2020
DOI: 10.3389/fphar.2020.00561
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A Balanced Approach for Cannabidiol Use in Chronic Pain

Abstract: Cannabidiol (CBD), the major non-psychoactive constituent of Cannabis sativa L., has gained traction as a potential treatment for intractable chronic pain in many conditions. Clinical evidence suggests that CBD provides therapeutic benefit in certain forms of epilepsy and imparts analgesia in certain conditions, and improves quality of life. CBD continues to be Schedule I or V on the list of controlled substances of the Drug Enforcement Agency of the United States. However, preparations labeled CBD are availab… Show more

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Cited by 42 publications
(40 citation statements)
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“…This finding is in alignment with similar reports describing CBD effects ranging from placebo-equivalent to highly effective. 13 The effects of CBM and CBD on painful conditions seem to be context specific, with no effect on pain shown in patients with Crohn’s disease, 26 and pain-relieving effects reported for pain associated with Multiple Sclerosis, spinal cord injury, brachial plexus injury, limp amputation, 27 peripheral neuropathy 28 and fibromyalgia. 29 This cohort also reported that products both with and without THC have helped them to reduce overall pain medication and more specifically opioid medication.…”
Section: Discussionmentioning
confidence: 99%
“…This finding is in alignment with similar reports describing CBD effects ranging from placebo-equivalent to highly effective. 13 The effects of CBM and CBD on painful conditions seem to be context specific, with no effect on pain shown in patients with Crohn’s disease, 26 and pain-relieving effects reported for pain associated with Multiple Sclerosis, spinal cord injury, brachial plexus injury, limp amputation, 27 peripheral neuropathy 28 and fibromyalgia. 29 This cohort also reported that products both with and without THC have helped them to reduce overall pain medication and more specifically opioid medication.…”
Section: Discussionmentioning
confidence: 99%
“…The underlying mechanisms for the analgesic effect of CBD are subject to debate. However, previous studies have proposed CBD's interaction with the glycine and serotonergic systems as possible vehicles ( 63 ). In animal models of arthritis, locally applied CBD has been found to lessen joint pain and inflammation ( 64 66 ).…”
Section: Discussionmentioning
confidence: 99%
“…Anticancer and antitumor (Lukhele and Motadi 2016 ; Velasco et al 2012 , 2016 ), analgesic (Argueta et al 2020 ; Comelli et al 2008 ), anti-arthritis (Lowin et al 2020 ), anti-spasticity (Hagenbach et al 2007 ; Leussink et al 2012 ), antibacterial, antimicrobial (Appendino et al 2008 , Monika and Kaur, 2014 , Pellegrini et al 2020 )…”
Section: Resultsmentioning
confidence: 99%