-based cohort study. Eur Respir J. 2010;35:42–7.CrossRef Hancoz RJ, Poulton R, Ely M, Welch D, Taylor DR, McLachian CR, et al. Effects of cannabis on lung function: a population-based cohort study. Eur Respir J. 2010;35:42–7.CrossRef
82.
Zurück zum Zitat Hashibe M, Straif K, Tashkin DP, Morgenstern H, Greenland S, Zhang ZF. Epidemiologic review of marijuana use and cancer risk. Alcohol. 2005;35(3):265–75.CrossRefPubMed Hashibe M, Straif K, Tashkin DP, Morgenstern H, Greenland S, Zhang ZF. Epidemiologic review of marijuana use and cancer risk. Alcohol. 2005;35(3):265–75.CrossRefPubMed
Metadaten
Titel
Medical Marijuana and Chronic Pain: a Review of Basic Science and Clinical Evidence
verfasst von
Bjorn Jensen
Jeffrey Chen
Tim Furnish
Mark Wallace
Publikationsdatum
01.10.2015
Verlag
Springer US
Erschienen in
Current Pain and Headache Reports / Ausgabe 10/2015
Print ISSN: 1531-3433
Elektronische ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-015-0524-x

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