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A Call for More Research: Adolescent Cannabis Use and Mental Health Risks

July 15, 2019 Adolescents, Adverse Effects, Anxiety, Behavior change, Cannabinoids, Cannabis, Cannabis Education, Cannabis Science, Cannabis Use Disorder (CUD), Case Study, Cognition, Future Medicine, Impairment, Mental Health, Occasional Use, Pediatrics, Products, Stigma, Testing, THC

Title: Adolescent Cannabis Use and Risk of Mental Health Problems – The Need for Newer Data

Here, an article presenting a case, justifying the need for new research to determine how cannabis use in adolescents may affect their risk for mental health. Few recent studies have come out discussing mental health and adolescent use. This is problematic because, over the years, cannabis products have been curated to be significantly more potent than in the past. Considering how vulnerable the brain is, during adolescence, because it is still developing, longitudinal studies need to be conducted to fully elucidate the effects of cannabis on development.

This review highlights how poorly adolescents consuming cannabis seem to be at titrating their dose, or correctly self-regulating consumption of cannabis. There is an overall need for greater education before cannabis is acquired, from a dispensary or otherwise. For adults and teens seeking to self-regulate their use of cannabis, irrespective of the consumption method, it is difficult to succeed, considering the gross lack of knowledge and sophistication around the dosage. The wide variability in choice and make-up of cannabis products, added to the complexity associated with how each patient may process the myriad of cannabinoids within the products consumed leads to a complexity of confounding variables, and here, a call for more studies to be conducted on more than just adolescents.

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Adolescent Cannabis Use and Risk of Mental Health Problems – The Need for Newer DataDownload

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Incidents of Driving Under the Influence of Drugs Reveals A Need for Stricter Regulations

July 14, 2019 Adolescents, Adverse Effects, Behavior change, Blood-Levels, Cannabis, Cannabis Education, Cannabis Science, Cognition, Dosing, Driving, Future Medicine, Heavy Use, History, Impairment, Law, Legislation, Reaction Time, Science, Social Justice, Stigma, THC

Title: A review of drug abuse in recently reported cases of driving under the influence of drugs (DUID) in Asia, USA, and Europe

A recent literature review has found that the current driving regulations in Asia, Europe, and the US have not prevented cases of driving under the influence of drugs. The authors observed steady trends of incidences of driving under the influence in all three regions, despite legislature specifically enacted against such actions. In the literature, there is a consistent recommendation that drivers should be regularly tested, especially in the case of an accident, in order to gather more data on the role of drugs in traffic accidents.

This review highlights the different illicit drugs that contribute to traffic accidents, depending on the region of the world. Cannabis is legal in certain areas of Europe, whereas it is still considered an illicit substance here in the US, and many other locations, worldwide. Looking at the differences in severity or circumstance of the accidents between the type of illicit drug used may provide data to create more beneficial regulations for each country. As the legal status of cannabis continues to evolve, and it becomes more common to find drivers on the road who have consumed a minimal amount of cannabis, new screening techniques will likely be developed to help the culture establish what it considers an “acceptable amount” of blood-borne cannabinoids to be.

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A review of drug abuse in recently reported cases of driving under the influence of drugs (DUID) in Asia, USA, and EuropeDownload

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Maintain a Balanced Diet when Consuming Oral Cannabidiol

July 13, 2019 Blood-Levels, Cannabinoids, Cannabis, Cannabis Science, Case Study, Crossover Study, Edibles, Future Medicine, Gastrointestinal Effects, Processing, Science, Taste, THC, Topical

Title: Food effect on pharmacokinetics of cannabidiol oral capsules in adult patients with refractory epilepsy

Researchers have recently revealed the importance of maintaining a balanced diet, when consuming cannabidiol (CBD). Consuming oral capsules containing CBD may be a more consistent method of consumption than blending CBD into liquids or solid foods, but unfortunately, capsules do not prevent a high degree of potential fluctuation of dosing. The fat content of a meal may vary widely, and so may change the active concentrations of CBD which become active in the bloodstream. In other words, the effects felt by a consumer may be either stronger or weaker, and differ in duration, related to the method of consumption, and the product make-up taken. Patients considering CBD as a therapeutic intervention, who also want a consistency of effect, would be wise to be mindful to maintain a diet with a balanced amount of fat (oils, butter, etc.) when consuming CBD capsules.

This article highlights the variation of effects felt when altering consumption methods. For example, edibles and inhaled cannabinoids of the same dosage have extremely different effects, because of how they are processed in the body processes. When inhaled, tetrahydrocannabinol (THC) diffuses across structures in the lungs known as alveoli, and are then transmitted to circulate throughout the bloodstream. Edibles introduce THC into the system by first metabolizing with liver enzymes, resulting in an altered metabolite of THC circulating throughout the body. This subtly-altered metabolite of THC can be more potent than the starting material, although the onset is delayed due to the process of consumption, digestion, and metabolism. All consumers would do well to research their consumption method of choice and proceed carefully when switching between methods.

