Cannabis is a flowering plant used for both recreational and medicinal purposes. Three main types (species, subspecies, or varieties) of the cannabis genus have been recognized: Cannabis sativa, Cannabis indica, and Cannabis ruderalis. Δ(9)-Tetrahydrocannabinol is the main psychoactive/addictive ingredient of cannabis; the effects of this compound are most commonly associated with binding to the cannabinoid receptor 1 (Hoffman & Lupica, 2013).
One of the earliest success stories involves a young girl named Charlotte who was given an ingestible oil derived from Charlotte’s Web, a CBD strain that was specifically developed to provide her with all the benefits of the drug without the high. In less than two years, Charlotte went from a monthly seizure count of 1,200 to about three. Other success stories followed and more parents have begun to speak out, particularly parents who are desperate for access to this life-saving treatment.
This article reviews recent research on cannabinoid analgesia via the endocannabinoid system and non-receptor mechanisms, as well as randomized clinical trials employing cannabinoids in pain treatment. Tetrahydrocannabinol (THC, Marinol®) and nabilone (Cesamet®) are currently approved in the United States and other countries, but not for pain indications. Other synthetic cannabinoids, such as ajulemic acid, are in development. Crude herbal cannabis remains illegal in most jurisdictions but is also under investigation. Sativex®, a cannabis derived oromucosal spray containing equal proportions of THC (partial CB1 receptor agonist ) and cannabidiol (CBD, a non-euphoriant, anti-inflammatory analgesic with CB1 receptor antagonist and endocannabinoid modulating effects) was approved in Canada in 2005 for treatment of central neuropathic pain in multiple sclerosis, and in 2007 for intractable cancer pain. Numerous randomized clinical trials have demonstrated safety and efficacy for Sativex in central and peripheral neuropathic pain, rheumatoid arthritis and cancer pain. An Investigational New Drug application to conduct advanced clinical trials for cancer pain was approved by the US FDA in January 2006. Cannabinoid analgesics have generally been well tolerated in clinical trials with acceptable adverse event profiles. Their adjunctive addition to the pharmacological armamentarium for treatment of pain shows great promise.
While only 9 states currently have legalized recreational marijuana, as an industry weed has had a huge year of growth. This is in large part due to the increasing popularity of products that contain CBD in them. CBD, short for cannabidiol, is one of the hundreds of compounds found in the cannabis plant, and the potential it has shown in helping with pain, seizures and anxiety have made it a natural fit for medical and recreational weed alike.
Cannabis is indigenous to Central Asia and the Indian subcontinent, and its use for fabric and rope dates back to the Neolithic age in China and Japan. It is unclear when cannabis first became known for its psychoactive properties; some scholars suggest that the ancient Indian drug soma, mentioned in the Vedas, was cannabis, although this theory is disputed.
Cannabis is an annual, dioecious, flowering herb. The leaves are palmately compound or digitate, with serrate leaflets. The first pair of leaves usually have a single leaflet, the number gradually increasing up to a maximum of about thirteen leaflets per leaf (usually seven or nine), depending on variety and growing conditions. At the top of a flowering plant, this number again diminishes to a single leaflet per leaf. The lower leaf pairs usually occur in an opposite leaf arrangement and the upper leaf pairs in an alternate arrangement on the main stem of a mature plant.
