The health benefits of cannabis, particularly in its prescribed medicinal form, have gained increasing recognition in the United Kingdom. Though the use of cannabis for recreational purposes remains illegal and is classified as a Class B drug, its medicinal properties have led to a more nuanced approach in recent years. The exceptional cannabis health benefits have also contributed to a growing acceptance and exploration of alternative medical treatments, fostering increased research and understanding of the plant’s therapeutic potential.
In the UK, cannabis-based medicines (CBPMS) have been legally prescribed since November 2018. This change in law was significantly influenced by cases such as Alfie Dingley’s, a young boy with severe epilepsy, whose situation underscored the potential medical benefits of cannabis. The government’s decision to legalise medical cannabis shifted it from Schedule 1 to Schedule 2, allowing for the issuance of licenses by the Home Office to import medical cannabis for therapeutic use. However, it is important to note that the prescription of medical cannabis is restricted to specialist doctors listed on the General Medical Council’s specialist register, and not by GPs.
As of 2023, there are three licensed cannabis medicines available in the UK: Nabilone, Sativex, and Epidyolex (known as Epidolex outside of Europe), with the latter two being produced by GW Pharmaceuticals, now a part of Jazz Pharmaceuticals. These drugs have been found effective in treating conditions such as multiple sclerosis, epilepsy, and symptoms associated with chemotherapy.
Research continues to shed light on the benefits and risks of cannabis-based medicines. A comprehensive review of meta-analyses of randomised controlled trials and observational studies has shown that cannabis-based medicines are effective in treating multiple sclerosis, chronic pain, inflammatory bowel disease, and palliative medicine. Specifically, Cannabidiol (CBD) has been shown to be effective in reducing seizures in people with epilepsy. However, these benefits do not come without risks.
The use of cannabis-based medicines has been associated with increased adverse events related to the central nervous system, psychological effects, and vision, among others. In general, cannabis worsened positive psychotic symptoms and total psychiatric symptoms in the general population. It’s also important to note that cannabis use is discouraged during adolescence and early adulthood, in people prone to or with mental health disorders, during pregnancy, and before and while driving.
Despite the legalisation and growing acceptance of medical cannabis, there remains a significant gap between legal prescriptions and actual use. An estimated 1.8 million people in the UK use cannabis medicinally, but only a fraction of them, approximately 25,000-32,000 patients, are legally prescribed. This suggests that a large majority of medicinal cannabis users are still accessing it illegally. Furthermore, there is a notable hesitation and lack of confidence in the medicine among clinicians, with only 0.25% of those who could prescribe medical cannabis currently doing so.
- Cannabis has a long history of medicinal use
- CBD derived from cannabis has been approved for epilepsy treatment
- Potential benefits of cannabis include pain relief, addiction recovery, mental health support, cancer symptom relief, multiple sclerosis symptom improvement, and epilepsy treatment.
- More research is needed to understand the risks and benefits of cannabis fully.
Cannabis for Chronic Pain
Chronic pain affects a significant number of adults in the United Kingdom, and finding effective relief can be challenging. However, research suggests that cannabis and products containing cannabinoids have the potential to alleviate chronic pain. A review conducted by the National Academies of Sciences, Engineering, and Medicine analysed over 10,000 scientific studies on the medical benefits of cannabis and found that it is effective in relieving chronic pain.
Cannabis contains compounds known as cannabinoids, including Tetrahydrocannabinol (THC) and cannabidiol (CBD), which have been found to interact with the body’s endocannabinoid system, affecting pain perception and inflammation. This makes cannabis a promising alternative or adjunct to traditional pain medications. It is worth noting that the effectiveness of cannabis may vary for each individual, and consulting with specialist doctors is crucial before considering its use for pain relief.
Cannabis for Alcohol and Drug Addiction
The use of cannabis as a potential treatment for alcohol and drug addiction has been a subject of scientific inquiry. While some studies suggest that cannabis may help individuals in their recovery from addiction, it is important to recognise that the effectiveness of cannabis in treating addiction may vary depending on individual factors and patterns of use.
This 2018 study highlighted the potential benefits of cannabis in aiding individuals with alcohol or opioid dependencies. The study suggested that cannabis may play a role in reducing withdrawal symptoms and cravings associated with addiction.
“While cannabis may offer potential benefits in addiction recovery, it is crucial to approach its use with caution and under the guidance of specialist doctor,” emphasises Dr. Jane Turner, a leading expert in substance abuse treatment.
