大麻是“新”旧药?- 21世纪其医疗用途的挑战

Silvia Etcheverry
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引用次数: 0

摘要

大麻是一种古老的植物,几个世纪以来一直被用作绳索、布、纸、油和鸟饲料,也是一种著名的精神活性药物,被列入联合国1961年公约和以下相关文件的清单。同样,它具有传统公认的显著药理特性,现在是科学研究的对象。这种植物产生一系列独特的次生代谢物,称为大麻素,它具有典型的C21萜酚骨架,负责其药理特征。这些大麻素与内源性内源性大麻素系统相互作用,参与调节多种生理和认知过程,包括生育、怀孕、产前和产后发育、食欲、痛觉、情绪和记忆。其中一些药理活动是如此新颖和有趣,证明了这些领域正在进行的科学研究是正确的。这个过程是昂贵的,需要很多时间,与此同时,数以百万计的人使用大麻草药,在传统用途的医疗基础上。考虑到这一事实,有些国家批准了大麻的医疗用途,制定了具体条例。此外,世界卫生组织(世卫组织)药物依赖问题专家委员会于2018年6月提交了一份关于大麻医疗用途的报告。本报告建议对大麻植物及其树脂、提取物或酊剂的科学文献进行严格审查,并且不应将大麻二酚(CBD)列入禁用物质清单
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cannabis a "new" old medicine? - The challenges of its medical use in the XXI century
Cannabis sativa L. is an ancient plant, that has been used during centuries as rope, cloth, paper, oil and birdfeed and also a well-known psychoactive drug included in the lists of UN 1961 Convention and the following documents related. Likewise, it has remarkable pharmacological properties recognized by tradition that now object of scientific research. This plant produces a unique series of secondary metabolites called cannabinoids which exhibit a typical C21 terpenophenolic skeleton, responsible for its pharmacological profile. These cannabinoids interact with the endogenous endocannabinoid system, involved in the regulation of a variety of physiological and cognitive processes including fertility, pregnancy, during pre- and postnatal development, appetite, painsensation, mood and memory. Some of these pharmacological activities are so novel and interesting that justify the scientific research in these areas which is performing now. This process is expensive and takes a lot of time, and in the meantime, millions of people use cannabis herb, for medical treatments based in traditional use. Taking into consideration this fact, there are some countries have approved the medical use of cannabis, creating specific regulations. Also, the Expert Committee on Drug Dependencies, of the World Health Organization (WHO) held in June 2018 a report about the medical use of cannabis. This report recommends that a critical review of the scientific literature on the cannabis plant and its resin, extracts or tinctures should be performed and that Cannabidiol (CBD) should not be included in the lists of prohibited substances
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