Τίτλος – Title
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The Use of Cannabis and Cannabinoids for Medical Purposes |
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Συγγραφέας – Author
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Sidiropoulou K.1, Mamalis S.1, Passos ID.2, Pliakou E.3, Mironidou- Tzouveleki M.1 1A’ Laboratory of Pharmacology, Faculty of Medicine, School of Health Sciences, Aristo- tle University of Thessaloniki, Greece. 3MD, MSc, PhD Candidate, B’ Laboratory of Pharmacology, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, Greece. |
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Παραπομπή – Citation
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Sidiropoulou K., Mamalis S., Passos ID., Pliakou E., Mironidou- Tzouveleki M. The Use of Cannabis and Cannabinoids for Medical Purposes. Review Clin. Pharmacol. Pharmacokinet. 2017, 31, 2, 120-129 |
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Ημερομηνία Δημοσιευσης – Publication Date
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2017
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Γλώσσα Πλήρους Κειμένου –
Full Text Language |
Αγγλικά – English |
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Λέξεις κλειδιά – Keywords
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Cannabinoids, cancer, CINV, Δ9-tetrahydrocannabinole (THC), cachexia, glaucoma |
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Λοιποί Όροι – Other Terms
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Study |
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Περίληψη – Summary
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The use of cannabis for its medicinal properties has been presented for centuries and has been increasing in recent years. Cannabinoids are the primary active components of cannabis and they can be divided into two groups: the ‘natural’ cannabinoids, such as Δ9-tetrahydrocannabinole (THC) and cannabidiol and the ‘synthetic’ cannabinoids, such as dronabinol, nabilone and nabiximols. The aim of this study is to review the existing literature regarding the medical uses of cannabis and canna- binoids on a clinical level, as well as on a preclinical research level. Cannabinoids are more effective for the relief of nausea and vomiting than other medications like phenothiazines and antihistaminic drugs, as well as for certain types of chronic pain and weight loss in pa- tients with acquired immune deficiency syndrome (AIDS). Cannabinoids have also been studied for their anticancer effects, some of which are inhibition of tumor angiogenesis, decrease of cancer cell migration and temporary relief of symptoms. Nevertheless, no firm conclusions are yet possible, due to the small number of clinical trials in humans. Currently, the use of nabiximols for the treatment of pain and spasticity in multiple sclerosis is being researched in clinical trials. |
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Αναφορές – References |
1. Aggarwal SK., Carter GT., Sullivan MD., ZumBrunnen C., Morrill R., Mayer JD Medicinal use of cannabis in the United States: historical perspectives, current trends, and future directions. J Opioid Manag. 5:153-168 (2009) 2. Goldman P. Herbal medicines today and the roots of modern pharmacology. Ann. Intern. Med. 135:594–600 (2001) 4. Kalant OJ. Report of the Indian Hemp Drugs Commis- sion, 1893–94: A critical review. Int J Addict. 7:77–96 (1972) 6. Kramer J. Medical Marijuana for Cancer. CA Cancer J Clin. 65:109-122 (2015) 8. Mechoulam R.,Parker L.A.,andGallilyR. Cannabidiol:anoverview of some pharmacological aspects. J.Clin.Pharmacol. 42:11–19 (2002) 10. Brenneisen R. Chemistry and analysis of phytocannabinoids and other cannabis constituents. In: Elsohly M, ed. Marijuana and the Cannabinoids. Totowa, NJ:Human Press, pp 17-51(2007) 17. Grotenhermen F. Pharmacokinetics and pharmacody- namics of cannabinoids. Clin Pharmacokinet. 42: 327–360 (2003) 18. Campos AC., Moreira FA., Gomes FV., Del Bel EA., Guimarães FS. Multiple mechanisms involved in the large- spectrum therapeutic potential of cannabidiol in psychiatric disorders. Philos Trans R Soc Lond B Biol Sci. 367:3364– 3378 (2012) 19. Kathmann M., Flau K., Redmer A., Tränkle C., Schlicker E. Cannabidiol is an allosteric modulator at mu- and delta- opioid receptors. Naunyn Schmiedebergs Arch Pharmacol .372:354-361 (2006) 20. Tsang CC., Giudice MG. Nabilone for the Management of Pain. Pharmacotherapy. 36:273-286 (2016) 22. Meda Pharmaceuticals Inc. Cesamet [package insert]. Somerset, NJ: Meda Pharmaceuticals Inc; 2011. cesamet.com/ pdf/Cesamet_PI_50_count.pdf. Accessed May 14 2014 23. Verrotti A., Castagnino M., Maccarrone M., Fezza F. Plant-Derived and Endogenous Cannabinoids in Epilepsy. Clin Drug Investig. 36:331-340 (2016) 35. Green K. Marijuana effects on intraocular pres- sure. Drance SM. Neufeld AH eds.Glaucoma Applied Pharmacology in Medical Treatment New York. NY Grune & Stratton Inc, pp 507-526 (1984) 36. Merritt JC., Crawford WJ., Alexander PC., Anduze AL., Gelbart SS. Effect of marihuana on intraocular and blood pressure in glaucoma. Ophthalmology. 87:222- 228(1980) 42. Gorter RW. Cancer cachexia and cannabinoids. Forsch Komplementarmed. 6 Suppl 3:21-22 (1999) 45. Beal JE., Olson R., Laubenstein L., Morales JO., Bellman P., Yangco B., Lefkowitz L., Plasse TF., Shepard KV. Dronabinol as a treatment for anorexia associated with weight loss in patients with AIDS. J Pain Symptom Manage. 10:89-97 (1995) |
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Σχετικές Εργασίες – Relative Papers
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Online ISSN 1011-6583