Rat offspring exposed to THC — tetrahydrocannabinol, the chief psychoactive ingredient in cannabis — and others that were not had to learn how to press one of two levers to get a sugar pellet reward. — Erik Lacitis, The Seattle Times, "‘Something wasn’t clicking’: WSU study shows offspring of pregnant rats exposed to THC have impaired development," 20 Nov. 2018 It's also derived from cannabidiol (CBD), one of the major compounds found in cannabis. — Sarah Jacoby, SELF, "Updated: What You Need to Know About Epidiolex, the First FDA-Approved Drug Made From Cannabis," 1 Nov. 2018 Attendees must bring their own cannabis, but smoking, edibles, and vaping are all encouraged as part of the creative process and the social experience. — Sarah Shemkus, BostonGlobe.com, "5 marijuana-infused things to do in New England," 21 June 2018 But Salmonella can also turn up in unexpected places — like in tahini, or on cantaloupes, or even drugs like cannabis and kratom. — Rachel Becker, The Verge, "Machine learning could help figure out what pooped on your produce," 12 Dec. 2018 Ashland, Oregon is wine country, but better: vineyards provide diversity without overwhelm, and the burgeoning cannabis industry grows some of the best in the world. — Ella Riley-adams, Vogue, "Why This Oregon Town Could Be the Next Napa," 8 Aug. 2018 The Starbucks of the cannabis industry hasn’t been created yet. — Patrick Sisson, Curbed, "Cannabis, coworking, and the marijuana-industry land rush," 24 July 2018 The idea for Kikoko tea came from a mutual friend, Jan, who used cannabis as an alternative to pharmaceuticals to treat pain, nausea, anxiety, insomnia, and loss of appetite during her battle with ovarian cancer. — Steffi Victorioso, Los Angeles Magazine, "Local Women Are Hosting Fancy “High Teas” With the Help of a Cannabis Brand," 29 May 2018 Attorney General Jeff Sessions has made no secret of his virulent opposition to the legalization of cannabis in any form. — Fred Vogelstein, WIRED, "My Son Pioneered an Epilepsy Drug Derived From Marijuana. An FDA Panel Just Approved It," 20 Apr. 2018
With President Trump signing off on the Agricultural Improvement Act of 2018 (aka the 2018 Farm Bill) last month, the federal government now fully recognizes hemp as a legal agricultural product. But while many reports are claiming that this means that cannabidiol (CBD) is also legal, that’s not quite correct. With a lot of misinformation flying around, and contradictions between state and federal laws, things are admittedly somewhat confusing. Let’s try to sort things out by answering some questions about hemp, CBD, and what has recently changed in federal law.
The human body has an endocannabinoid system that plays a regulatory role, impacting our brain, endocrine, and immune systems. The body naturally produces endocannabinoids that bind to receptors in the endocannabinoid system, regulating the body synergistically. However, cannabinoids from the cannabis plant (phytocannabinoids) can also bind to these receptors creating the effects that medical marijuana patients seek.
Given the opioid crisis, physicians are less likely to lead with narcotics, and some of us are deciding not to prescribe them altogether. The problem with narcotics is that they work. They work really well. Sometimes too well, leading to a patient becoming so comfortable they “forget” to breathe. So, while reducing the amount of narcotics prescribed to patients is a good thing, the problem is physicians don’t have a lot of good alternatives to recommend to their patients, until now.
The clinical trials performed with Sativex have recently been assessed in two independent review articles (Barnes 2006; Pérez 2006). In a Phase II clinical trial in 20 patients with neurogenic symptoms (Wade et al 2003), Tetranabinex, Nabidiolex, and Sativex were tested in a double-blind RCT vs placebo (Table 1). Significant improvement was seen with both Tetranabinex and Sativex on pain (especially neuropathic), but post-hoc analysis showed symptom control was best with Sativex (p < 0.0001), with less intoxication than with THC-predominant extract.
Hashish (also spelled hasheesh, hashisha, or simply hash) is a concentrated resin cake or ball produced from pressed kief, the detached trichomes and fine material that falls off cannabis flowers and leaves. or from scraping the resin from the surface of the plants and rolling it into balls. It varies in color from black to golden brown depending upon purity and variety of cultivar it was obtained from. It can be consumed orally or smoked, and is also vaporised, or 'vaped'. The term "rosin hash" refers to a high quality solventless product obtained through heat and pressure.
