Cannabidiol pharmacotherapy for delta-9-tetrahidrocannabinol dependence

Federico Pavlovsky, Rafael Groisman, Ana Karina Hurtado, Luciana García
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Abstract

Addictions are one of the most important health problems worldwide. Within these disorders, cannabis is one of the psychoactive substances with more burden of morbidity and mortality worldwide. The actual knowledge about the effectiveness of treatments for cannabis use disorders is unsatisfactory. This review aims to explore the evidence on cannabidiol for the treatment of cannabis use disorder. There are several clinical pharmacotherapy trials researching cannabis use disorders with limited evidence. A smaller number of trials in animal models and humans on the use of cannabinoids, especially Cannabidiol and Tetrahydrocannabinol to treat cannabis dependence show evidence of reduction in days of use, withdrawal symptoms and craving. New trials are under development, and there is an urgent need for trials with larger numbers of patients and longer treatment periods to support possible indications in the near future.

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δ -9-四氢大麻酚依赖的大麻二酚药物治疗
成瘾是全世界最重要的健康问题之一。在这些疾病中,大麻是全世界发病率和死亡率负担最重的精神活性物质之一。关于治疗大麻使用障碍的有效性的实际知识并不令人满意。本综述旨在探讨大麻二酚治疗大麻使用障碍的证据。有几个临床药物治疗试验研究大麻使用障碍,证据有限。在动物模型和人体中使用大麻素,特别是大麻二酚和四氢大麻酚治疗大麻依赖的少量试验显示,有证据表明,使用天数、戒断症状和渴望减少。新的试验正在开发中,迫切需要在不久的将来进行更多患者和更长的治疗期的试验,以支持可能的适应症。
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