PRIMARY STUDY

Role of cannabis in inflammatory bowel diseases

Key Findings:  This review of the endocannabinoid system (ECS) and its role in inflammatory conditions of the gastrointestinal (GI) tract finds that when the ECS is activated it reduces gut motility, secretions, cellular permeability, and causes inflammatory and immune cascades. This mechanism is believed to be through the ECS receptors of the enteric nervous and immune systems. However, medicinal cannabis use in the treatment of inflammatory bowel disease (IBD) is not yet confirmed as the quality of available studies is questionable.

Type of Study:  Meta-analysis

Study Result:  Inconclusive

Study Location(s):  United States

Year of Pub:  2022


Cannabinoids Studied:  Cannabidiol (CBD), Tetrahydrocannabinol (THC), AM-x Synthetic Cannabinoids, JWH-x Synthetic Cannabinoids, Anandamide (AEA), Fatty Acid Amide Hydrolase (FAAH), 2-Arachidonoyl Glycerol (2-AG), Monoacylglycerol Lipase (MAGL), Synthetic Cannabinoid (unspecified), Endocannabinoid (unspecified), Pharma THC, Pharma THC:CBD

Phytocannabinoid Source:  Not Applicable

Receptors Studied:  CB1, CB2, GPCR 55, TRPV1

Ligands Studied:  Dopamine, Glutamate, Pro-inflammatory cytokines

DOSING DETAILS   

Study Dosing Objective:  Effective Dose

Established Protocol:  No effective dose

Route of Administration:  Inhalation, Oral (Ingestion)

Cannabinoid Ratio:  (CBD : THC)   0 : 0    

Dosing Regimen:  Crohn's Disease: 115 mg THC or 10 mg CBD twice a day Ulcerative Colitis: 50 - 250 mg of CBD or 23 mg THC per day

Clinical Relevance:  Cannabis for medicinal use in irritable bowel disease (IBD) is still questionable



Link to study