Research Index | Medline Index
Cannabis Research - Medical Uses - analgesic
- Authors
- Novelli GP, Peduto VA, Bertol E, Mari F, Pieraccioli E
- Title
- Analgesic interaction between nitrous oxide and
delta-9-tetrahydrocannabinol in the rat.
- Source
- British Journal of Anaesthesia
- Date
- 1983 Oct
- Issue
- 55(10)
- Pages
- 997-1000
- Abstract
- The analgesic activities of a 75:25% nitrous oxide-oxygen mixture
administered for 15 min, of delta-9-tetrahydrocannabinol (THC) 10 mg
kg-1 i.p., and of a combination of both, were evaluated in the rat
by tail-flick and hot-plate tests. The nitrous oxide-oxygen mixture
produced a significant increase in the pain threshold. The analgesic
activity of THC was similar in extent but of longer duration than
that of nitrous oxide. The cannabinoid also induced some locomotor
and behavioural modifications. When both THC and the nitrous
oxide-oxygen mixture were administered, a significant potentiation
of the analgesic response was produced, without modification of the
locomotor and behavioural responses that were induced by THC alone.
Such mixtures may prove of value in the control of chronic pain in
man.
- Authors
- Moss DE, Johnson RL
- Title
- Tonic analgesic effects of delta 9-tetrahydrocannabinol as measured
with the formalin test.
- Source
- European Journal of Pharmacology
- Date
- 1980 Feb 8
- Issue
- 61(3)
- Pages
- 313-5
- Abstract
- The analgesic effects of delta 9-tetrahydrocannabinol (THC), the
psychoactive component of marihuana, were tested using the formalin
test. Rats were treated with either THC (5 mg/kg or 10 mg/kg) or a
placebo by gavage 4 h before the formalin test for analgesia was
initiated. THC produced a highly significant analgesic effect
against both phasic pain and tonic pain. THC is discussed as a model
for the development of new analgesics or as a suitable analgesic if
used with another potentiating drug.
- Authors
- Lichtman AH, Martin BR
- Title
- Spinal and supraspinal components of cannabinoid-induced
antinociception.
- Source
- Journal of Pharmacology & Experimental Therapeutics
- Date
- 1991
Aug
- Issue
- 258(2)
- Pages
- 517-23
- Abstract
- The purpose of this study was to investigate whether cannabinoids
produce antinociception spinal and supraspinal sites of action. The
antinociceptive effect of delta 9-tetrahydrocannabinol (3 or 10
mg/kg), a naturally occurring cannabinoid, and CP-55,940 (0.1, 0.3,
or 0.5 mg/kg), a potent synthetic cannabinoid, were assessed in
spinally transected and intact rats. Each drug, administered i.v.,
produced a potent, long-lasting elevation of tail-flick latencies in
the intact animals. This antinociception was significantly
attenuated by spinal transection. Administration of each cannabinoid
(i.t.) to the lumbar region of the spinal cord produced a weak, but
long-enduring antinociceptive effect. In contrast, spinal
administration of CP-55,940 to the upper thoracic region failed to
elevate tail-flick latencies above base-line values. Additionally,
i.t. administration of CP-55,940 (30 or 100 micrograms) continued to
have a weak antinociceptive effect in spinal rats. In contrast, i.t.
administration of CP-56,667, the (+)-enantiomer of CP-55,940, failed
to elevate tail-flick latencies above base line at a dose of 1000
micrograms, thus indicating stereoselectivity. Finally, the
biodisposition of 3H-delta 9-tetrahydrocannabinol after either i.v.
or i.t. administration to spinal and intact rats was also assessed.
The levels of radioactivity did not differ between spinal and intact
animals in either whole brain, spinal cord, or plasma when the drug
was administered i.v. When the drug was administered i.t., however,
surgical transection of the spinal cord led to a decreased
concentration of labeled substances in the whole brain and plasma.
These converging lines of evidence indicate that cannabinoids
produce antinociception through multiple mechanisms at the spinal
and supraspinal levels of the central nervous system.
- Id Code
- 75208114
- Authors
- Noyes R Jr, Brunk SF, Avery DAH, Canter AC
- Title
- The analgesic properties of delta-9-tetrahydrocannabinol and codeine.
