4.2 Review

Narrative review of the safety and efficacy of marijuana for the treatment of commonly stateapproved medical and psychiatric disorders

Journal

ADDICTION SCIENCE & CLINICAL PRACTICE
Volume 10, Issue -, Pages -

Publisher

BMC
DOI: 10.1186/s13722-015-0032-7

Keywords

Cannabis; Medical marijuana; Marijuana; Medicine; Treatment; Alzheimer's disease; ALS; Cachexia; Cancer; Crohn's disease; Epilepsy; Seizures; Glaucoma; Hepatitis C virus; HCV; HIV; AIDS; Multiple sclerosis; MS; Pain; Nausea; Vomiting; Post-traumatic stress disorder; PTSD

Funding

  1. National Institute of Mental Health [R01 MH40564]
  2. VA Center of Excellence for Substance Abuse Treatment and Education
  3. VA Substance Use Disorder Quality Enhancement Research Initiative [SUDQ-LIP1410]

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The present investigation aimed to provide an objective narrative review of the existing literature pertaining to the benefits and harms of marijuana use for the treatment of the most common medical and psychological conditions for which it has been allowed at the state level. Common medical conditions for which marijuana is allowed (i. e., those conditions shared by at least 80 percent of medical marijuana states) were identified as: Alzheimer's disease, amyotrophic lateral sclerosis, cachexia/wasting syndrome, cancer, Crohn's disease, epilepsy and seizures, glaucoma, hepatitis C virus, human immunodeficiency virus/acquired immunodeficiency syndrome, multiple sclerosis and muscle spasticity, severe and chronic pain, and severe nausea. Post-traumatic stress disorder was also included in the review, as it is the sole psychological disorder for which medical marijuana has been allowed. Studies for this narrative review were included based on a literature search in PsycINFO, MEDLINE, and Google Scholar. Findings indicate that, for the majority of these conditions, there is insufficient evidence to support the recommendation of medical marijuana at this time. A significant amount of rigorous resna for these conditions. It is important for such work to not only examearch is needed to definitively ascertain the potential implications of marijuaine the effects of smoked marijuana preparations, but also to compare its safety, tolerability, and efficacy in relation to existing pharmacological treatments.

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