Cost effectiveness of oromucosal cannabis-based medicine (sativex®) for spasticity in multiple sclerosis.

“Spasticity is common in patients with multiple sclerosis (MS) and is a major contributor to disability. Sativex®, an oromucosal spray containing cannabis-based medicinal products, has been found to be effective in reducing spasticity symptoms.

Our objective was to estimate the cost effectiveness of Sativex® plus oral anti-spasticity medicines compared with the current standard treatment for moderate or severe spasticity in MS in the UK.

CONCLUSIONS:

Using a willingness-to-pay threshold of £30 000 per QALY, Sativex® appears unlikely to be considered cost effective by UK funders of healthcare for spasticity in MS. This is unfortunate, since it appears that Sativex® use is likely to benefit some patients in the management of this common consequence of MS.”

http://www.ncbi.nlm.nih.gov/pubmed/23072659

Beneficial effect of the non-psychotropic plant cannabinoid cannabigerol on experimental inflammatory bowel disease.

“Inflammatory bowel disease (IBD) is an incurable disease which affects millions of people in industrialised countries. Anecdotal and scientific evidence suggest that Cannabis use may have a positive impact in IBD patients.

 Here, we investigated the effect of cannabigerol (CBG), a non-psychotropic Cannabis-derived cannabinoid, in a murine model of colitis…

  In conclusion, CBG attenuated murine colitis, reduced nitric oxide production in macrophages (effect being modulated by the CB(2) receptor) and reduced ROS formation in intestinal epithelial cells.

CBG could be considered for clinical experimentation in IBD patients.”

http://www.ncbi.nlm.nih.gov/pubmed/23415610

Medical cannabis relieves sufferers of chronic ailments

“Treatment can improve appetite, ease chronic pain, and more, say TAU researchers. Though controversial, medical cannabis has been gaining ground as a valid therapy, offering relief to suffers of diseases such as cancer, Post-Traumatic Stress Disorder, ALS and more. The substance is known to soothe severe pain, increase the appetite, and ease insomnia where other common medications fail.”

More: http://www.virtualmedicalcentre.com/news/medical-cannabis-relieves-sufferers-of-chronic-ailments/18330

Cannabis could provide relief for Parkinson’s pain

Woman smokes a marijuana cigarette [illustrative]

“As many as eight out of every 10 of those with Parkinson’s disease suffer from inexplicable pains that until now have been left untreated because they were thought to be an inevitable part of the progressive and eventually fatal neurological disease. Parkinson’s, a brain disorder that leads to tremors and difficulty with walking, coordination and movement, usually develops after age 50 and is one of the most common nervous system disorders of the elderly.But new research at the Rabin Medical Center- Beilinson Campus has found that genetic factors explain such Parkinson’s pain, and that the new understanding will make unique treatments possible. Eight genes known to be involved in pain were examined in 237 Parkinson’s patients, according to a research paper published recently in the European Journal of Pain, and the observed variations were connected to functions of cannabis-like substances (cannabinoids) in the brain.

Research project head Prof. Ruth Djaldetti, a senior physician in the neurology department and head of the movement disorders clinic, said that the results support the treatment of Parkinson’s patients with medical marijuana.

Djaldetti encourages more research into the use of cannabis for pain relief.

There are some 20,000 people with Parkinson’s in Israel, and about 50 percent to 80% of them suffer from this previously unexplained and untreated pain. Djaldetti expects that in the future, gene mapping will make it possible to suit personalized medication to these patients.”

 

Cannabis and Δ(9)-tetrahydrocannabinol (THC) for weight loss?

“Obesity is one of the highest preventable causes of morbidity and mortality in the developed world. It has been well known for a long time that exposure to cannabis produces an increase of appetite (a phenomenon referred to as the ‘munchies’).

This phenomenon led to an exploration of the role of the endocannabinoid system in the regulation of obesity and associated metabolic syndrome. This effort subsequently led to the development of a successful therapeutic approach for obesity that consisted of blocking the cannabinoid CB(1) receptors using ligands such as Rimonabant in order to produce weight loss and improve metabolic profile. Despite being efficacious, Rimonabant was associated with increased rates of depression and anxiety and therefore removed from the market.

We recently discovered that the prevalence of obesity is paradoxically much lower in cannabis users as compared to non-users and that this difference is not accounted for by tobacco smoking status and is still present after adjusting for variables such as sex and age.

 Here, we propose that this effect is directly related to exposure to the Δ(9)-tetrahydrocannabinol (THC) present in cannabis smoke. We therefore propose the seemingly paradoxical hypothesis that THC or a THC/cannabidiol combination drug may produce weight loss and may be a useful therapeutic for the treatment of obesity and its complications.”

http://www.ncbi.nlm.nih.gov/pubmed/23410498

Cannabis compound can help cells

“Cannabis has been used recreationally and for medicinal purposes for centuries, yet its 60 plus active components are only partly understood. Now scientists have discovered how a compound in cannabis can help cells to function in our bodies, and aid recovery after a damaging event.

In a paper published in the Journal of Neuroscience, the researchers report on their studies into cannabidiol – a naturally occurring molecule found in cannabis.

Also known as CBD, it is not the constituent that gives the high – that compound is called tetrahydrocannabinol or THC – and so may be more acceptable as a drug treatment.

Both compounds are currently used in a pharmaceutical medicine to help patients relieve pain and other symptoms of Multiple Sclerosis.

Now researchers have discovered how CBD actually works within brain cells.

By interacting with mitochondria – which are the power generators of all cells – it can help maintain normal levels of calcium allowing cells to function properly and providing a greater resistance to damage.

Disturbance of calcium levels has long been associated with a number of brain disorders. So the finding could have implications for the development of new treatments for disorders related to malfunctioning mitochondria.