- Source
- Clinical Pharmacology & Therapeutics
- Date
- 1975 Jul
- Issue
- 18(1)
- Pages
- 84-9
- Abstract
- The administration of single oral doses of
delta-9-tetrahydrocannabinol (THC) to patients with cancer pain
demonstrated a mild analgesic effect. At a dose of 20 mg, however,
THC induced side effects that would prohibit its therapeutic use
including somnolence, dizziness, ataxia, and blurred vision.
Alarming adverse reactions were also observed at this dose. THC, 10
mg, was well tolerated and, despite its sedative effect, may have
analgesic potential.
- Id Code
- 75133879
- Authors
- Noyes R Jr, Brunk SF, Baram DA, Canter A
- Title
- Analgesic effect of delta-9-tetrahydrocannabinol.
- Source
- Journal of Clinical Pharmacology
- Date
- 1975 Feb-Mar
- Issue
- 15(2-3)
- Pages
- 139-43
- Abstract
- A preliminary trial of oral delta-9-tetrahydrocannabinol (THC)
demonstrated an analgesic effect of the drug in patients
experiencing cancer pain. Placebo and 5, 10, 15, and 20 mg THC were
administered double blind to ten patients. Pain relief significantly
superior to placebo was demonstrated at high dose levels (15 and 20
mg). At these levels, substantial sedation and mental clouding were
reported.
- Id Code
- 75197206
- Authors
- Sofia RD, Vassar HB, Knobloch LC
- Title
- Comparative analgesic activity of various naturally occurring
cannabinoids in mice and rats.
- Source
- Psychopharmacologia
- Date
- 1975
- Issue
- 40(4)
- Pages
- 285-95
- Abstract
- The analgesic effectiveness of delta-9-tetrahydrocannabinol (THC), a
crude marihuana extract (CME), cannabinol (CBN), cannabidiol (CBD),
morphine SO-4 and aspirin following oral administration was directly
compared in mice using the acetic-induced writhing and hot plate
tests and the Randall-Selitto paw pressure test in rats. THC and
morphine were equipotent in all tests except that morphine was
significantly more potent in elevating pain threshold in the
uninflamed rat hind paw. In terms of THC content, CME was nearly
equipotent in the hot plate and Randall-Selitto tests, but was 3
times more potent in the acetic acid writhing test. On the other
hand, CBN, like aspirin, was only effective in reducing writhing
frequency in mice (3 times more potent than aspirin) and raising
pain threshold of the inflamed hind paw of the rat (equipotent with
aspirin). CBD did not display a significantly analgesic effect in
any of the test systems used. The results of this investigation seem
to suggest that both THC and CME possess narcotic-like analgesic
activity similar to morphine, while CBN appears to be a non-narcotic
type analgesic like aspirin.
- Id Code
- 75214189
- Authors
- Wilson RS, May EL
- Title
- Analgesic properties of the tetrahydrocannabinols, their
metabolites, and analogs.
- Source
- Journal of Medicinal Chemistry
- Date
- 1975 Jul
- Issue
- 18(7)
- Pages
- 700-3
- Abstract
- The tetrahydrocannabinols from marihuana were found to have moderate
analgesic activity in mice by the hot-plate test (sc
administration). Of the several metabolites of these two compounds
tested, only the 11-hydroxy derivatives were more potent than the
parent compounds. Analogs 1 and 2 (9-demethyl relatives which
cannot be metabolized to 11-hydroxy compounds), both of which
produce a pharmacological profile generally similar to that of
delta8- and delta9-THC, were analgesically inert. This suggests
that metabolism to 11-hydroxy congeners may be necessary for the
mediation of analgesic activity in the mouse hot-plate test but not
for other pharmacologic effects produced by these substances which
we have examined.
- Id Code
- 91078286
- Authors
- Maurer M, Henn V, Dittrich A, Hofmann A
- Title
- Delta-9-tetrahydrocannabinol shows antispastic and analgesic effects
in a single case double-blind trial.