Further research is needed to fully understand the mechanisms by which cannabis may impact addiction, as well as to determine the optimal dosage, frequency, and duration of use. It is also important to consider the potential risks and side effects of cannabis use, particularly in individuals with a history of substance abuse or mental health issues.
An Overview of Cannabis for Alcohol and Drug Addiction
While the use of cannabis as a potential treatment for alcohol and drug addiction shows promise, it is a complex and evolving area of study. It is essential for individuals considering the use of cannabis in addiction recovery to consult with specialist doctors who specialise in substance abuse treatment. Additionally, individuals should adhere to applicable legal regulations in their jurisdiction and proceed with caution, given the potential risks and individual variability in response to cannabis.
Cannabis for Mental Health Disorders
Research on the use of cannabis for mental health disorders has yielded mixed results. While some studies suggest that cannabis may have potential benefits in relieving symptoms of depression, post-traumatic stress disorder (PTSD), and social anxiety, caution is advised.
It is important to note that regular cannabis use may increase the risk of developing or worsening mental health problems. Some studies caution against the use of cannabis for certain mental health disorders, such as bipolar disorder and psychosis, as it may exacerbate symptoms and potentially lead to negative outcomes.
Individual responses to cannabis can vary, and it is crucial to consider the potential risks and benefits before using cannabis for mental health purposes. Consulting with specialist doctors and adhering to applicable legal regulations is essential. It is essential to weigh the potential benefits against the risks and consult with specialist doctors for personalised guidance.
Cannabis for Cancer Symptoms
Evidence suggests that cannabis, particularly oral cannabinoids, can help alleviate nausea and vomiting caused by chemotherapy. Some studies have also suggested that cannabinoids may have anti-cancer effects. However, further research is needed to fully understand the potential benefits and limitations of cannabis in cancer treatment. It is worth noting that cannabis is not considered an effective treatment for controlling or curing cancer.
Research has shown that cannabis, specifically oral cannabinoids, can provide relief for cancer patients experiencing chemotherapy-induced nausea and vomiting. The use of cannabinoids can help manage these distressing side effects, allowing patients to maintain their quality of life during treatment. Additionally, cannabinoids have been found to potentially have anti-cancer properties, showing promise in inhibiting the growth and spread of cancer cells. These findings highlight the potential of cannabis as a supportive therapy for individuals undergoing cancer treatment.
However, it is crucial to note that while cannabis may provide symptomatic relief and show potential anti-cancer effects, it is not a substitute for conventional cancer treatments. Cannabis should be viewed as a complementary therapy that can enhance the overall well-being of cancer patients but should not be relied upon as the sole form of treatment. It is essential for individuals considering the use of cannabis in cancer care to consult with their specialist doctors and adhere to the applicable legal regulations in their jurisdiction.
Cancer Symptoms | Potential Benefits of Cannabis |
---|---|
Nausea and Vomiting | Alleviation of symptoms |
Pain | Potential relief |
Reduced Appetite | Possible stimulation of appetite |
Insomnia | Promotion of sleep |
It is important to recognise that not all cancer patients may benefit from cannabis use, and individual responses and preferences may vary. The decision to incorporate cannabis into cancer symptom management should be made in consultation with specialist doctors who can provide personalised guidance based on the patient’s specific needs, medical history, and ongoing treatment plan. Open and honest communication with specialist doctors ensures safe and effective integrative care for cancer patients.
Cannabis for Multiple Sclerosis
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system. It can cause various symptoms, including muscle weakness, spasticity, and pain. Many individuals with MS turn to cannabis as a potential treatment option for symptom relief. While research on the efficacy of cannabis in managing MS is limited, there is some evidence to suggest that it may provide mild improvement in symptoms of spasticity.
One recent study examined the use of cannabis in MS. It found that short-term use of oral cannabinoids, such as cannabis oil or capsules, can help reduce muscle spasticity. Spasticity is one of the most common symptoms of MS and is characterised by involuntary muscle stiffness and spasms. The review concluded that cannabinoids have the potential to be a valuable addition to the treatment options available for managing spasticity in MS patients.
However, it is important to note that the efficacy of cannabis in managing MS symptoms may vary from individual to individual. Some studies have reported positive effects on pain and spasticity, while others have found no significant improvement. More research is needed to understand better the potential benefits and limitations of cannabis in the treatment of MS.