Tweet: Researchers have recently revealed the importance of maintaining a balanced #diet when consuming #cannabidiol (#CBD). Learn more at

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Food effect on pharmacokinetics of cannabidiol oral capsules in adult patients with refractory epilepsyDownload

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False Memory Formation Does not Differ between Cannabis Users and Controls

July 13, 2019 Adverse Effects, Behavior change, Cannabinoids, Cannabis, Cannabis Education, Cannabis Science, Citizen Science, Cognition, Dementia, Future Medicine, Heavy Use, Memory, Occasional Use, Reaction Time, Science, Stigma, THC

Title: False memory formation in cannabis users- a field study

This new study has revealed that although cannabis use does not increase the rate of false memory acquisition, cannabis use did increase the uncertainty of participants. It was also determined that intoxicated cannabis users were less accurate when recognizing true events, providing evidence that cannabis intoxication hinders memory formation.

This research provides a basis of knowledge for those interviewing people under the influence of cannabis for legal proceedings to determine the validity of their statements. If cannabis intoxication increases the uncertainty and liberal answers provided by users then their statements should be used sparingly or well-corroborated.

This research highlights the importance of understanding cannabis for legal proceedings. More and more state governments are legalizing medical and recreational cannabis, each year, increasing the amount of those eligible to legally consume cannabis. As cannabis use continues to climb in popularity, witnesses or others interviewed in legal settings may not provide the most accurate information. Acute cannabis use should be a consideration related to legal proceedings so that the users’ statements can be weighed appropriately.

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False memory formation in cannabis users: a field studyDownload

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Video: Medical Cannabis Around the Globe & Across Centuries

July 12, 2019 Archeology, Asia, Brazil, California, Canada, Cannabinoids, Cannabis, Cannabis News, CBD, CED Clinic, Columbia, Dr Caplan, Future Medicine, History, Illinois, India, Iowa, Israel, Los Angeles, Massachusetts, Missouri, Nebraska, Nevada, New York, News, Oregon, Politics, Social Consumption / Cafés, Social Equity, Social Justice, Stigma, Tennessee, THC, UK, Utah, Veterans, Video, Washington DC, Women in Cannabis

Throughout the ages, from health & wellness, religious rituals, and textile applications to the entertainment and social elements, cannabis has been a vital part of multiple sectors of human culture.

For millions, the modern cannabis revival is a welcome return home to a core element that has been missing for years.

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Cannabis-Evolution-And-Ethnobotany-1 Download

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More Research Needed to Determine Impacts of Cannabis Use During Pregnancy

July 10, 2019 Abuse, Adolescents, Adverse Effects, Behavior change, Cannabis, Cannabis Dependence, Cannabis Education, Cannabis Science, Case Study, Occasional Use, Pregnancy, Science, Stigma, THC, Women in Cannabis

Cannabis Use in Pregnancy

With rates of cannabis use during pregnancy more than doubling between 2002 and 2017, a need for more studies, over longer periods of time, which investigate prenatal cannabis use has emerged. Existing data ranges from reporting an increased risk for preterm birth and low birth weight to cannabis reducing the risk of preeclampsia and gestational diabetes during pregnancy. Concerns are historically informed by preliminary alcohol and cocaine studies that falsely suggested no gestational harm, despite the eventual recognition that these substances ultimately carry significant risk. Pregnant women should exercise caution in their cannabis use until more definitive conclusions are found, regarding maternal cannabis use.

The decision of where, if anywhere, cannabis fits in relationship to pregnancy is populated with more questions than answers. There are a handful of good quality, long-term studies, to date, that show a pattern that informs some degree of generalization: by and large, the less frequently consumed, and the later during the pregnancy the consumption, the less potential risk. But, for the sake of any pregnant woman and her baby, this type of decision should always be made in direct consultation with the obstetrician supporting the pregnancy.