- Source
- European Archives of Psychiatry & Neurological Sciences
- Date
- 1990
- Issue
- 240(1)
- Pages
- 1-4
- Abstract
- A double-blind study was performed comparing 5 mg
delta-9-tetrahydrocannabinol (THC) p.o., 50 mg codeine p.o., and
placebo in a patient with spasticity and pain due to spinal cord
injury. The three conditions were applied 18 times each in a
randomized and balanced order. Delta-9-THC and codeine both had an
analgesic effect in comparison with placebo. Only delta-9-THC showed
a significant beneficial effect on spasticity. In the dosage of THC
used no altered consciousness occurred.
- Id Code
- 89007037
- Authors
- Formukong EA, Evans AT, Evans FJ
- Title
- Analgesic and antiinflammatory activity of constituents of Cannabis
sativa L.
- Source
- Inflammation
- Date
- 1988 Aug
- Issue
- 12(4)
- Pages
- 361-71
- Abstract
- Two extracts of Cannabis sativa herb, one being cannabinoid-free
(ethanol) and the other containing the cannabinoids (petroleum),
were shown to inhibit PBQ-induced writhing in mouse when given
orally and also to antagonize tetradecanoylphorbol acetate
(TPA)-induced erythema of mouse skin when applied topically. With
the exception of cannabinol (CBN) and delta 1-tetrahydrocannabinol
(delta 1-THC), the cannabinoids and olivetol (their biosynthetic
precursor) demonstrated activity in the PBQ test exhibiting their
maximal effect at doses of about 100 micrograms/kg. delta 1-THC only
became maximally effective in doses of 10 mg/kg. This higher dose
corresponded to that which induced catalepsy and is indicative of a
central action. CNB demonstrated little activity and even at doses
in excess of 10 mg/kg could only produce a 40% inhibition of
PBQ-induced writhing. Cannabinoid (CBD) was the most effective of
the cannabinoids at doses of 100 micrograms/kg. Doses of
cannabinoids that were effective in the analgesic test orally were
used topically to antagonize TPA-induced erythema of skin. The fact
that delta 1-THC and CBN were the least effective in this test
suggests a structural relationship between analgesic activity and
antiinflammatory activity among the cannabinoids related to their
peripheral actions and separate from the central effects of delta
1-THC.
- Id Code
- 88143128
- Authors
- Mechoulam R, Lander N, Srebnik M, Breuer A, Segal M, Feigenbaum JJ, Jarbe TU, Consroe P
- Title
- Stereochemical requirements for cannabimimetic activity. [Review]
- Source
- NIDA Research Monograph
- Date
- 1987
- Issue
- 79
- Pages
- 15-30
- Abstract
- The SAR of cannabimimetic activity in the cannabinoid series are
reviewed with emphasis on the stereochemical requirements. Some new
results are presented. The most important are that a, in humans,
(-)-(1S)-delta-3-THC is much more active than (+)-(1R)-delta-3-THC;
and b, with the 7-OH-delta-6-THC DMH enantiomers (32) and (33), the
activity in several animal species resides completely in the
(-)-(3R, 4R) enantiomer (32), the difference between the two
enantiomers being up to several thousand times. The
(3R,4R)-enantiomer (32) is much more active than delta-1- or
delta-6-THC in animal tests, the exact level of activity depending
on the test employed. The cannabimimetically inactive (+)-(3S,4S)
enantiomer (33) was shown to be a potent analgetic in several animal
tests. Thus, a complete dissociation between the cannabimimetic and
the analgetic effects in a cannabinoid has been achieved, apparently
for the first time.
- References
- 30
- Authors
- - Vivian JA, Kishioka S, Butelman ER, Broadbear J, Lee KO, Woods JH
- Title
- - Analgesic, respiratory and heart rate effects of cannabinoid and opioid
agonists in rhesus monkeys: antagonist effects of SR 141716A.
