Wednesday, January 2, 2013

From the Mayo Clinic: Cannabis/Marijuana

Marijuana (Cannabis sativa)

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Evidence

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Chronic pain
Cannabinoids have been reported to reduce chronic pain associated with a variety of conditions. Cannabinoids have also been used in patients for whom other pain relief medications are not working. The active components in cannabis exert their effects on the central nervous system and immune cells. Cannabis is approved in some European countries and Canada. In the United States, it is an investigational drug for pain relief in cancer patients.
A
Multiple sclerosis (symptoms)
Research suggests that cannabinoids may improve some symptoms associated with multiple sclerosis (MS), specifically neuropathic pain, muscle spasms, and urinary symptoms.
A
Eczema
Early studies suggest that taking hemp seed oil by mouth may reduce symptoms of eczema, a skin rash also referred to as atopic dermatitis. Additional research is needed before a conclusion can be made.
C
Epilepsy
Early research suggests that epileptic patients may experience fewer seizures when taking cannabidiol (CBD) together with antiseizure medication. Further studies are required before a conclusion can be made.
C
Glaucoma (high fluid pressure inside the eye)
Glaucoma can result in optic nerve damage and blindness. Limited evidence suggests that tetrahydrocannabinol (THC) taken under the tongue may reduce eye pressure. Additional research is needed before a conclusion can be made.
C
Huntington's disease
Huntington's disease is a degenerative nerve disorder associated with uncoordinated, jerky body movements and mental deterioration. Early studies suggest that cannabidiol (CBD) may not aid in reducing the severity of uncoordinated body movements associated with Huntington's disease. Further studies are needed before a firm conclusion can be made.
C
Insomnia
Limited research suggests that cannabidiol may improve sleep quality in those with insomnia (difficulty getting to sleep or staying asleep). More research is needed before a conclusion can be made.
C
Appetite/weight loss in cancer patients
Clinical studies have shown no effect of cannabis-based therapies in the treatment of weight loss associated with cancer. Further studies are necessary before a conclusion can be made.
D
Schizophrenia
In limited research, no effect of cannabidiol (CBD) was seen on symptoms of schizophrenia in patients for whom other treatments were not working. Additional research is needed before a conclusion can be made.
D

Key to grades
A Strong scientific evidence for this use
B Good scientific evidence for this use
C Unclear scientific evidence for this use
D Fair scientific evidence against this use (it may not work)
F Strong scientific evidence against this use (it likely does not work)

 

Uses based on tradition or theory

The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Acne, addiction, allergies, Alzheimer's disease, angina (chest pain), angioedema (swelling under the skin), arthritis, antiaging, antidepressant, anti-inflammatory, antioxidant, anxiety prevention, appetite stimulant, asthma, attention-deficit hyperactivity disorder (ADHD), autoimmune diseases, bipolar disorder (mental disorder), blood thinner, bronchodilation (widens airways and eases breathing), burns, cancer, candidiasis (yeast infection), circulation improvement, constipation, cough, detoxification (removal of toxins), diabetes, digestive aid, diuretic (improves urine flow), dystonia (muscle disorder), energy metabolism, fatigue, gastric acid secretion stimulation (increases stomach acid), general health maintenance, genitourinary tract disorders (disorders of the reproductive and urinary systems), hair growth promoter, heart disease, high blood pressure, hormone regulation, immune suppression, increased muscle mass, increasing breast milk, inflammatory bowel disease (Crohn's disease and ulcerative colitis), intermittent claudication (pain in arms or legs due to inadequate oxygen), interstitial cystitis (bladder disorder), irregular heartbeat, leukemia (cancer of blood cells), lipid lowering (cholesterol and triglycerides), liver protection, lymph flow enhancement, menopausal symptoms, migraine, muscle relaxation, nausea and vomiting, nerve disorders, neural tube defects (birth defects), osteoporosis (bone loss), painful menstruation, pregnancy and labor, psychosis, rheumatism (joint disease), sedative, sexual performance, skin conditions, spinal cord injury, stomach spasms, stroke, tendonitis, uterine stimulant, varicose veins, vitamin C deficiency, weight gain (patients with HIV or cancer), wound healing.

 

Dosing

The below doses are based on scientific research, publications, traditional use, or expert opinion. Many herbs and supplements have not been thoroughly tested, and safety and effectiveness may not be proven. Brands may be made differently, with variable ingredients, even within the same brand. The below doses may not apply to all products. You should read product labels, and discuss doses with a qualified healthcare provider before starting therapy.

Adults (18 years and older)

For nausea and vomiting, five milligrams/m 2 of body mass of dronabinol (Marinol®) has been taken by mouth before and after chemotherapy, for a total of 4-6 doses daily.

For weight loss and malnutrition associated with cancer, 2.5 milligrams of tetrahydrocannabinol (THC) with or without one milligram of cannabidiol has been taken by mouth for six weeks.

For eczema, hemp seed oil has been taken by mouth for 20 weeks.

For chronic pain, 2.5-120 milligrams of cannabis has been taken by mouth in divided doses.

For epilepsy, 200-300 milligrams of cannabidiol (CBD) has been taken by mouth daily for up to 4.5 months.

For insomnia, 160 milligrams of cannabidiol (CBD) has been taken by mouth.

For symptoms of multiple sclerosis, 2.5-10 milligrams of dronabinol (Marinol®) has been taken by mouth daily for three weeks. Capsules containing 15-30 milligrams of cannabis extract has been taken by mouth for 14 days. Two and one-half milligrams of tetrahydrocannabinol (THC), together with 0.9 milligrams of cannabidiol (CBD), has been taken by mouth. Cannabinoid-based Sativex® mouth spray has been used at a dose of 2.5-120 milligrams in divided doses. Eight sprays in three hours and up to 48 sprays in 24 hours have been used.

For schizophrenia, 40-1,280 milligrams of cannabidiol (CBD) has been taken by mouth daily for up to four weeks.

For glaucoma (high fluid pressure in the eye), single doses of five milligrams of tetrahydrocannabinol (THC) or 40 milligrams of cannabidiol (CBD) placed under the tongue have been used.

Children (under 18 years old)

There is no proven safe or effective dose for cannabis or cannabis-containing products in children.

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