Cannabinoids and cancer pain: A new hope or a false dawn?

Abstract:

:The endocannabinoid system is involved in many areas of physiological function and homeostasis. Cannabinoid receptors are expressed in the peripheral and central nervous system and on immune cells, all areas ideally suited to modulation of pain processing. There are a wealth of preclinical data in a number of acute, chronic, neuropathic and cancer pain models that have demonstrated a potent analgesic potential for cannabinoids, especially in patients with cancer. However, although there are some positive results in pain of cancer patients, the clinical evidence for cannabinoids as analgesics has not been convincing and their use can only be weakly recommended. The efficacy of cannabinoids seems to have been 'lost in translation' which may in part be related to using extracts of herbal cannabis rather than targeted selective full agonists at the cannabinoid CB1 and CB2 receptors.

journal_name

Eur J Intern Med

authors

Brown MRD,Farquhar-Smith WP

doi

10.1016/j.ejim.2018.01.020

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

30-36

eissn

0953-6205

issn

1879-0828

pii

S0953-6205(18)30020-7

journal_volume

49

pub_type

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