- Language
- - Eng
- Date
- - 1998 Aug
- Issue
- - 0022-3565
- Source
- - J Pharmacol Exp Ther
- Pages
- - 697-703
- Country
- - UNITED STATES
- Abstract
- - This study characterized the antinociceptive, respiratory and heart
rate effects of the cannabinoid receptor agonists Delta-9-
tetrahydrocannabinol (Delta-9-THC) and WIN 55212 (R)-(+)-2, 3-dihydro-5-
methyl-3-[(4-morpholinyl)methyl]pyrol-[1,2,3-de]-1, 4-benzoxazin-6-
yl)(1-naphtalenyl)methanone monomethanesulfonate, N-arachidonyl
ethanolamide (anandamide) and the mu and kappa opioid receptor agonists
heroin and U69593, alone and in conjunction with a cannabinoid receptor
antagonist, SR 141716A [N-(piperidin-1-1-yl)-5-(4-chlorophenyl)-1(2, 4-
dichlorophenyl)-4-methyl-1H-pyrazole-3-carboxamide hydrochloride] and
an opioid receptor antagonist, quadazocine, in rhesus monkeys (Macaca
mulatta). Using 12 adult rhesus monkeys, latencies to remove the tail
from a 50 degrees C water bath, respiration in 5% CO2 and heart rate
were measured. When administered alone, SR 141716A (1.8, 5.6 mg/kg
i.m.) did not alter nociception, respiration or heart rate. Delta-9-THC
(0.1-10 mg/kg i.m.) and WIN 55212 (0.1-10 mg/kg i.m.) dose-dependently
increased antinociception and dose-dependently decreased respiratory
minute and tidal volumes and heart rate. These antinociceptive,
respiratory and heart rate effects were reversed by SR 141716A but not
by the opioid antagonist quadazocine (1 mg/kg i.m.). Anandamide (10
mg/kg i.m.) also produced antinociception. Heroin (0.01-10 mg/kg i.m.)
and U69593 (0.01-3.2 mg/kg i.m.) also dose-dependently increased
antinociception and decreased respiratory and heart rate measures;
these effects were antagonized by quadazocine but not by SR 141716A.
These results demonstrate selective and reversible antagonism of
cannabinoid behavioral effects by SR 141716A in rhesus monkeys.
- Research Institute
- - Department of Psychology, University of Michigan Medical School, Ann
Arbor, Michigan 48109-0632, USA. jvivian@umich.edu
- Source
- - J Pharmacol Exp Ther 1998 Aug;286(2):697-703
- Authors
- - Reche I, Ruiz-Gayo M, Fuentes JA
- Title
- - Inhibition of opioid-degrading enzymes potentiates delta9-
tetrahydrocannabinol-induced antinociception in mice [In Process
Citation]
- Language
- - Eng
- Date
- - 1998
- Issue
- - 0028-3908
- Source
- - Neuropharmacology
- Pages
- - 215-22
- Country
- - ENGLAND
- Abstract
- - Delta9-tetrahydrocannabinol (delta9-THC) elicits antinociception in
rodents through the central CB1 cannabinoid receptor subtype. In
addition. Delta9-THC stimulates the release of dynorphin-related
peptides leading to kappa-opioid spinal antinociception. In this work
we describe the effect of a mixture of thiorphan (a neutral
endopeptidase EC3.4.24.11 inhibitor) and bestatin (an aminopeptidase
inhibitor), administered i.c.v., on the antinociceptive effect of
peripherally administered delta9-THC in mice. As in the case of
morphine or DAMGO ([D-Ala2.N-Me-Phe4,Gly-ol]enkephalin), a mu-selective
opioid receptor agonist, the mixture of enkephalin-degrading enzyme
inhibitors also enhanced the antinociceptive effect of delta9-THC. This
effect was blocked by the CB1 cannabinoid receptor antagonist, SR-
141,716-A, as well as by naloxone. The kappa-opioid receptor antagonist
nor-binaltorphimine, administered i.t., also antagonized the effect of
this combination. Similar results were obtained with the mu-opioid
receptor antagonist beta-funaltrexamine after i.c.v. administration.
These results demonstrate the involvement of both mu-opioid supraspinal
and kappa-opioid spinal receptors in the interaction of both opioid and
cannabinoid systems regulating nociception in mice.
- Research Institute
- - Departamento de Farmacologia, Facultad de Farmacia, Universidad
Complutense de Madrid, Ciudad Universitaria, Spain.
