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Cannabinoid analgesia as a potential new therapeutic option in the treatment of chronic pain.
Ann Pharmacother. 2006 Feb; 40(2):251-60.AP

Abstract

OBJECTIVE

To review the literature concerning the physiology of the endocannabinoid system, current drug development of cannabinoid agonists, and current clinical research on the use of cannabinoid agonists for analgesia.

DATA SOURCES

Articles were identified through a search of MEDLINE (1966-August 2005) using the key words cannabis, cannabinoid, cannabi*, cannabidiol, nabilone, THC, pain, and analgesia. No search limits were included. Additional references were located through review of the bibliographies of the articles identified.

STUDY SELECTION AND DATA EXTRACTION

Studies of cannabinoid agonists for treatment of pain were selected and were not limited by pain type or etiology. Studies or reviews using animal models of pain were also included. Articles that related to the physiology and pharmacology of the endocannabinoid system were evaluated.

DATA SYNTHESIS

The discovery of cannabinoid receptors and endogenous ligands for these receptors has led to increased drug development of cannabinoid agonists. New cannabimimetic agents have been associated with fewer systemic adverse effects than delta-9-tetrahydrocannabinol, including recent development of cannabis medicinal extracts for sublingual use (approved in Canada), and have had promising results for analgesia in initial human trials. Several synthetic cannabinoids have also been studied in humans, including 2 cannabinoid agonists available on the international market.

CONCLUSIONS

Cannabinoids provide a potential approach to pain management with a novel therapeutic target and mechanism. Chronic pain often requires a polypharmaceutical approach to management, and cannabinoids are a potential addition to the arsenal of treatment options.

Authors+Show Affiliations

Creighton University Medical Center, Omaha, NE 68178-4879, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16449552

Citation

Burns, Tammy L., and Joseph R. Ineck. "Cannabinoid Analgesia as a Potential New Therapeutic Option in the Treatment of Chronic Pain." The Annals of Pharmacotherapy, vol. 40, no. 2, 2006, pp. 251-60.
Burns TL, Ineck JR. Cannabinoid analgesia as a potential new therapeutic option in the treatment of chronic pain. Ann Pharmacother. 2006;40(2):251-60.
Burns, T. L., & Ineck, J. R. (2006). Cannabinoid analgesia as a potential new therapeutic option in the treatment of chronic pain. The Annals of Pharmacotherapy, 40(2), 251-60.
Burns TL, Ineck JR. Cannabinoid Analgesia as a Potential New Therapeutic Option in the Treatment of Chronic Pain. Ann Pharmacother. 2006;40(2):251-60. PubMed PMID: 16449552.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cannabinoid analgesia as a potential new therapeutic option in the treatment of chronic pain. AU - Burns,Tammy L, AU - Ineck,Joseph R, Y1 - 2006/01/31/ PY - 2006/2/2/pubmed PY - 2006/4/1/medline PY - 2006/2/2/entrez SP - 251 EP - 60 JF - The Annals of pharmacotherapy JO - Ann Pharmacother VL - 40 IS - 2 N2 - OBJECTIVE: To review the literature concerning the physiology of the endocannabinoid system, current drug development of cannabinoid agonists, and current clinical research on the use of cannabinoid agonists for analgesia. DATA SOURCES: Articles were identified through a search of MEDLINE (1966-August 2005) using the key words cannabis, cannabinoid, cannabi*, cannabidiol, nabilone, THC, pain, and analgesia. No search limits were included. Additional references were located through review of the bibliographies of the articles identified. STUDY SELECTION AND DATA EXTRACTION: Studies of cannabinoid agonists for treatment of pain were selected and were not limited by pain type or etiology. Studies or reviews using animal models of pain were also included. Articles that related to the physiology and pharmacology of the endocannabinoid system were evaluated. DATA SYNTHESIS: The discovery of cannabinoid receptors and endogenous ligands for these receptors has led to increased drug development of cannabinoid agonists. New cannabimimetic agents have been associated with fewer systemic adverse effects than delta-9-tetrahydrocannabinol, including recent development of cannabis medicinal extracts for sublingual use (approved in Canada), and have had promising results for analgesia in initial human trials. Several synthetic cannabinoids have also been studied in humans, including 2 cannabinoid agonists available on the international market. CONCLUSIONS: Cannabinoids provide a potential approach to pain management with a novel therapeutic target and mechanism. Chronic pain often requires a polypharmaceutical approach to management, and cannabinoids are a potential addition to the arsenal of treatment options. SN - 1060-0280 UR - https://www.unboundmedicine.com/medline/citation/16449552/Cannabinoid_analgesia_as_a_potential_new_therapeutic_option_in_the_treatment_of_chronic_pain_ L2 - http://journals.sagepub.com/doi/full/10.1345/aph.1G217?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -