Marijuana’s ability to mitigate pain is well-established in scientific literature—and two new studies offer fresh evidence of how cannabis can be beneficial to patients suffering from different kinds of pain.
1. People who consume marijuana experience lower levels of pain and have higher pain tolerance compared to those who abstain.
After recruiting 66 students (half of whom were deemed cannabis consumers and half non-users) and administering basic questionnaires, Auburn University PhD candidate Julio Yanes conducted a series of experiments to discern how cannabis use influences pain.
Participants were hooked up to an experimental pain apparatus—a band fitted with a plastic disk that applies pressure to a sensitive part of the hand. Then they were asked to rate their average pain at a certain pressure on a scale of 0 to 100 and also to signal when the pressure became too uncomfortable to proceed with the experiment.
The cannabis group reported lower average pain levels than the non-using group (41-52 on average). People who consume marijuana also reported higher maximum pain tolerance than those who don’t (160-142), but that result was not considered statistically significant.
“When taken together, these outcomes suggest that recreational cannabis may mitigate emotion/motivation pain dimensions (i.e., pain ratings) without affecting sensation/perception dimensions (i.e., pain tolerance),” Yanes wrote.
2. Marijuana helps patients manage pain and reduces other symptoms that are common during surgical operations.
A review of PubMed articles “related to cannabinoids, as well as articles regarding cannabinoid medications, and cannabis use in surgical patients” turned up strong evidence that cannabis can relieve symptoms such as pain and nausea that are common among people undergoing certain surgeries.
Studies have demonstrated that cannabinoids “reduce intestinal motility, gastric acid secretion, and nausea” and also “improve pain control, reduce inflammation, and increase appetite,” according to the review, which was published in the American Journal of Surgery last week.
“Cannabinoids including THC and CBD have widespread effects on the body. These effects are particularly notable in the intestinal tract, where cannabinoids slow down intestinal transit, reduce inflammation, and reduce gastric acid secretion. Other systemic effects include increasing appetite, and reducing nausea and vomiting.”
All of these effects should be taken into consideration by surgeons, as it’s increasingly likely that patients will have consumed cannabis in some form as more states opt to legalize, according to the review authors.
“As recreational and medicinal marijuana use grows, surgeons will see more patients using these substances and should be aware of their effects,” they wrote. “There are numerous directions for cannabinoid-based pharmacotherapy in the future, and we are likely to see this evolve over the coming years.”
“Surgeons should stay abreast of the laws in their region governing the use of and indications for medicinal marijuana,” they added. “Additional research is needed to provide further information on the widespread effects on the surgical patient and possible therapeutic modalities.”
Ask and you shall receive: more research is coming.
A federal agency recently announced a call for research investigating how terpenes and cannabinoids other than THC work and whether they can treat pain.
More Americans Think Smoking Marijuana Is Safer Than Vaping It, Study Finds
There are plenty of ways to consume marijuana, but what’s the safest?
A recent survey put that question to about 9,000 American adults, and it generated some surprising findings.
The study, published in the Journal of General Internal Medicine, found that 53 percent of respondents didn’t think there was any safe form of consumption. But among those who did believe that some forms are safer than others, edibles topped the chart as the perceived safest at 25 percent.
Interestingly, almost five times as many respondents said that smoking cannabis (16 percent) was safer than vaping flower (3 percent) or oils (3 percent).
That would seem to run counter to the common understanding that heating cannabis up just enough to vaporize certain constituents is safer than combusting and inhaling it in its entirety.
Also in the survey, less than one percent of respondents said dabbing concentrates was the safest way to consume marijuana.
“As more states legalize recreational use of marijuana, further research assessing the safety of marijuana across its various forms is necessary to inform state regulations and public policy,” the researchers wrote.
Photo courtesy of WeedPornDaily.
Feds Call For Even More Marijuana Research After Hosting Cannabis Workshop
Federally funded research into marijuana seems to be escalating, with one government agency recently posting a roundup of current “cannabinoid-related funding opportunities” for studies investigating the plant’s therapeutic potential.
On Saturday, the National Center for Complementary and Integrative Health (NCCIH) shared a list of four research grant opportunities for studies on “natural products” like cannabis. One would examine how cannabinoids other than THC affect pain and three others call for more broad clinical trials of natural products involving human participants.
The list appears to have been prepared as part of an NCCIH-hosted workshop last week that explored “how to conduct research within the current regulatory framework”—an event that was explicitly not about “challenging or changing current federal laws, policies or regulations.”
.@NIH, including @NIH_NCCIH, @NIDAnews, @NIMHgov, & @NINDSnews, as well as representatives from other federal agencies, academia, & industry will come together at a workshop this Sat, 12/8 to discuss cannabinoid research. Watch the livestream: https://t.co/pWqZJYBtvf cc: @ACNPorg https://t.co/qubNIzUdwK
— David Shurtleff (@NCCIH_David) December 7, 2018
NCCIH “supports rigorous scientific investigation of natural products such as the cannabis plant and its components (e.g., cannabinoids and terpenes),” the agency wrote.
The goals of the proposed research projects range from identifying the “biological signature” of natural products, which means discovering a replicable biological effect, to determining the best dose and optimal formulation of these products. Researchers interested in taking on the investigations have to submit applications with comprehensive plans for the trials and also obtain clearance from federal agencies charged with regulating controlled substances such as the Drug Enforcement Administration (DEA).
Interestingly, three out of four of the studies highlighted by NCCIH don’t explicitly mention marijuana or cannabinoids; rather, they more broadly cover natural products, which seems to suggest that the agency aims to increase cannabis research through pre-existing funding channels.
While the federal government has historically funded limited studies into marijuana and its components, researchers have struggled to overcome barriers to research that exist for federally banned substances. As more states have legalized cannabis, though, agencies like the NCCIH have started ramping up their calls for research.
At the same time, the DEA has said that it’s streamlining applications for federally-sanctioned marijuana cultivators in order to meet the growing demand for research-grade cannabis products. It authorized 5,400 pounds of cannabis to be grown in 2019—more than five times the amount authorized for this year. The reason for the scaling up is “based solely on increased usage projections for federally approved research projects,” the agency clarified in a Federal Register notice on Monday.
Photo courtesy of Brian Shamblen.
Smoking Marijuana Actually Improves Working Memory, Study Indicates
A new study contains a finding that runs counter to common stereotypes about marijuana and forgetful stoners: smoking cannabis actually seems to improve working memory.
Researchers at the University of Florida acknowledged that their study, which involved rats and was published in the journal Neurobiology of Learning Memory, was unique. Much previous research has concluded that cannabis impairs cognitive performance. But the same time, many of those studies didn’t involve actually inhaling marijuana smoke like this one did.
The team put the 32 rats (split evenly by gender) through a pair of delayed response tasks that involved either finding and pressing a lever a certain amount of times or poking their nose into a feeding trough a certain amount of times—the reward being food pellets, of course. The first few times, the rats were sober; in subsequent experiments, they were exposed to cannabis smoke.
“Cannabis smoke improved working memory accuracy. Placebo smoke did not affect working memory accuracy.”
For male rats, the marijuana didn’t seem to have any effect at all, but for female rats “exposure to cannabis smoke significantly enhanced choice accuracy,” the researchers wrote. That said, baseline performances (prior to exposure) were lower in females compared to males, which “raises the possibility that the enhancing effects in females were due to their relatively worse baseline performance rather than to sex differences in the effects of cannabis per se.”
“The overwhelming majority of research in both animal models and human subjects shows that acute administration of cannabis and cannabinoids induces deficits in tests of cognitive function, including working memory. In contrast, the current experiments show that acute exposure to cannabis smoke enhanced working memory performance in a delayed response task in rats, particularly in females in which baseline levels of task performance were lower than those in males.”