Are Cannabinoids Effective For Parkinson's Disease? - Medwave now in NC

Published Oct 04, 22
5 min read

Le Plus Important Principe de Cannabis And Cannabinoids' Therapeutic Applications And Safety

(Three other cannabis related drug products that are not CBD, but rather synthetic THC, also have FDA approval and are used to treat loss of appetite and weight loss in patients with HIV, and severe nausea and vomiting due to chemotherapy). For all the other health claims, there is not enough clinical trial data to allow the FDA to state whether or not CBD is effective.

This has not dimmed the enthusiasm of millions of CBD users for a wide range of medical conditions. Practically, CBD products can be obtained relatively easily at health food stores and online. They are not considered drugs (except for Epidiolex®), and therefore are not regulated by the Food and Drug Administration (FDA).

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For example, even if the bottle says it is pure CBD, the product may contain other chemicals from the cannabis plant, or a higher amount of THC than advertised The manufacturing process, which is also not regulated, may introduce contaminants There is no assurance that the dosage written on the bottle is correct Medication interactions between CBD products and other drugs are not clear to consumers The FDA is aware of the health claims that are made by manufacturers about various products and issues warnings to companies who market CBD products with unsubstantiated health claims.

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In 2015, the FDA changed some of their regulations to make it easier to study CBD in clinical trials. There have been a few studies of CBD for various symptoms of PD which have generally involved a small number of patients. Many have been open-label trials, in which the doctor and patient are both aware that the patient is receiving treatment and there is no control group that received a placebo.

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Psychotic symptoms decreased. In a second trial, an open-label study of CBD was conducted on four patients with REM behavior sleep disorder. Symptoms decreased. A third trial was conducted on 21 patients with PD and was double blinded, meaning neither patient nor doctor knew who received treatment and who received a placebo.

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Additionally, three more recent trials of CBD for PD were conducted. One open-label trial of 13 patients studied the tolerability and efficacy of CBD on tremor in PD. The trial is completed but results have not yet been published. Epidiolex®, the CBD formulation approved by the FDA for certain intractable childhood epilepsies, was trialed in 10 people with PD in an open-label study.

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Finally, a double blinded study for motor symptoms of PD is currently underway. This trial aims to enroll 60 people with 30 patients receiving CBD and 30 receiving placebo. People with PD are already using CBD in various forms for all sorts of symptoms of PD including insomnia, anxiety, tremor, dystonia and pain.

We also don’t know the side effect profile of CBD in people with PD. At baseline, people with PD may have various non-motor symptoms that may make them more prone to side effects from CBD, including fatigue and nausea. If you would like to try CBD for one of your PD symptoms, have a conversation with your movement disorders specialist about it.

At the very least, he/she can make sure that there are no drug interactions between CBD and anything else that you take and discuss with you any potential side effects that you need to be aware of. CBD is a component of medical marijuana that does not have abuse or addiction potential CBD products can be easily obtained in health food stores and online, but they are not regulated by the FDA There is minimal clinical trial data that support CBD-related health claims Despite this, various CBD products are used by people with PD (and by people with a multitude of other conditions) for symptoms such as pain, insomnia, and anxiety More clinical trials are necessary to understand whether and how to safely and effectively use CBD for the treatment of PD symptoms As with all medical decisions, if you would like to use a CBD product, first talk with your neurologist and other members of your health care team .

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1:15pm-2:45pm Exhibit Hall C Objective: To determine if cannabidiol (CBD) is tolerated and effective in Parkinson disease (PD) and the dosage needed for a Phase 2 randomized controlled trial. Background: Although there is no conclusive data on the use of cannabis in PD, many patients take various formulations and use is becoming more widespread as it becomes more available in the US.

Methods: This is an open label, dose-escalation study in persons with idiopathic PD and intractable tremor. CBD (Epidiolex, purified CBD from GW Pharmaceuticals) is started at 5 and increased gradually to 25 mg/kg/day or to a lesser but maximum tolerated dose. Prior studies of Epidiolex in pediatric epilepsy suggest that 25 mg/kg/day has a CNS effect.

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