How Safe Are Medical Cannabinoids?
Main Category: Pain / AnestheticsAlso Included In: Alcohol / Addiction / Illegal Drugs
Article Date: 16 Jun 2008 - 17:00 PDT
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Wang and colleagues performed a systematic review of safety studies of medical cannabinoids published over the past 40 years and found that short-term use appeared to increase the risk of non-serious adverse events. Of all non-serious adverse events, dizziness was the most common (15.5%).
"We found that the rate of non-serious adverse events was 1.86 times higher among medical cannabinoid users than among controls," state the authors. "However, we did not find a higher incidence rate of serious adverse events associated with medical cannabinoid use." The authors note that 99% of the serious adverse events from randomized controlled trials were reported in only 2 trials, a fact the authors say suggests that more studies are required to further characterize safety issues.
In a related commentary, Degenhardt states that, although the side effects of oral cannabis therapy appear to be minor in the short term, their longer-term effects, particularly in the setting of chronic illness, have yet to be studied.
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15 Feb. 2012. <http://www.medicalnewstoday.com/releases/111442.php>
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Visitor Opinions In Chronological Order (1)
Cannanboids Are Relatively Ineffective In Pain Relief.
posted by Peter O'Loughlin on 17 Jun 2008 at 11:47 amWhilst the writer appreciates that the pharmaceutical industry might benefit from pantenting a cannanbinoid molecule, the only justification for such would be as a pain killer. However, research dating back to 2001 clearly indicates that psychotropic side effects resulting from THC were common.(1)The side effects noted are mental clouding, ataxia, dizziness, numbness, disorientation, disconnected thought, slurred speech, muscle twitching, impaired memory, dry mouth, and blurred vision. further the THC at 20mg proved to be highly sedating in 100% of patients, sufficient to prohibit its use.
At 10mg THC was better tolerated, but the frequency of the above adverse effects were higher than with codeine at 60mg or 120mg
The research which appears to have been far reaching and confined to validated RCT's concluded that 'Cannabinoids are no more effective than codeine in controlling pain and have depressant effects on the central nervous system that limit their use. Their widespread introduction into clinical practice for pain management is therefore undesirable. In acute postoperative pain they should not be used. Before cannabinoids can be considered for treating spasticity and neuropathic pain, further valid randomised controlled studies are needed'.
1 Fiona A Campbell, consultant in anaesthetics and pain management,a Martin R Tramčr, staff anaesthetist,b Dawn Carroll, senior research nurse,c D John M Reynolds, consultant clinical pharmacologist,d R Andrew Moore, consultant biochemist,c and Henry J McQuay, professor of pain reliefcde British Medical Journal: 2001 July 7; v.323(7303) 13.
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