Dr Bettina Platt, from the University’s School of Medical Sciences, said: “Scientists have known for a long time that cannabidiol can help with pain relief but we never really knew how it worked.

“However we have discovered what it actually does at the cellular level.

“We are hoping that our findings can instruct the development of cannabidiol based treatments for disorders related to mitochondrial dysfunction such as Parkinson’s disease or Huntington’s disease.”

More: http://phys.org/news154280470.html

Form of medical marijuana won’t get you high, but it’s creating a buzz

“The one-armed man loitered in the waiting room for much of the morning, flipping through magazines with impressive dexterity, quietly waiting for word that the doctor would see him. Now.

William Courtney, MD, offered the chair to the right of the desk, the one occupied during regular office hours by a steady stream of patients seeking a doctor’s recommendation for marijuana. In California, such a recommendation means an adult may grow, buy and smoke marijuana, all while remaining safely within the confines of state law.

The singular peculiarity of Courtney’s “pot doc” practice here in Northern California is what he recommends: Don’t smoke the stuff, he tells patients. Eat it.”

Read more: http://www.washingtonpost.com/wp-dyn/content/article/2010/05/31/AR2010053103231.html

Juicing Raw Cannabis for Greater Health

“If you find yourself in the doctors chair at the office of Dr. William Courtney, Willits, California you will be advised; we shouldn’t be smoking our marijuana, we should be eating it!  After I read the story in the Washington Post, “Form of medical marijuana won’t get you high but is creating quite a buzz” written by Karl Vick,  I decided to look into it more.

CBD (Cannabidiol), one of the main constituents of the cannabis plant has been proven medically to relieve convulsion, inflammation, anxiety and nausea, as well as inhibit cancer cell growth.  Recent studies have shown it to be an effective atypical anti-psychotic in treating schizophrenia.  CBD also interferes with the amount of THC your brain processes, balancing the psychotropic effect of marijuana.”

Read more: http://berkeleypatientscare.com/2010/09/18/juicing-raw-cannabis-for-greater-health/

Juicing Cannabis: The Potential Health Benefits of Treating Cannabis Like a Vegetable

“The Health Benefits of Juicing Cannabis.

Pressed vegetable juices are all the rage in America right now, so it’s no surprise that someone would eventually look into the benefits of juicing cannabis as well. In fact, some people have even suggested that cannabis should be considered and classified as a vegetable.

Vegetables are usually an herbaceous plant grown for an edible part, usually eaten as part of a meal. This typically refers to the leaf, stem, flower, or root of a plant. In 1967, the meaning of “vegetable,” was specified to mean, “Plant cultivated for food, edible herb or root.” Some vegetables may be eaten raw, and others must be cooked in order to be edible. When certain fruits and vegetables are heated, they lose tons of beneficial enzymes and nutrients. Cannabis is no different.

Cannabis preparation techniques are based on what benefits you seek from the plant. By juicing the cannabis, you receive most of the medical benefits of the plant without the, “high”. Cannabis in its raw form is not psychoactive in any way. In fact the psychoactive effects of cannabis is purely a human aspect of the plant that, “has nothing to do with the 34 million years of evolution the plant has,” according to Dr. William L. Courtney. Courtney is a dietary raw cannabis specialist, and a strong believer in the plants healing powers.”

Read more: http://www.medicaljane.com/cannabis-the-foundation-of-health/

Israeli Study Finds Patients with Chronic Disease Benefit from Marijuana

“A new study out of Israel looks to change that. Led by Zach Klein, a specialist in medical marijuana policy and the director of the documentary Prescribed Grass, researchers at Tel Aviv University tested medical marijuana on 19 nursing home residents. Patients were treated with cannabis in the form of powder, oil, vapor, or smoke three times daily over the course of a year.

 Seventeen of the 19 patients regained lost weight, and symptoms of pain, stiffness, tremors, insomnia, and PTSD decreased drastically. Their moods and communication skills also improved, and they had fewer nightmares and flashbacks, according to Klein.

“After I found this, everything has been better,” Moshe Rute, a Holocaust survivor stricken by nightmares and the effects of a stroke told the Times of Israel. “I’m still a Holocaust child, but I’m finally able to better cope.”

The 80-year-old Hadarim resident is one of 11,000 Israelis with permits from the government to use marijuana for medical purposes, a number that is growing rapidly.

“This is just the tip of the iceberg. It’s the future,” Klein said to the Times. “This is God’s doing, and it’s marvelous in our eyes.”

Perhaps as important as the improvement in pain management and quality of life was marijuana’s ability to replace some of the medication taken by the patients. By the end of the study, 72 percent were able to reduce the number of drugs they were taking daily. This includes medication for Parkinson’s disease, pain relievers, antipsychotics, and mood stabilizers, many of which can have debilitating and severe side effects.

“We know how to extend life, but sometimes it’s not pleasant and can cause a great deal of suffering, so we’re looking to alleviate this, to add quality to longevity,” head nurse Inbal Sikorin told the Times. “Cannabis meets this need. Almost all our patients are eating again, and their moods have improved tremendously.”

The country that discovered tetrahydrocannabinol (THC) the psychoactive ingredient in cannabis, in the 1960’s doesn’t have the stigma attached to marijuana that the United States does, as even senior rabbis have no qualms with its use or spread.

Klein is working on a new study at Israel’s Reuth Medical Center, in which he hopes to establish a connection between medical cannabis and improved swallowing. One of the biggest concerns with chronically ill patients is food intake, and Klein believes that cannabis, which can stimulate regions of the brain associated with swallowing reflexes, will have a positive impact.”

http://americannewsreport.com/nationalpainreport/israeli-study-finds-patients-with-chronic-disease-benefit-from-marijuana-8818444.html