Cannabidiol and pain.

International review of neurobiology Pub Date : 2024-01-01 Epub Date: 2024-07-02 DOI:10.1016/bs.irn.2024.04.016
Glauce Crivelaro Nascimento, Daniela Escobar-Espinal, Gabriela Gonçalves Bálico, Nicole Rodrigues Silva, Elaine Del-Bel
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Abstract

Chronic pain presents significant personal, psychological, and socioeconomic hurdles, impacting over 30% of adults worldwide and substantially contributing to disability. Unfortunately, current pharmacotherapy often proves inadequate, leaving fewer than 70% of patients with relief. This shortfall has sparked a drive to seek alternative treatments offering superior safety and efficacy profiles. Cannabinoid-based pharmaceuticals, notably cannabidiol (CBD), hold promise in pain management, driven by their natural origins, versatility, and reduced risk of addiction. As we navigate the opioid crisis, ongoing research plunges into CBD's therapeutic potential, buoyed by animal studies revealing its pain-relieving prowess through various system tweaks. However, the efficacy of cannabis in chronic pain management remains a contentious and stigmatized issue. The International Association for the Study of Pain (IASP) presently refrains from endorsing cannabinoid use for pain relief. Nevertheless, evidence indicates their potential in alleviating cancer-related, neuropathic, arthritis, and musculoskeletal pain, necessitating further investigation. Crucially, our comprehension of CBD's role in pain management is a journey still unfolding, with animal studies illustrating its analgesic effects through interactions with the endocannabinoid, inflammatory, and nociceptive systems. As the plot thickens, it's clear: the saga of chronic pain and CBD's potential offers a compelling narrative ripe for further exploration and understanding.

大麻二酚与疼痛
慢性疼痛给个人、心理和社会经济带来了巨大障碍,影响着全球 30% 以上的成年人,并严重导致残疾。遗憾的是,目前的药物疗法往往不足以缓解疼痛,只有不到 70% 的患者能够缓解疼痛。这一不足引发了人们寻求安全性和疗效更佳的替代疗法的热潮。以大麻素为基础的药物,特别是大麻二酚(CBD),因其天然来源、多功能性和降低成瘾风险的特点,在疼痛治疗方面大有可为。在我们应对阿片类药物危机的过程中,CBD 的治疗潜力得到了持续不断的研究,动物实验显示,通过各种系统调整,CBD 可以有效缓解疼痛。然而,大麻在慢性疼痛治疗中的功效仍然是一个有争议和被污名化的问题。国际疼痛研究协会(IASP)目前不赞成使用大麻素来缓解疼痛。尽管如此,有证据表明大麻素在缓解癌症相关疼痛、神经性疼痛、关节炎和肌肉骨骼疼痛方面具有潜力,因此有必要对其进行进一步研究。最重要的是,我们对 CBD 在疼痛治疗中的作用的理解仍在不断深入,动物研究表明,CBD 通过与内源性大麻素、炎症和痛觉系统的相互作用产生镇痛效果。随着剧情的发展,我们可以清楚地看到:慢性疼痛和 CBD 的潜力为我们提供了一个引人入胜的故事,值得我们进一步探索和了解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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