Tag Archives: treatment

Cannabis and Autism: Patient Study

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“This morning a mother by the name of Anne brought her 21 year old autistic son to my Irvine office to be evaluated for treatment with cannabis.   He suffers from sever autism; very agitated, violent, and is unable to speak at all.  He requires 24/7 supervised care which his parents assume.   Anne described never having any total relief from the stress of taking care of him.

Anne told me she had tried everything to limit her son’s agitation.   She routinely has to give him ativan (benzodiazepine) and he takes risperidone daily which is an anti-psychotic.

In my office he was extremely agitated, was continuously banging the desk, jumping up and down and a few times even tried to hit his mother.  I could see the desperation on her face as she said “we have tried everything and need your help.”

I went on to explain that although the lack of clinical trials with cannabis and autism that many parents have successfully used it to help their children.   Personally I think the benefits clearly outweigh the risks in treating his sever agitation.   Cannabis is an excellent sedative and tends to even out patients moods.  It seems to modify the extreme highs and lows of both depression and anxiety.

Our goal is for the patient to start with some tinctures or edibles as he is not able to vaporize.   If we can get him sleeping and calm throughout the day not only will be able to function better but Anne and her husband can get some rest and relief.  We often forget about the toll that autism can take on parents and siblings.

I am confident that this is the right direction for Anne and her son.

Stay tuned for updates on patient K and her mother Anne.

If you would like more information about cannabis and autism please feel free to contact my office at 877-721-0047 or visit my website at www.mcsocal.com

I look forward to speaking with you.

respectfully,

Dr. Sean Breen

Medical Director, Medical Cannabis of Southern California”

http://www.mcsocal.com/blog/cannabis-and-autism-patient-study

Cannabis Science And The Unconventional Foundation For Autism (UF4A) Partner To Advance Successful Cannabis-Based Autism Treatments

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  “Cannabis Science, Inc. (OTC Bulletin Board: CBIS), a pioneering US biotech company developing pharmaceutical cannabis products, is pleased to announce the partnership with The Unconventional Foundation for Autism (UF4A) to build on the Foundation’s success with its proprietary cannabinoid formulations for Autism treatment. The partnership will focus on advancing the medical cannabis treatments for Autism in conjunction with the successful cannabis treatments of Joey and 10 other families that are now being documented by The University of California Irvine Medical Center (UCI) for the Foundation.

These successful Autism treatments and pioneering efforts of Joey’s Mom, Mieko Hester Perez, can be fully reviewed here.

Mieko and the successful treatment of her son has garnered wide-spread media interest including television appearances and interviews with KABC 7 – Los Angeles & San Francisco, 20/20 ABC, Good Morning America, Fox Morning News, Fox News Rhode Island, CBS Early Show, KCAL 9 & CBS 2 Los Angeles, The Doctor’s TV Show, KABC 790 w/ Peter Tilden, Montel Williams, The Tom Joyner Show, The Kim Frasier Show w/ Dr. Lester Grinspoon, The Bill Press Show, NORML’s Podcast w/ Russ Belville, Thomasina Tafur radio show. Featured interviews: Autism Spectrum Magazine, Treating yourself Magazine, Huffington Post, Autism Spot, Celebstoner, disability scoop, Autism Support Network, Kush Magazine August 2010 Issue Cover, High Times Medical Marijuana Magazine Winter 2011 Issue, Treating yourself Magazine (Joey’s sibling interviewed Issue #23, Weed World UK Issue #89, Now Magazine UK Publications, Medical Cannabis Journal Issue, LA JEMM – Ethical Use of Medical Marijuana in the Treatment of Children with Autism, Orange County Register, California, The Revolution – Argentina publication. 2010 Recognized by the National Organization to Reform Marijauna Laws Woman’s Alliance as one of the woman making history in the medical marijuana movement.

Mieko Hester Perez, Founder and Executive Director of The Unconventional Foundation for Autism (UF4A) stated, “We believe that this new partnership with Cannabis Science will give us additional push and resources required to advance our Autism research. To date, we have already partnered with the University of California Irvine Medical Center to oversee our cannabis-based Autism research. Included in this group of advisors is the Dean of Medicine at UCI, and child psychiatrist Dr. Rebecca Hedrick M.D. Dr. Melamede of Cannabis Science will be an outstanding addition to the Board of the Foundation. His extensive knowledge of cannabinoid science should prove invaluable in our mission.”

As part of the new partnership, Dr. Robert Melamede, CEO of Cannabis Science, will be joining the board of UF4A as a scientific advisor. Dr. Melamede will work with UF4A to further assist in documenting the case studies and oversee the deployment of the Company’s proprietary cannabinoid treatments on Autism patients alongside UF4A and medical professionals. He will also work with UF4A’s legal advisors to progress the legalization of medical marijuana initiatives.