- Source
- - Neuropharmacology 1998;37(2):215-22
- Authors
- - Smith FL, Fujimori K, Lowe J, Welch SP
- Title
- - Characterization of delta9-tetrahydrocannabinol and anandamide
antinociception in nonarthritic and arthritic rats.
- Language
- - Eng
- Date
- - 1998 May
- Issue
- - 0091-3057
- Source
- - Pharmacol Biochem Behav
- Pages
- - 183-91
- Country
- - UNITED STATES
- Abstract
- - Little is known about the effectiveness of delta9-tetrahydrocannabinol
(THC) and anandamide in blocking mechanical nociception. Even less is
known about their antinociceptive efficacy in chronic inflammatory
arthritis induced by Freund's complete adjuvant. The hypothesis was
tested that THC and anandamide elicit antinociception in the paw
pressure test, and that arthritic rats would exhibit a different
response. In nonarthritic rats, THC- and anandamide-induced
antinociception lasted 90 min and 15 min, respectively, while
antinociception lasted 90 min and 30 min, respectively, in arthritic
rats. Area under the curve calculations revealed no effect of arthritis
on THC- and anandamide-induced antinociception. Another hypothesis was
that paw pressure thresholds in arthritic rats reflect chronic
cannabinoid receptor stimulation due to elevations in free anandamide
levels. Yet, the CB1 receptor antagonist SR141716A failed to alter paw
pressure thresholds in either nonarthritic or arthritic rats. Further
investigation revealed that SR141716A significantly blocked THC
antinociception, with no effect on anandamide. Thus, anandamide's
effects did not result from CB1 receptor stimulation, and any potential
contribution of endogenous anandamide in arthritis was not revealed.
Finally, THC and anandamide appear to release an as yet unknown
endogenous opioid, because naloxone significantly blocked their
effects. This study indicates that anandamide and THC may act at
different receptor sites to modulate endogenous opioid levels in
mechanical nociception.
- Research Institute
- - Department of Pharmacology and Toxicology, Medical College of Virginia,
Richmond 23298-0613, USA.
- Source
- - Pharmacol Biochem Behav 1998 May;60(1):183-91
- Authors
- - Rowen DW, Embrey JP, Moore CH, Welch SP
- Title
- - Antisense oligodeoxynucleotides to the kappa1 receptor enhance delta9-
THC-induced antinociceptive tolerance.
- Language
- - Eng
- Date
- - 1998 Feb
- Issue
- - 0091-3057
- Source
- - Pharmacol Biochem Behav
- Pages
- - 399-404
- Country
- - UNITED STATES
- Abstract
- - Delta-9-tetrahydrocannabinol produces potent antinociceptive effects in
mice and rats. Evidence exists for an interaction between the
cannabinoids and the kappa receptor subtype, kappa1, in the production
of antinociception. Data indicate that delta9-THC induces the release
of endogenous dynorphins, the ligand(s) for the kappa receptor. It has
been demonstrated that antisense oligodeoxynucleotides directed against
the kappa1 receptor attenuate the antinociceptive effects of delta9-
THC. The exact mechanism for the expression of cannabinoid tolerance is
unknown. Bidirectional cross-tolerance between the kappa opioids and
delta9-THC implies that a common mechanism may be responsible for
tolerance expression. We tested the hypothesis that the kappa1 receptor
is involved in tolerance to delta9-THC. Antisense to the kappa1
receptor has been shown to downregulate the kappa receptor. We observed
a significant increase in the ED50 for delta9-THC in antisense-, but
not mismatch-treated mice, indicating an increase in tolerance to
delta9-THC. Such data indicate that a decrease in kappa receptor number
may accompany tolerance to delta9-THC.
- Research Institute
- - Department of Nurse Anesthesia, Medical College of Virginia/Virginia
Commonwealth University, Richmond 23298, USA.
- Source
- - Pharmacol Biochem Behav 1998 Feb;59(2):399-404
- Authors
- - Richardson JD, Aanonsen L, Hargreaves KM
- Title
- - Hypoactivity of the spinal cannabinoid system results in NMDA-dependent
hyperalgesia.
