Medicinal Cannabis for Patients with Fibromyalgia: A Review

Medicinal Cannabis for Patients with Fibromyalgia: A Review

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Author(s)

Author(s): Valdecir Carlos Tadei, Bruna Oliveira Lopes, Leonardo Lourenço Zukeran, Isabela Maraccini Chueire, Laís Franciele Santana Portela, Regina Helena Morganti Fornari Chueire

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DOI: 10.18483/ijSci.2702 25 58 1-4 Volume 12 - Aug 2023

Abstract

Cannabis sativa is a plant that has been used for millennia in the treatment of conditions such as chronic pain, rheumatism and epilepsy. Biochemical and molecular studies have isolated its components, which are known as cannabinoids, and have mapped a complex system of endogenous molecules and receptors, known as the endocannabinoid system. Studies report the importance of this system in the physiopathology of different organic disorders, such as fibromyalgia, Parkinson’s disease and neoplasms. Advances in Brazilian legislation have enabled the investigation and use of cannabis oil in the treatment of illnesses and there is growing interest in the potential of medicinal cannabis for the treatment of conditions associated with chronic pain, such as fibromyalgia. Studies have been developed on the safety and effectiveness of cannabinoids for the treatment of patients with fibromyalgia. However, long-term prospective clinical studies involving patients with fibromyalgia treated with medicinal cannabis oil are needed, with a focus on aspects related to pain, anxiety, depression and quality of life.

