PARKINSON'S DISEASE

The cause of Parkinson’s Disease

In Parkinson’s disease, changes occur in the nervous system. Nerve cells that produce the important neurotransmitter dopamine die prematurely. Parkinson’s symptoms develop. The core symptom is the slowing down of movement and the reduction of movements (akinesia).

To date, there is no explanation for why the nerve cells simply die. Although rare hereditary variants of the disease have been discovered, Parkinson’s disease is not a hereditary disease in the classical sense.

Relief instead of intoxication: The psychoactive ingredient in cannabis can help Parkinson’s patients, as a pilot study now suggests. According to the study, the cannabinoid THC alleviates many non-motor Parkinson’s symptoms such as anxiety or sleep disorders. Motor disorders also improved slightly.

Shaky hands, stiff muscles and slowed movements: These are the typical symptoms of Parkinson’s – now the second most common neurodegenerative disease after Alzheimer’s. In addition to these motor disorders, however, Parkinson’s patients also suffer from neurological symptoms.

But whether and how well THC works against these symptoms had hardly been studied so far. That’s why researchers have now conducted the first randomized double-blind study on the subject. For this purpose, 38 women and men with Parkinson’s disease initially received nabilone, a synthetic THC preparation, daily for about five weeks. This is already approved as a drug for the treatment of nausea in cancer therapy. Then half of the participants continued to receive nabilone, while the other half took a placebo.

The results showed that even during the first phase of the study, the participants’ non- motor disorders improved significantly. They suffered less from sleep disturbances and anxiety and scored significantly better on standardized Parkinson’s disease rating scales than they did at the start of the study. “Our results show an improvement in overall NMS distress with nabilone,” the team reports. And there was also a slight improvement in motor dysfunction.

These positive effects were confirmed in the second part of the study: participants who continued to receive the cannabinoid still fared better. Those who received only a placebo, on the other hand, deteriorated significantly. The evaluation also showed that the cannabinoid had positive effects even at a relatively low dose of one milligram per day. This kept side effects such as mild dizziness or fatigue within limits.

PARKINSON'S DISEASE

The cause of Parkinson’s Disease

In Parkinson’s disease, changes occur in the nervous system. Nerve cells that produce the important neurotransmitter dopamine die prematurely. Parkinson’s symptoms develop. The core symptom is the slowing down of movement and the reduction of movements (akinesia).

To date, there is no explanation for why the nerve cells simply die. Although rare hereditary variants of the disease have been discovered, Parkinson’s disease is not a hereditary disease in the classical sense.

Relief instead of intoxication: The psychoactive ingredient in cannabis can help Parkinson’s patients, as a pilot study now suggests. According to the study, the cannabinoid THC alleviates many non-motor Parkinson’s symptoms such as anxiety or sleep disorders. Motor disorders also improved slightly.

Shaky hands, stiff muscles and slowed movements: These are the typical symptoms of Parkinson’s – now the second most common neurodegenerative disease after Alzheimer’s. In addition to these motor disorders, however, Parkinson’s patients also suffer from neurological symptoms.

But whether and how well THC works against these symptoms had hardly been studied so far. That’s why researchers have now conducted the first randomized double-blind study on the subject. For this purpose, 38 women and men with Parkinson’s disease initially received nabilone, a synthetic THC preparation, daily for about five weeks. This is already approved as a drug for the treatment of nausea in cancer therapy. Then half of the participants continued to receive nabilone, while the other half took a placebo.

The results showed that even during the first phase of the study, the participants’ non- motor disorders improved significantly. They suffered less from sleep disturbances and anxiety and scored significantly better on standardized Parkinson’s disease rating scales than they did at the start of the study. “Our results show an improvement in overall NMS distress with nabilone,” the team reports. And there was also a slight improvement in motor dysfunction.

These positive effects were confirmed in the second part of the study: participants who continued to receive the cannabinoid still fared better. Those who received only a placebo, on the other hand, deteriorated significantly. The evaluation also showed that the cannabinoid had positive effects even at a relatively low dose of one milligram per day. This kept side effects such as mild dizziness or fatigue within limits.

Improvement of motor disorders

Relaxation of the entire endogenous system leads to a calming effect in the patient and a normalization of the condition. 

General relief

The patient reduces not only motor problems, but at the same time stress, anxiety and stiffness.

How Medical Marijuana Can Help Patients

PARKINSON'S DISEASE

Medical Cannabis for Parkinson's Disease: A Review of Supporting Studies

Introduction

Parkinson’s disease is a progressive neurodegenerative disorder that affects motor function and can lead to a range of non-motor symptoms. The primary treatments for Parkinson’s disease include medications, such as levodopa, and deep brain stimulation. However, medical cannabis has gained attention as a potential alternative or adjunctive treatment for Parkinson’s disease. This review will discuss the evidence from several supporting studies that investigate the potential benefits of medical cannabis in the management of Parkinson’s disease symptoms.

Reducing Motor Symptoms

One of the primary symptoms of Parkinson’s disease is motor dysfunction. Chagas et al.’s 2014 study found that cannabidiol (CBD), a non-psychoactive cannabinoid, could potentially reduce motor symptoms in patients with Parkinson’s disease. The double-blind trial revealed that patients treated with CBD experienced a significant improvement in their motor symptoms compared to those receiving a placebo.

Alleviating Non-Motor Symptoms

Parkinson’s disease is also associated with a variety of non-motor symptoms, including pain, sleep disturbances, and anxiety. Kluger et al.’s 2015 review discusses the therapeutic potential of cannabinoids for various movement disorders, including Parkinson’s disease. The authors suggest that cannabinoids may help alleviate non-motor symptoms, such as pain, sleep disturbances, and anxiety, which can significantly impact the quality of life for patients with Parkinson’s disease.

Improving Quality of Life

Another aspect of Parkinson’s disease management is improving the overall quality of life for patients. Lotan et al.’s 2014 open-label observational study found that medical cannabis use led to a significant improvement in the overall quality of life for patients with Parkinson’s disease. The study revealed that patients experienced improvements in motor function, non-motor symptoms, and general well-being after medical cannabis treatment.

Clinical Trials

Randomized controlled trials (RCTs) provide the highest level of evidence for medical interventions. While there are limited RCTs examining the efficacy of medical cannabis for depression, some studies have evaluated the impact of cannabis-derived compounds on depressive symptoms in specific populations. A double-blind, placebo-controlled trial published in the American Journal of Psychiatry (2019) investigated the effects of CBD as an adjunctive treatment for patients with bipolar depression. The study found no significant differences between the CBD and placebo groups in terms of improvement in depressive symptoms, suggesting that CBD may not be effective for this specific population.

Safety and Side Effects

As with any medication, potential side effects and safety concerns must be considered when using medical cannabis for Parkinson’s disease. Common side effects include dizziness, dry mouth, and impaired cognitive function. More research is needed to establish the long-term effects, optimal dosing, and administration methods for medical cannabis use in patients with Parkinson’s disease.

Conclusion

The current evidence suggests that medical cannabis may have potential benefits in the management of Parkinson’s disease, including reducing motor symptoms, alleviating non-motor symptoms, and improving overall quality of life. However, more research is needed to better understand the long-term effects of medical cannabis on Parkinson’s disease and to establish optimal dosing and administration strategies. Healthcare providers should remain informed about the latest research developments and engage in open discussions with their patients about the potential risks and benefits of using medical cannabis for Parkinson’s disease.

DISCLAIMER

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