Cannabis most likely originates from Central Asia, as archeological evidence indicates that it was already cultivated in China for food and fiber 10 000 years ago. Even in ancient Egyptian mummies, clues have been found for the use of Cannabis as food or medicine.25 In fact, Cannabis is one of the oldest known medicinal plants and is described in almost every ancient handbook on plant medicine, most commonly in the form of a tincture or a tea.26,27 Some religions were closely related with the properties of the Cannabis plant. For example, in Hindu legend, Cannabis is believed to be the favorite food of the god Shiva, because of its energizing properties. As Cannabis spread from Asia toward the West, almost every culture came into contact with this miracle plant. Nowadays, varieties of Cannabis can be found in all temperate and tropical zones, except in humid, tropical rain forests.28
μ-Opioid receptor agonists (opioids) (e.g., morphine, heroin, hydrocodone, oxycodone, opium, kratom) α2δ subunit-containing voltage-dependent calcium channels blockers (gabapentinoids) (e.g., gabapentin, pregabalin, phenibut) AMPA receptor antagonists (e.g., perampanel) CB1 receptor agonists (cannabinoids) (e.g., THC, cannabis) Dopamine receptor agonists (e.g., levodopa) Dopamine releasing agents (e.g., amphetamine, methamphetamine, MDMA, mephedrone) Dopamine reuptake inhibitors (e.g., cocaine, methylphenidate) GABAA receptor positive allosteric modulators (e.g., barbiturates, benzodiazepines, carbamates, ethanol (alcohol) (alcoholic drink), inhalants, nonbenzodiazepines, quinazolinones) GHB (sodium oxybate) and analogues Glucocorticoids (corticosteroids) (e.g., dexamethasone, prednisone) nACh receptor agonists (e.g., nicotine, tobacco, arecoline, areca nut) Nitric oxide prodrugs (e.g., alkyl nitrites (poppers)) NMDA receptor antagonists (e.g., DXM, ketamine, methoxetamine, nitrous oxide, phencyclidine, inhalants) Orexin receptor antagonists (e.g., suvorexant)
Before purchasing any CBD product in these states (aside from the 8 mentioned above) you must have a medical prescription issued by a certified medical doctor. Each state has a particular concentration of THC it allows to be present in a CBD product, with the percentage ranging from 0.3% – 8%. (See details in table 1.1 below). Even though the legal situation seems to be shifting in a positive direction, if you are in any of these states, it is very important to be aware of the state’s laws towards CBD.
While all of the long-term effects of marijuana use are not yet known, some research raises serious health concerns. For example, one study examined the health status of 450 daily non-tobacco-smoking marijuana smokers. They found that the marijuana smokers had more sick days and more doctor visits for respiratory and other problems than did a similar group who did not smoke either substance. Regular use of marijuana may play a role in cancer and problems in the respiratory and immune systems. Additionally, research has shown that marijuana use can trigger psychotic symptoms in people who have a genetic vulnerability to schizophrenia.
Given its name, you might assume THCV shares psychoactive powers with its potent counterpart, THC. In reality, this cannabinoid is more like a cross between CBD and THC. From the former, it takes its modulating powers. Acting like THC “lite,” THCV like CBD can dampen the effects of a strong high. Yet at higher doses, THCV kicks into a psychoactive stimulant in its own right.
Holcomb said after enacting the bill, “I’m grateful for the General Assembly’s hard work to bring me a bill to address the needs expressed by our citizens.” As of now, there is no restriction on the sale of CBD oil except it should not have more than 0.3 percent of THC (Tetrahydrocannabinol). THC is the compound that is associated with producing a high.
In September 2018, following its approval by the FDA for rare types of childhood epilepsy, Epidiolex was rescheduled (by the Drug Enforcement Administration) as a Schedule V drug to allow for its prescription use. This change applies only to FDA-approved products containing no more than 0.1 percent THC. This allows GW Pharmaceuticals to sell Epidiolex, but it does not apply broadly and all other CBD-containing products remain Schedule I drugs. Epidiolex still requires rescheduling in some states before it can be prescribed in those states.