Keywords

Cannabis sativa, Endocannabinoid System, Chronic Pain, Fibromyalgia

References

  1. Holland J. The pot book: A complete guide to cannabis. Rochester, NY: Park Street Press; 2010.
  2. Touw M. The religious and medicinal uses of cannabis in China, India and Tibet. J Psychoactive Drugs. 1981;13(1):23-34.
  3. Mechoulam R, McCallum NK, Burstein S. Recent advances in the chemistry and biochemistry of Cannabis. Chem Rev. 1976;76(1):75-112.
  4. Zuardi AW. History of cannabis as a medicine: a review. Rev Bras Psiquiatr. 2006;28(2):153–7.
  5. Troutt WD, Di Donato MD. Medical cannabis in Arizona: patient characteristics, perceptions, and impressions of medical cannabis legalization. J Psychoactive Drugs. 2015;47(4):259–66.
  6. Ko G, Bober S, Mindra S, Moreau J. Medical cannabis: the Canadian perspective. J Pain Res. 2016;9:735–44.
  7. Penha EM, Cardoso DD, Coelho LP, Bueno AM. A regulamentação de medicamentos derivados da Cannabis sativa no Brasil. Braz J Forensic Sci Med Law Bioeth. 2019;9(1):125-45.
  8. Wang L, Hong PJ, May C, Rehman Y, Oparin Y, Hong CJ, et al. Medical cannabis or cannabinoids for chronic non-cancer and cancer related pain: a systematic review and meta-analysis of randomised clinical trials. BMJ. 2021;374:n1034.
  9. Di Marzo V, Bifulco M, De Petrocellis L. The endocannabinoid system and its therapeutic exploitation. Nat Rev Drug Discov. 2004;3(9):771-84.
  10. Mechoulam R, Parker LA. The endocannabinoid system and the brain. Annu Rev Psychol. 2013;64(1):21-47.
  11. Devane WA, Hanuš L, Breuer A, Pertwee RG, Stevenson LA, Griffin G, et al. Isolation and structure of a brain constituent that binds to the cannabinoid receptor. Science. 1992;258(5090):1946-9.
  12. Mechoulam R, Ben-Shabat S, Hanus L, Ligumsky M, Kaminski NE, Schatz AR, et al. Identification of an endogenous 2-monoglyceride, present in canine gut, that binds to cannabinoid receptors. Biochem Pharmacol. 1995;50(1):83-90.
  13. Di Marzo V, Hill MP, Bisogno T, Brotchie JM. Enhanced levels of endogenous cannabinoids in the globus pallidus are associated with a reduction in movement in an animal model of Parkinson's disease. FASEB J. 2000;14(10):1432-8.
  14. Bátkai S, Járai Z, Wagner JA, Goparaju SK, Varga KÁ, Liu J, et al. Endocannabinoids acting at vascular CB1 receptors mediate the vasodilated state in advanced liver cirrhosis. Nat Med. 2001;7(7):827-32.
  15. Ligresti A, Bisogno T, Matias I, De Petrocellis L, Cascio MG, Cosenza V, et al. Possible endocannabinoid control of colorectal cancer growth. Gastroenterology. 2003;125(3):677-87.
  16. Schmid PC, Wold LE, Krebsbach RJ, Berdyshev EV, Schmid HH. Anandamide and other N-acylethanolamines in human tumors. Lipids. 2002;37(9):907-12.
  17. Pacher P, Bátkai S, Kunos G. The endocannabinoid system as na emerging target of pharmacotherapy. Pharmacol Rev. 2006;58(3):389-462.
  18. Gostine M, Davis F, Roberts BA, Risko R, Asmus M, Cappelleri JC, et al. Clinical characteristics of fibromyalgia in a chronic pain population. Pain Pract. 2018;18(1):67-78.
  19. Clauw DJ. Fibromyalgia: a clinical review. JAMA. 2014;311(15):1547-55.
  20. Segura-Jiménez V, Álvarez-Gallardo IC, Carbonell-Baeza A, Aparicio VA, Ortega FB, Casimiro AJ, et al. Fibromyalgia has a larger impact on physical health than on psychological health, yet both are markedly affected: The al-Ándalus project. Semin Arthritis Rheum. 2015;44(5):563-70.
  21. Wolfe F, Clauw DJ, Fitzcharles M-A, Goldenberg DL, Häuser W, Katz RS, et al. Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR preliminary diagnostic criteria for fibromyalgia. J Rheumatol. 2011;38(6):1113-22.
  22. Macfarlane GJ, Kronisch C, Dean LE, Atzeni F, Häuser W, Fluß E, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2016;76(2):318-28.
  23. Fitzcharles M-A, Ste-Marie PA, Gamsa A, Ware MA, Shir Y. Opioid use, misuse, and abuse in patients labeled as fibromyalgia. Am J Med. 2011;124(10):955-60.
  24. Bruce BK, Allman ME, Rivera FA, Abril A, Gehin JM, Oliphant LM, et al. Opioid use in fibromyalgia continues despite guidelines that do not support its efficacy or risk. J Clin Rheumatol. 2021;27(5):187-93.
  25. Sagy I, Bar-Lev Schleider L, Abu-Shakra M, Novack V. Safety and efficacy of medical cannabis in fibromyalgia. J Clin Med. 2019;8(6):807.
  26. Giorgi V, Bongiovanni S, Atzeni F, Marotto D, Salaffi F, Sarzi-Puttini P. Adding medical cannabis to standard analgesic treatment for fibromyalgia: a prospective observational study. Clin Exp Rheumatol 2020;38 Suppl 123(1):53-59.
  27. Kaufmann I, Schelling G, Eisner C, Richter HP, Krauseneck T, Vogeser M, et al. Anandamide and neutrophil function in patients with fibromyalgia. Psychoneuroendocrinology. 2008;33(5):676-85.
  28. Russo EB. Clinical endocannabinoid deficiency reconsidered: current research supports the theory in migraine, fibromyalgia, irritable bowel, and other treatment-resistant syndromes. Cannabis Cannabinoid Res. 2016;1(1):154-65.
  29. Richardson JD, Aanonsen L, Hargreaves KM. SR 141716A, a cannabinoid receptor antagonist, produces hyperalgesia in untreated mice. Eur J Pharmacol. 1997;319(2-3):R3-4.
  30. O Estado de São Paulo. Lein° 17.618, de 31 de janeiro de 2023. Institui a política estadual de fornecimento gratuito de medicamentos formulados de derivado vegetal à base de canabidiol, incluindo o tetrahidrocanabidiol, em caráter de excepcionalidade pelo Poder Executivo nas unidades de saúde pública estadual e privada conveniada ao Sistema Único de Saúde - SUS. Diário Oficial do Estado de São Paulo 01 fev 2023, vol. 133, n. 22. Seção 1.

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International Journal of Sciences is Open Access Journal.
This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License.
Author(s) retain the copyrights of this article, though, publication rights are with Alkhaer Publications.

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