Additional Point: A lack of high-quality studies relating to cannabis use and gestational risk has resulted in conflicting evidence surrounding prenatal cannabis use. However, historical context involving prenatal alcohol and cocaine use studies informs the need to exercise caution before definitive conclusions are made

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Cannabis Use in Pregnancy A Tale of 2 Concerns Download

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Supplementing Antipsychotics with CBD Enhances Psychotic Symptom Treatment

July 10, 2019 Adverse Effects, Anxiety, Cannabinoids, Cannabis, Cannabis Dependence, Cannabis Science, Cannabis Use Disorder (CUD), CBD, Cognition, Mental Health, Parkinson's Disease, Placebo-Controlled, Psychosis, Schizophrenia, Science, Stress, THC

Cannabidiol (CBD) as an Adjunctive Therapy in Schizophrenia: A Multicenter Randomized Controlled Trial

Most schizophrenia medications function by blocking the action of the dopamine D2 receptor and effectively treat positive psychotic symptoms, such as delusions or hallucinations, but fail to treat negative psychotic symptoms, such as lack of motivation or the lack of an ability to feel pleasure. Anecdotal evidence has pointed toward the potential for CBD to attenuate psychotic symptoms in conjunction with normally prescribed antipsychotics; additionally, CBD is not hypothesized to act on the D2 receptor, suggesting that it may afford unique advantages over anti-psychotics.

Researchers interested in further exploring this conducted the first known placebo-controlled CBD trial among schizophrenia patients. Although results did not suggest a potential for CBD to treat negative psychotic symptoms, in conjunction with antipsychotics, the CBD group experienced marked lower levels of positive psychotic symptoms. Both the placebo and CBD groups experienced equal levels of treatment-induced adverse events, suggesting that CBD is well-tolerated.

These results suggest that CBD may be effective in treating not only schizophrenia but also psychotic symptoms associated with Parkinson’s disease and THC-induced psychosis.

Additional Point: CBD has shown to act in a neuroprotective manner and reduce the psychoactive effects of THC, making it a viable option for patients who have experienced negative side effects with THC.

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Cannabidiol (CBD) as an Adjunctive Therapy in Schizophrenia- A Multicenter Randomized Controlled Trial Download

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Video: Cannabinoids, Internal States, and Anxiety

July 9, 2019 Adolescents, Adverse Effects, Anxiety, Behavior change, Cannabinoids, Cannabis, Cannabis Education, Cannabis Science, Cannabis Use Disorder (CUD), CBD, CED Clinic, CED In The News, Cognition, Depression, Dr Caplan, Future Medicine, History, Mental Health, Mood, Occasional Use, Placebo-Controlled, Science, Stigma, Stress, THC, Video

A new literature review summarizing the recent findings relating to cannabis and anxiety.

Researchers conclude that CBD and low-dose THC can cause relaxation and decrease anxiety and self-spun thoughts. Some studies show that high-dose THC can cause psychotic symptoms; however, studies also show that CBD can protect against those THC-induced symptoms. Therefore, using cannabis extracts with THC and CBD could be a safe way to reduce anxiety.

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Cannabinoids, interoception, and anxiety Download

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One theory for why cannabis affects people differently

July 9, 2019 Adverse Effects, Anti-inflammatory properties, Antioxidant, Anxiety, Behavior change, Cannabinoids, Cannabis Education, Cannabis Science, CBD, Cognition, Dosing, Future Medicine, Genetics, Science, THC

Something still not entirely understood is why cannabis affects people differently. A study looking at THC interactions in the brain show that rewarding and adverse effects are produced by anatomically different areas. Individual experiences likely differ due to genetic variation.

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Cannabis is a Safe and Effect for the Treatment of Fibromyalgia

July 9, 2019 Anti-inflammatory properties, Arthritis, Cannabinoids, Cannabis, Cannabis Science, CBD, Fibromyalgia, Future Medicine, Multiple Sclerosis, Muscle Pain, Occasional Use, Pain, Placebo-Controlled, Science, Synthetic Cannabinoids, THC

Safety and Efficacy of Medical Cannabis in Fibromyalgia

A recent study has concluded that cannabis is a safe and effective treatment for patients suffering from fibromyalgia symptoms.

Fibromyalgia is a disorder characterized by widespread pain, fatigue, and issues sleeping. Cannabis is well known for its ability to treat pain, especially in lieu of opioids as the side effects are minimal and the risk of addiction minimal. This study found that over 200 patients were greatly benefited by cannabis as it moderated their pain and improved their mood. Future studies should aim to directly compare cannabis-based treatment with the currently accepted methods of fibromyalgia treatment to validate efficacy.

This study highlights how beneficial cannabis can be for those patients who are treatment-resistant for the general treatment of most disorders, especially when pain is involved. Cannabis has been proven to be much safer than opioids, and yet our lack of complete information, concerning the exact mechanisms of the endocannabinoid system and how different cannabinoids act on those mechanisms severely limits our ability to offer practical, novel therapies. Cannabis has previously been shown to be beneficial for treatment-resistant forms of epilepsy and depression, which holds promise when continuing to look for novel treatments for other disorders that have proven difficult to treat.

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Safety and Efficacy of Medical Cannabis in Fibromyalgia Download

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