The Use of Cannabis and Cannabinoids in Treating Symptoms of Multiple Sclerosis: a Systematic Review of Reviews

@article{Nielsen2018TheUO,
  title={The Use of Cannabis and Cannabinoids in Treating Symptoms of Multiple Sclerosis: a Systematic Review of Reviews},
  author={Suzanne Nielsen and Rada Germanos and Megan Weier and John David Pollard and Louisa Degenhardt and Wayne D. Hall and Nicholas Buckley and Michael Farrell},
  journal={Current Neurology and Neuroscience Reports},
  year={2018},
  volume={18},
  pages={1-12}
}
Purpose of ReviewPharmaceutical cannabinoids such as nabiximols, nabilone and dronabinol, and plant-based cannabinoids have been investigated for their therapeutic potential in treating multiple sclerosis (MS) symptoms. This review of reviews aimed to synthesise findings from high quality systematic reviews that examined the safety and effectiveness of cannabinoids in multiple sclerosis. We examined the outcomes of disability and disability progression, pain, spasticity, bladder function… 
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86 Citations
Highly Influential Citations
6
Background Citations
18
Methods Citations
2
Results Citations
1

86 Citations

Systematic reviews of randomized controlled trials of cannabinoid products in chronic pain conditions and for symptoms associated with multiple sclerosis: what do they tell us?

The therapeutic effect of cannabinoids, as already demonstrated for some products, is not reflected clearly in the current range of systematic reviews and meta-analyses in chronic pain and MS.

The Efficacy of Cannabis on Multiple Sclerosis-Related Symptoms

Oromucosal spray and oral cannabis are mainly used for treating patients with MS and have positive effects on treating the most common symptoms of MS, such as pain and spasticity, whereas the other MS symptoms indicated slight improvement, for which further studies are needed.

Cost-Effectiveness of Medicinal Cannabis for Management of Refractory Symptoms Associated With Chronic Conditions: A Systematic Review of Economic Evaluations.

  • D. ErkuS. ShresthaP. Scuffham
  • Medicine, Political Science
    Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
  • 2021

A Systematic Review on Cannabinoids for Neuropathic Pain Administered by Routes Other than Oral or Inhalation

There is a significant lack of evidence indicating that cannabinoids administered by routes other than oral or inhaled may be an effective alternative, with better tolerance and safety in the treatment of neuropathic pain.

Medical Cannabis for Older Patients

A pragmatic clinical approach to a rational dialogue with older patients is proposed, highlighting the importance of individual benefit–risk assessment and shared patient–clinician decision making.

Efficacy of cannabinoids for treating paediatric spasticity in cerebral palsy or traumatic brain injury: what is the evidence?

  • S. NielsenW. Hall
  • Medicine, Psychology
    Developmental medicine and child neurology
  • 2020
Until there is better evidence of effectiveness and safety in paediatric spasticity related to CP, it would be prudent not to use nabiximols to treat this condition, and the burden is placed on advocates of the use of nabixomols in this condition to provide better evidence.

Cannabinoids for the Neuropsychiatric Symptoms of Dementia: A Systematic Review and Meta-Analysis

Treatment efficacy was associated with baseline dementia severity and dose, but not dementia subtype, age, or sex, and preliminary evidence for the efficacy and tolerability of cannabinoids as treatments for NPS is found.

The Role of Cannabidiol (CBD) in Chronic Pain Management: An Assessment of Current Evidence

It is difficult to make a recommendation for the use of CBD in chronic pain management, but it is important to note that there are many CBD products currently available as supplements, but these products are non-pharmaceuticals and lack the appropriate clinical studies to support their efficacy claims.

An Update of Current Cannabis-Based Pharmaceuticals in Pain Medicine

Clinicians are provided with an update of currently available and promising developmental cannabis pharmaceutical derivatives which may stand to greatly benefit patients with otherwise difficult-to-treat chronic conditions.

Understanding the evidence for medical cannabis and cannabis-based medicines for the treatment of chronic non-cancer pain

The current evidence for medical cannabis and cannabis-based medicines in the treatment and management of chronic non-cancer pain is outlined and limits on generalisability of previous findings are discussed.
...

References

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