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Cancer and Medical Cannabis

March 22, 20194 min read

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Empowering Lives: Cannabis and Its Supportive Role for Cancer Patients

Cancer, a complex and life-altering disease, has driven extensive medical research and treatment innovations. As scientists explore new therapeutic options, cannabis has emerged as a potential adjunct for symptom relief and improved quality of life. Recent studies suggest that cannabinoids—key compounds found in cannabis—may help manage pain, nausea, appetite loss, anxiety, inflammation, and even tumor progression (National Cancer Institute, 2022).

Understanding Cannabinoids

Cannabis contains over 100 cannabinoids, with tetrahydrocannabinol (THC) and cannabidiol (CBD) being the most studied. THC, the psychoactive component, has been recognized for pain relief, appetite stimulation, and anti-nausea effects. CBD, a non-psychoactive compound, is known for its anti-inflammatory, anxiolytic, and neuroprotective properties (Bridgeman & Abazia, 2017).

Pain Management

Cancer-related pain can be debilitating, often resulting from tumor pressure, nerve damage, or treatment side effects. Cannabis interacts with the endocannabinoid system (ECS), modulating pain perception by influencing CB1 and CB2 receptors in the nervous system. Clinical studies suggest that THC-dominant cannabis formulations may help reduce chronic and neuropathic pain in cancer patients (Abrams et al., 2020).

Nausea and Vomiting Reduction

Chemotherapy-induced nausea and vomiting (CINV) are common and distressing side effects. Cannabinoids, particularly THC, have demonstrated antiemetic effects by interacting with serotonin receptors, which regulate nausea. FDA-approved cannabinoid medications such as dronabinol and nabilone are prescribed for chemotherapy patients unresponsive to conventional anti-nausea drugs (NCI, 2022).

Appetite Stimulation

Loss of appetite and weight loss, known as cancer cachexia, significantly impact patients' well-being. THC has been shown to stimulate appetite by activating the CB1 receptor in the brain, leading to increased food intake and weight maintenance. Research indicates that cannabis may be beneficial for patients experiencing treatment-induced appetite suppression (Taha et al., 2021).

Anxiety and Depression Relief

The emotional toll of cancer often leads to anxiety, depression, and mood disturbances. CBD, known for its anxiolytic and antidepressant properties, may promote mental well-being by interacting with serotonin receptors, similar to traditional antidepressants (Blessing et al., 2015). Studies suggest that cannabis may help cancer patients cope with emotional distress, though proper dosing and strain selection are essential.

Anti-Inflammatory Effects

Chronic inflammation contributes to cancer progression and treatment side effects. CBD exhibits potent anti-inflammatory effects by modulating cytokine production and immune responses, potentially reducing treatment-related inflammation and discomfort (Nagarkatti et al., 2009).

Sleep Improvement

Disrupted sleep is a common concern among cancer patients. Balanced THC-CBD cannabis formulations may help promote relaxation and improve sleep quality by reducing pain, anxiety, and nighttime discomfort (Russo et al., 2017).

Combating Cancer Cells

Emerging preclinical studies suggest that cannabinoids may inhibit tumor cell proliferation, induce apoptosis (cell death), and reduce metastasis in certain cancers. CBD, in particular, has been studied for its potential role in slowing tumor growth, though more clinical research is needed to confirm its efficacy (Velasco et al., 2016).

Cannabis is gaining recognition as a supportive therapy for cancer patients, offering symptom relief and potential therapeutic benefits. While research continues to evolve, it is crucial that patients consult healthcare professionals before integrating cannabis into their treatment plans. The growing evidence underscores the need for continued research, policy reform, and open discussions to maximize cannabis's potential in cancer care.

References

• Abrams, D. I., Couey, P., Shade, S. B., Kelly, M. E., & Benowitz, N. L. (2020). "Cannabinoid-opioid interaction in chronic pain." Clinical Pharmacology & Therapeutics, 90(6), 844-851.

• Blessing, E. M., Steenkamp, M. M., Manzanares, J., & Marmar, C. R. (2015). "Cannabidiol as a potential treatment for anxiety disorders." Neurotherapeutics, 12(4), 825-836.

• Bridgeman, M. B., & Abazia, D. T. (2017). "The cannabis conundrum: Clinical considerations for pharmacists." PT, 42(3), 180-188.

• National Cancer Institute (NCI). (2022). "Cannabis and cannabinoids in cancer treatment." National Institutes of Health.

• Nagarkatti, P., Pandey, R., Rieder, S. A., Hegde, V. L., & Nagarkatti, M. (2009). "Cannabinoids as novel anti-inflammatory drugs." Future Medicinal Chemistry, 1(7), 1333-1349.

• Russo, E. B., Guy, G. W., & Robson, P. J. (2017). "Cannabis, pain, and sleep: Lessons from therapeutic clinical trials of Sativex." Current Psychiatry Reports, 15(10), 371.

• Taha, T., Meiri, D., & Bar-Sela, G. (2021). "Cannabis in cancer care: Patient preferences and benefits." Journal of Pain and Symptom Management, 61(4), 749-757.

• Velasco, G., Sánchez, C., & Guzmán, M. (2016). "Anticancer mechanisms of cannabinoids." Current Oncology, 23(2), S23-S32.

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