AAN calls oral cannabinoids effective for MS pain, spasticity

“An expert panel organized by the American Academy of Neurology called oral cannabis extract the only complementary and alternative medicine unequivocally effective for helping patients with multiple sclerosis, specifically easing their pain and symptoms of spasticity, medicine possibly for as long as 1 year of treatment.”

http://www.clinicalpsychiatrynews.com/cme/click-for-credit-articles/single-article/aan-calls-oral-cannabinoids-effective-for-ms-pain-spasticity/6ca42663d197581d76107390a304ec4d.html

Study: Marijuana only alternative therapy showing promise for MS patients

MarijuanaGrow-Medicinal

“Researchers said medical marijuana seems to be the only “alternative therapy” showing promise for helping those with multiple sclerosis.

Officials at Oregon Health and Science University said research shows therapies like massage and acupuncture aren’t as effective as medical marijuana.”

http://kfor.com/2014/03/24/study-marijuana-only-alternative-therapy-showing-promise-for-ms-patients-massage-acupuncture-dont/

Neurologists Say Medical Marijuana Effective in Treating MS

Image courtesy of GW Pharmaceuticals

“The American Academy of Neurology has become one of the first medical organizations in the U.S. to endorse the use of medical marijuana.

In new guidelines published in the journal Neurology, the Academy said oral cannabis, medical marijuana pills and medical marijuana spray may help ease symptoms of muscle spasticity and frequent urination caused by multiple sclerosis (MS).”

http://americannewsreport.com/nationalpainreport/neurologists-say-medical-marijuana-effective-treating-ms-8823383.html

Smoked Cannabis Reduces Some Symptoms of Multiple Sclerosis

“Controlled trial shows improved spasticity, reduced pain after smoking medical marijuana

A clinical study of 30 adult patients with multiple sclerosis (MS) at the University of California, San Diego School of Medicine has shown that smoked cannabis may be an effective treatment for spasticity – a common and disabling symptom of this neurological disease.”

http://health.ucsd.edu/news/releases/Pages/2012-05-14-smoked-cannabis-reduces-symptoms-of-multiple-sclerosis.aspx

Medical marijuana

“Medical marijuana eases some MS symptoms, neurologists report” http://www.latimes.com/science/sciencenow/la-sci-sn-treating-ms-with-cannabis-20140324,0,2596095.story

Medical Marijuana Pills May Ease Some MS Symptoms: Review

Medical Marijuana Pills May Ease Some MS Symptoms: Review

“Medical marijuana pills and sprays might ease the symptoms of multiple sclerosis, but most other alternative therapies do little to lessen the pain and muscle rigidity that often accompanies the disease, according to new guidelines.

To reach that conclusion, an expert panel from the American Academy of Neurology reviewed more than 40 years of research on alternative medicine treatments for multiple sclerosis (MS)…

The guidelines are published in the March 25 issue of the journal Neurology.”

http://consumer.healthday.com/public-health-information-30/marijuana-news-759/guideline-medical-marijuana-may-ease-some-ms-symptoms-686096.html#.UzDKXsAnP9M.twitter

“Marijuana May Ease Some Symptoms of MS, New Guidelines Find. Medical marijuana pills or an oral spray made from cannabis may help ease some of the painful spasms caused by multiple sclerosis that make day-to-day life hard for patients, according to new guidelines from the American Academy of Neurology.” http://www.nbcnews.com/health/health-news/marijuana-may-ease-some-symptoms-ms-new-guidelines-find-n60626


Nabiximols (THC/CBD Oromucosal Spray, Sativex®) in Clinical Practice – Results of a Multicenter, Non-Interventional Study (MOVE 2) in Patients with Multiple Sclerosis Spasticity.

“Nabiximols (Sativex®), a cannabinoid-based oromucosal spray, is an add-on therapy for patients with moderate to severe multiple sclerosis spasticity (MSS) resistant to other medications. The primary objective was to provide real-life observational data of clinical experience of nabiximols in contrast to formal clinical trials of effectiveness…

Conclusion: Real-life data confirm nabiximols as an effective and well-tolerated treatment option for resistant MSS in clinical practice.”

http://www.ncbi.nlm.nih.gov/pubmed/24525548

Cannabinoid system and neuroinflammation: implications for multiple sclerosis.

“There is a growing amount of evidence suggesting that cannabinoids may be neuroprotective in central nervous system inflammatory conditions.

Advances in the understanding of the physiology and pharmacology of the cannabinoid system have potentiated the interest in cannabinoids as potential therapeutic targets.

…The effects of cannabinoids on cytokine brain work and on the regulation of neuroinflammatory processes may affect chronic inflammatory demyelinating diseases such as multiple sclerosis.”

http://www.ncbi.nlm.nih.gov/pubmed/18073512

Who Benefits Most from THC:CBD Spray? Learning from Clinical Experience.

“In this article, real-life data from clinical practice showing specific aspects relating to use of 9-delta-tetrahydocannabinol and cannabidiol (THC:CBD) oromucosal spray (Sativex®) in patients with moderate to severe spasticity resistant to usual therapy will be presented…

These case reports highlight the diverse nature of the MS spasticity population and they show the possible usefulness of THC:CBD oromucosal spray in individual patients with moderate to severe spasticity resistant to existing therapies…

Perhaps the most important finding is the possibility of obtaining relevant improvements in QoL/ADL (quality of life/activities of daily living) in some patients with resistant MS spasticity, allowing them to engage back in physical and social activities.”

http://www.ncbi.nlm.nih.gov/pubmed/24457847

THC:CBD Spray and MS Spasticity Symptoms: Data from Latest Studies.

“New clinical experience with 9-delta-tetrahydocannabinol (THC) and cannabidiol (CBD) oromucosal spray (Sativex®)…

A randomized, placebo controlled long-term follow-up clinical trial with THC:CBD spray versus placebo demonstrated that it was not associated with cognitive decline, depression or significant mood changes…

THC:CBD oromucosal spray did not adversely influence standard driving ability in patients with moderate to severe MS spasticity…

Findings to date reinforce the efficacy and safety observed in Phase III clinical trials…

Importantly, no additional safety concerns were identified…

Thus, these new data support a positive benefit-risk relationship for THC:CBD oromucosal spray during longer-term use.”

http://www.ncbi.nlm.nih.gov/pubmed/24457846

Pre- and postsynaptic type-1 cannabinoid receptors control the alterations of glutamate transmission in experimental autoimmune encephalomyelitis.

“Type-1 cannabinoid receptors (CB1R) are important regulators of the neurodegenerative damage in multiple sclerosis (MS) and in experimental autoimmune encephalomyelitis (EAE). In GABAergic striatal neurons, CB1R stimulation exerts protective effects by limiting inflammation…

Our results provide further evidence that CB1R are involved in EAE pathophysiology, and suggest that both pre- and postsynaptic alterations of glutamate transmission are important to drive excitotoxic neurodegeneration typical of this disorder.”

http://www.ncbi.nlm.nih.gov/pubmed/24440366