Cannabis for vismodegib-related muscle cramps in a patient with advanced basal cell carcinoma

“Vismodegib is a hedgehog inhibitor drug indicated for metastatic or locally advanced basal cell carcinoma (BCC) that is not fit for surgery or radiation therapy. One of the most common side effects of vismodegib is muscle cramps which can cause a decrease in quality of life (QoL) and treatment discontinuation. Cannabis is known to improve spasticity (including muscle cramps) in multiple sclerosis patients.” http://www.jpsmjournal.com/article/S0885-3924(18)30070-8/fulltext

“Medical marijuana for the treatment of vismodegib-related muscle spasm. We report a case of vismodegib-related muscle spasm that was successfully treated with medical marijuana (MM).” http://www.jaadcasereports.org/article/S2352-5126(17)30124-8/fulltext

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Cannabinoids prevent depressive-like symptoms and alterations in BDNF expression in a rat model of PTSD.

 Cover image “Posttraumatic stress disorder (PTSD) is a debilitating condition highly comorbid with depression. The endocannabinoid (eCB) system and brain-derived neurotrophic factor (BDNF) are suggestively involved in both disorders. We examined whether cannabinoids can prevent the long-term depressive-like symptoms induced by exposure to the shock and situational reminders (SRs) model of PTSD. The CB1/2 receptor agonist WIN55,212-2 (0.5 mg/kg; i.p.), the fatty acid hydrolase (FAAH) inhibitor URB597 (0.3 mg/kg, i.p.) or vehicle were administered 2 h after severe shock. Cannabinoids prevented the shock/SRs-induced alterations in social recognition memory, locomotion, passive coping, anxiety-like behavior, anhedonia, fear retrieval, fear extinction and startle response as well as the decrease in BDNF levels in the hippocampus and prefrontal cortex (PFC). Furthermore, significant correlations were found between depressive-like behaviors and BDNF levels in the brain. The findings suggest that cannabinoids may prevent both depressive- and PTSD-like symptoms following exposure to severe stress and that alterations in BDNF levels in the brains’ fear circuit are involved in these effects.” https://www.ncbi.nlm.nih.gov/pubmed/29458190 https://www.sciencedirect.com/science/article/pii/S027858461731000X
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