It is main ingredient of the product which plays an important role in the functioning of CBD Balm. Cannabidiol or CBD is the main component in the balm and this is an important component of cannabis plant. CBD is non-psychoactive and like its other counterpart THC, this component does not produce a ‘high’. There are many medical benefits of CBD and this is the reason that it has been legalized in almost 50 states in the US. Medical cannabis works on the endocannabinoid system in the body. It helps in assisting and regulating various kinds of functions including response to inflammation, relaxation, appetite, cognitive function of the brain etc.
Aside from the mentioned study, the authorities do not acknowledge the many other studies proving the safety and efficacy of pot when used as medicine. They also cite the fact that other countries who took a more relaxed stand on cannabis suffered serious societal harms. “Therefore, we have strict laws against the trafficking, possession, consumption, and import or export of illicit drugs including cannabis and cannabis products.”
The legal problems occur once the extracts contain higher percentages of THC, or when they’re made from cannabis plants that are no longer considered “hemp” (so basically high THC plants). Products with these extracts might be in violation of the United States Controlled Substances Act (US CSA). This is when laws regarding specific states or countries will apply.
In November 2015, Uttarakhand became the first state of India to legalize the cultivation of hemp for industrial purposes. Usage within the Hindu and Buddhist cultures of the Indian subcontinent is common, with many street vendors in India openly selling products infused with cannabis, and traditional medical practitioners in Sri Lanka selling products infused with cannabis for recreational purposes and well as for religious celebrations. It was criminalized in the Indian subcontinent by the Dutch and then the British. India and Sri Lanka have allowed cannabis to be taken in the context of traditional culture for recreational/celebratory purposes and also for medicinal purposes.
Users of CBD have found that CBD products help them with a wide range of health problems such as insomnia, physical pain, and anxiety. CBD has also been studied for its anti-seizure properties and its ability to combat brain damage caused by opioid addiction. Currently, the Food and Drug Administration (FDA) is in the process of approving a CBD-based epilepsy medication which will make it the first cannabis-derived prescription medication in the United States.
Understanding CBD’s analgesic, or pain-relieving, interactions with the ECS can shed light on CBD’s other interactions and effects. Importantly, the ECS participates in our bodies’ pain processing, but when CBD is introduced to our ECS, it stops the body from absorbing a pain-regulating compound known as anandamide — one of our body’s’ own natural cannabinoid molecules. Inhibiting the absorption of this compound shunts excess quantities into the bloodstream that in turn reduces pain. One study has revealed that CBD targets alpha-3 (α3) glycine receptors to suppress chronic pain and inflammation associated with dysfunctional glycine receptors, which are an important target for pain processing in the spine. In both humans and animal models, CBD has been shown to have a variety of anti-inflammatory properties.
Unlike other CBD oils, PureKana really does excel in CBD oil extractions due to their unique CO2 extraction process which provides a near 99% pure CBD oil. PureKana Natural CBD Oil is an unflavored, dietary and nutritional supplement for increased health and vitality. It is extremely effective in treating chronic pain, inflammation, swelling, anxiety and sleep disorders.
We have been involved in Colorado's medicinal and legal cannabis industry since its inception, so we've seen the expansion from high quality medicine to social commodity. Investment dollars have rushed into various sectors of the industry and the primary focus is ROI. When people see green it's easy to get excited and focus on the numbers instead of the patients. Of all the companies we've interacted with and tested, Ambary Gardens has been the standout. Their vertically integrated Colorado-based facility is is impressive as their product line.
Most human studies of CBD have been done on people who have seizures, and the FDA recently approved the first CBD-based drug, Epidiolex, for rare forms of epilepsy. Clinical trials for other conditions are promising, but tiny. In one Brazilian study published in 2011 of people with generalized social anxiety disorder, for example, taking a 600-mg dose of CBD (higher than a typical dose from a tincture) lessened discomfort more than a placebo, but only a dozen people were given the pill.