Dr. Robert Melamede Ph.D., Cannabis Science Inc., President & CEO, stated, “Cannabis Science’s partnership with UF4A is another instrumental step in reaching our long-term goal of FDA approval of the Company’s products. The successful results from the Autism patients treated as documented by UF4A are very encouraging and we’re excited to tap into UF4A’s proven track record; providing our scientific expertise to help develop more refined treatment plans with Cannabis Science’s formulations and extracts to achieve scientifically accepted patient outcomes. I’m also extremely excited to be working with the medical professionals at the University of California Irvine. This is a win-win for both our organizations in breaking new ground for medical cannabis treatments. Our partnership will enable both our Company and UF4A to expound upon studies and anecdotal evidence obtained by UF4A in order to catalogue verified case studies and solid science behind the treatment plans. This evidentiary step will help the UF4A and Cannabis Science partnership to move towards formal FDA testing to officially approve UF4A’s successful treatments of Autism using medical cannabinoid extracts and formulations under the direction of physicians. ”

UF4A Case Studies

Mieko Hester-Perez and her son “Joey” have inspired many additional parents with autistic children to step forward. Studies are underway with these children with oversight from Child & Adolescent Psychiatrist Dr. Rebecca M. Hedrick, M.D.

Dr. Hedrick is a child and adolescent emergency attending physician and covers the consult liaison service at UCI Medical. She runs a child and adolescent outpatient psychotherapy and medication management program. She also works with the Regional Center of Orange County in the treatment of individuals with developmental disabilities.”

 http://www.medicalnewstoday.com/releases/219569.php

[Cannabinoids in the control of pain].

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Abstract

“Hemp (Cannabis sativa L.) has been used since remotes ages as a herbal remedy. Only recently the medical community highlighted the pharmacological scientific bases of its effects. The most important active principle, Delta-9-tetrahydrocannabinol, was identified in the second half of the last century, and subsequently two receptors were identified and cloned: CB1 that is primarily present in the central nervous system, and CB2 that is present on the cells of the immune system. Endogenous ligands, called endocannabinoids, were characterized. The anandamide was the first one to be discovered. The effectiveness of the cannabinoids in the treatment of nausea and vomit due to anti-neoplastic chemotherapy and in the wasting-syndrome during AIDS is recognized. Moreover, the cannabinoids are analgesic, and their activity is comparable to the weak opioids. Furthermore, parallels exist between opioid and cannabinoid receptors, and evidence is accumulating that the two systems sometimes may operate synergistically. The interest of the pharmaceutical companies led to the production of various drugs, whether synthetic or natural derived. The good ratio between the polyunsatured fatty acids omega-3 and omega-6 of the oil of Cannabis seeds led to reduction of the phlogosis and an improvement of the pain symptoms in patients with chronic musculo-skeletal inflammation.”

http://www.ncbi.nlm.nih.gov/pubmed/19388223

Reassessment of the role of cannabinoids in the management of pain.

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“The aim of this article is to assess the role of cannabinoids in the treatment of acute and chronic pain in humans.

 …to date there is increasing evidence that cannabinoids are safe and effective for refractory chronic pain conditions including neuropathic pain associated with multiple sclerosis, rheumatoid arthritis, and peripheral neuropathy associated with HIV/AIDS.

SUMMARY:

The precise role of cannabinoids in pain treatment still needs further evaluation. Cannabinoid compounds may be more effective in the context of chronic neuropathic pain than for the management of acute pain.”

http://www.ncbi.nlm.nih.gov/pubmed/17873600

Cannabinoids for treatment of chronic non-cancer pain; a systematic review of randomized trials.

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“Effective therapeutic options for patients living with chronic pain are limited. The pain relieving effect of cannabinoids remains unclear. A systematic review of randomized controlled trials (RCTs) examining cannabinoids in the treatment of chronic non-cancer pain was conducted according to the PRISMA statement update on the QUORUM guidelines for reporting systematic reviews that evaluate health care interventions. Cannabinoids studied included smoked cannabis, oromucosal extracts of cannabis based medicine, nabilone, dronabinol and a novel THC analogue. Chronic non-cancer pain conditions included neuropathic pain, fibromyalgia, rheumatoid arthritis, and mixed chronic pain. Overall the quality of trials was excellent. Fifteen of the eighteen trials that met the inclusion criteria demonstrated a significant analgesic effect of cannabinoid as compared with placebo and several reported significant improvements in sleep. There were no serious adverse effects. Adverse effects most commonly reported were generally well tolerated, mild to moderate in severity and led to withdrawal from the studies in only a few cases. Overall there is evidence that cannabinoids are safe and modestly effective in neuropathic pain with preliminary evidence of efficacy in fibromyalgia and rheumatoid arthritis. The context of the need for additional treatments for chronic pain is reviewed. Further large studies of longer duration examining specific cannabinoids in homogeneous populations are required.

In conclusion this systematic review of 18 recent good quality randomized trials demonstrates that cannabinoids are a modestly effective and safe treatment option for chronic non-cancer (predominantly neuropathic) pain. Given the prevalence of chronic pain, its impact on function and the paucity of effective therapeutic interventions, additional treatment options are urgently needed. More large scale trials of longer duration reporting on pain and level of function are required.”

