The current role of cannabis and cannabinoids in health: A comprehensive review of their therapeutic potential

Life Sci. 2023 Sep 15:329:121838. doi: 10.1016/j.lfs.2023.121838. Epub 2023 Jun 7.

Abstract

There has been an increased interest of the scientific community in cannabis and its constituents for therapeutic purposes. Although it is believed that cannabinoids can be effective for a few different conditions and syndromes, there are little objective data that clearly support the use of cannabis, cannabis extracts or even cannabidiol (CBD) oil. This review aims to explore the therapeutic potential of phytocannabinoids and synthetic cannabinoids for the treatment of several diseases. A broad search covering the past five years, was performed in PubMed and ClinicalTrial.gov databases, to identify papers focusing on the use of medical phytocannabinoids in terms of tolerability, efficacy and safety. Accordingly, there are preclinical data supporting the use of phytocannabinoids and synthetic cannabinoids for the management of neurological pathologies, acute and chronical pain, cancer, psychiatric disorders and chemotherapy-induced emetic symptoms. However, regarding the clinical trials, most of the collected data do not fully support the use of cannabinoids in the treatment of such conditions. Consequently, more studies are still needed to clarify ascertain if the use of these compounds is useful in the management of different pathologies.

Keywords: Clinical trials; Efficacy; Phytocannabinoids; Preclinical studies; Safety; Tolerability.

Publication types

  • Review

MeSH terms

  • Cannabidiol* / pharmacology
  • Cannabidiol* / therapeutic use
  • Cannabinoid Receptor Agonists
  • Cannabinoids* / pharmacology
  • Cannabinoids* / therapeutic use
  • Cannabis*
  • Humans
  • Neoplasms* / drug therapy

Substances

  • Cannabinoids
  • Cannabinoid Receptor Agonists
  • Cannabidiol