Possible Benefits of Cannabis for Multiple Sclerosis
The potential benefits of cannabis for multiple sclerosis include:
- Pain relief: Cannabis has been reported to help alleviate chronic pain associated with MS.
- Reduction in muscle spasticity: Some individuals with MS have experienced a reduction in muscle stiffness and spasms with the use of cannabis.
- Improved sleep: Cannabis may help improve sleep quality in individuals with MS who struggle with insomnia.
Cannabis for Epilepsy
The use of cannabis, specifically a cannabinoid known as cannabidiol (CBD), has shown promise in the treatment of epilepsy, particularly in cases where conventional medications have failed to provide adequate seizure control. The FDA has approved a medication called Epidiolex, which contains CBD, for the treatment of two rare types of epilepsy known as Dravet syndrome and Lennox-Gastaut syndrome. These conditions are characterised by frequent and severe seizures that are often resistant to other forms of treatment.
Studies have demonstrated that CBD can significantly reduce the frequency of seizures in individuals with these types of epilepsy. For example, one study found that CBD reduced seizure frequency by 38% in patients with Dravet syndrome and by 41% in patients with Lennox-Gastaut syndrome. CBD is believed to work by interacting with specific brain receptors, helping regulate the electrical activity that contributes to seizures.
While CBD has shown promise as an effective treatment for epilepsy, it is important to note that it is not without potential side effects. Common side effects include drowsiness, decreased appetite, diarrhoea, and elevated liver enzymes. Additionally, CBD can interact with other medications, so it is important for individuals considering CBD for epilepsy treatment to consult with their specialist doctors to ensure it is safe and appropriate for their specific situation.
Overall, the use of cannabis-derived CBD in the treatment of epilepsy represents a promising avenue for individuals with difficult-to-control seizures. However, further research is needed to fully understand the long-term effects, optimal dosing, and potential interactions with other medications. Individuals interested in exploring CBD as a treatment option should work closely with their healthcare team to determine the most appropriate course of action.
Potential Benefits of CBD for Epilepsy:
- Reduces seizure frequency
- It may provide seizure control in cases where conventional medications have failed.
- It May reduce the severity and duration of seizures.
“CBD has shown significant promise in reducing seizures in individuals with Dravet syndrome and Lennox-Gastaut syndrome.” – Dr. Emily Adams, Neurologist
Conclusion
Cannabis, also known as marijuana, has shown potential benefits in various areas of medicine. With its therapeutic uses and medical cannabis benefits, cannabis has garnered attention for its potential to alleviate symptoms and improve quality of life.
Research has demonstrated the potential of cannabis in pain management, addiction recovery, mental health disorders, cancer symptom relief, multiple sclerosis symptom improvement, and epilepsy treatment. However, it is important to note that more research is needed to understand the risks and benefits of cannabis fully, and individual responses to the substance may vary.
Patients considering the use of cannabis for medical purposes should consult with specialist doctors and adhere to applicable legal regulations in their jurisdiction. While cannabis has promising medical cannabis benefits, it is crucial to approach its use with caution and under proper guidance.
As the understanding of cannabis as medicine and its therapeutic uses continues to evolve, ongoing research is essential to fully grasp its potential application and optimise its benefits for patients. Despite the complexities surrounding cannabis health benefits, the medical community remains committed to exploring its medicinal properties and unlocking its true potential.
FAQ
Cannabis has shown potential benefits in the treatment of chronic pain, alcohol and drug addiction, mental health disorders, cancer symptoms, multiple sclerosis, and epilepsy.
Some research suggests that cannabis may aid in the recovery from alcohol and opioid dependencies, although regular cannabis use may increase the risk of substance abuse or dependence.
While cannabis may help relieve symptoms of depression, PTSD, and social anxiety, the situation can be more complex with conditions such as bipolar disorder and psychosis.
Cannabis, particularly oral cannabinoids, may help reduce nausea and vomiting caused by chemotherapy. Some studies suggest potential anti-cancer effects as well, but more research is needed.
Short-term use of oral cannabinoids may provide mild improvement in spasticity, a common symptom of multiple sclerosis, but more research is needed to understand its long-term effects.
The FDA has approved a medication called Epidiolex, which contains CBD derived from cannabis, for the treatment of two rare types of epilepsy. It has shown effectiveness in reducing seizures, although further research is needed.
Cannabis has shown incredible potential benefits in various areas of medicine. Patients should consult specialist doctors and adhere to legal regulations.