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3243008/

Cannabinoids for pain management.

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Abstract

“Cannabinoids have been used for thousands of years to provide relief from suffering, but only recently have they been critically evaluated in clinical trials. This review provides an in-depth examination of the evidence supporting cannabinoids in various pain states, along with an overview of potential adverse effects. In summary, there is strong evidence for a moderate analgesic effect in peripheral neuropathic and central pain conditions, and conflicting evidence for their use in nociceptive pain. For spasticity, most controlled studies demonstrate significant improvement. Adverse effects are not uncommon with cannabinoids, though most are not serious and self-limiting. In view of the limited effect size and low but not inconsequential risk of serious adverse events, cannabinoids should be employed as analgesics only when safer and more effective medication trials have failed, or as part of a multimodal treatment regimen.”

http://www.ncbi.nlm.nih.gov/pubmed/21508629

Cannabinoids for the treatment of neuropathic pain: clinical evidence.

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Abstract

“Neuropathic pain is a worldwide epidemic that occurs in 3 to 8% of individuals in industrialized countries and is often refractory to existing treatments. Drugs currently available to target neuropathic pain are, at best, moderately effective and include antidepressants, gabapentin, NMDA receptor antagonists, as well as other anticonvulsants, all of which are limited by their adverse-effect profiles. Cannabinoid drugs are emerging as a promising class of drugs to treat neuropathic pain and have been tested for analgesic effects in a range of chronic pain conditions. Data show that cannabinoids are often effective in individuals with refractory pain receiving concomitant analgesic drugs. Clinical studies on cannabinoids for the treatment of neuropathic pain are reviewed, focusing on clinical trials published within the last five years. Data from large, well-controlled studies show that cannabinoids are moderately effective in reducing chronic pain and that side effects are comparable to existing treatments, suggesting that cannabinoids can play a useful role in the management of chronic pain. Like other drugs for neuropathic pain, cannabinoids have a dose titration that is limited by psychoactive side effects. The development of cannabinoid drugs to target neuropathic pain with improved therapeutic ratios will depend upon the development of cannabinoid treatments with reduced psychoactivity.”

http://www.ncbi.nlm.nih.gov/pubmed/18183533

Meta-analysis of cannabis based treatments for neuropathic and multiple sclerosis-related pain.

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“OBJECTIVE:

Debilitating pain, occurring in 50-70% of multiple sclerosis (MS) patients, is poorly understood and infrequently studied. We summarized efficacy and safety data of cannabinoid-based drugs for neuropathic pain.

CONCLUSION:

Cannabinoids including the cannabidiol/THC buccal spray are effective in treating neuropathic pain in MS.”

http://www.ncbi.nlm.nih.gov/pubmed/17257464

Recent data on cannabinoids and their pharmacological implications in neuropathic pain.

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Abstract

“Natural cannabinoids have been used for centuries for their psychotropic properties, but their possible therapeutic implications in analgesia have been recently documented. The present review intended to make an analysis of the neuroanatomy and physiology of the cannabinoid system (receptors, functions, agents acting on these receptors) and of its implications in neuropathic pain. There were also described the complex phenomena implicated in the generation and maintenance of neuropathic pain, by high lightening the implications of endogenous cannabinoids in this complex of painful conditions. The pharmacological analgesia test proves of cannabinoid implication in neuropathic pain was sustained by many studies presented in this paper. Therapeutic approaches using natural and synthetic cannabinoid receptor agonists were reviewed. Therapeutic perspectives in neuropathic pain might involve the development of new agents that influence the cannabinoid system. Thus, peripheral acting cannabinoid 1 receptors agonists, selective cannabinoid 2 receptor agonists and also modulators of endocannabinoids metabolism might be a way to success in the treatment of this complex entity called neuropathic pain.”

http://www.ncbi.nlm.nih.gov/pubmed/20108515

Cannabinoids as pharmacotherapies for neuropathic pain: from the bench to the bedside.

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“Neuropathic pain is a debilitating form of chronic pain resulting from nerve injury, disease states, or toxic insults. Neuropathic pain is often refractory to conventional pharmacotherapies, necessitating validation of novel analgesics. Cannabinoids, drugs that share the same target as Delta(9)-tetrahydrocannabinol (Delta(9)-THC), the psychoactive ingredient in cannabis, have the potential to address this unmet need…

In humans, effects of smoked marijuana, synthetic Delta(9)-THC analogs (e.g., Marinol, Cesamet) and medicinal cannabis preparations containing both Delta(9)-THC and cannabidiol (e.g., Sativex, Cannador) in neuropathic pain states are reviewed. Clinical studies largely affirm that neuropathic pain patients derive benefits from cannabinoid treatment…

Evidence for the use of Cannabis sativa as a treatment for pain can be traced back to the beginnings of recorded history…

 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2755639/