- Language
- - Eng
- Date
- - 1998 Jan 1
- Issue
- - 0270-6474
- Source
- - J Neurosci
- Pages
- - 451-7
- Country
- - UNITED STATES
- Abstract
- - Cannabinoids, such as Delta9-THC, are capable of inhibiting
nociception, i.e., pain transmission, at least in part, by interacting
with spinal Gi/Go-coupled cannabinoid receptors. What is not known,
however, is the antinociceptive role of endogenous spinal cannabinoids.
If endogenous cannabinoids modulate basal nociceptive thresholds, then
alterations in this system could be involved in the etiology of certain
pain states. In this report we provide evidence for tonic modulation of
basal thermal nociceptive thresholds by the spinal cannabinoid system.
Administration of oligonucleotides directed against CB1 cannabinoid
receptor mRNA significantly reduced spinal cannabinoid binding sites
and produced significant hyperalgesia when compared with a randomer
oligonucleotide control. A second method used to reduce activity of the
spinal cannabinoid receptor was intrathecal administration of the
cannabinoid receptor antagonist SR 141716A. SR 141716A evoked thermal
hyperalgesia with an ED50 of 0.0012 fmol. The SR 141716A-induced
hyperalgesia was dose-dependently blocked by the administration of D-AP-
5 or MK-801, two antagonists to the NMDA receptor. These results
indicate that there is tonic activation of the spinal cannabinoid
system under normal conditions. Furthermore, hypoactivity of the spinal
cannabinoid system results in an NMDA-dependent hyperalgesia and thus
may participate in the etiology of certain chronic pain states.
- Research Institute
- - Department of Pharmacology, University of Minnesota, Minneapolis,
Minnesota 55455, USA.
- Source
- - J Neurosci 1998 Jan 1;18(1):451-7
- Authors
- - Martin WJ, Hohmann AG, Walker JM
- Title
- - Suppression of noxious stimulus-evoked activity in the ventral
posterolateral nucleus of the thalamus by a cannabinoid agonist:
correlation between electrophysiological and antinociceptive effects.
- Language
- - Eng
- Date
- - 1996 Oct 15
- Issue
- - 0270-6474
- Source
- - J Neurosci
- Pages
- - 6601-11
- Country
- - UNITED STATES
- Abstract
- - The CNS contains a putative cannabinergic neurotransmitter and an
abundance of G-protein-coupled cannabinoid receptors. However, little
is known about the function of this novel neurochemical system.
Cannabinold agonists produce antinociception in behavioral tests,
suggesting the possibility that this system serves in part to modulate
pain sensitivity. To explore this possibility, the effects of the
cannabinoid agonist WIN 55,212-2 on nociceptive neurons in the
ventroposterolateral (VPL) nucleus of the thalamus were examined in
urethane-anesthetized rats. After identification of a nociresponsive
neuron, a computer-controlled device delivered graded pressure stimuli
to the contralateral hindpaw. WIN 55,212-2 (0.0625, 0.125, and 0.25
mg/kg, i.v.) suppressed noxious stimulus-evoked activity of VPL neurons
in a dose-dependent and reversible manner. Noxious stimulus-evoked
firing was affected more than spontaneous firing. These effects were
apparently mediated by cannabinoid receptors, because the cannabinoid
receptor-inactive enantiomer of the drug (WIN 55,212-3, 0.25 mg/kg)
failed to alter the activity of this population of cells.
Administration of morphine (0.5 mg/kg, i.v.) produced effects that were
very similar to those produced by the cannabinoid. WIN 55,212-2 (0.25
mg/kg, i.v.) failed to alter the responses of non-nociceptive low-
threshold mechanosensitive neurons in the VPL WIN 55,212-2 produced
antinociceptive effects with a potency and time course similar to that
observed in the electrophysiological experiments, despite the
differences in the anesthetic states of the animals used in these
experiments. The antinociceptive and electrophysiological effects on
VPL neurons outlasted the motor effects of the drug. Furthermore, the
changes in nociceptive responding could not be attributed to changes in
skin temperature. Taken together, these findings suggest that
cannabinoids decrease nociceptive neurotransmission at the level of the
thalamus and that one function of endogenous cannabinoids may be to
modulate pain sensitivity.
- Research Institute
- - Schrier Research Laboratory, Department of Psychology, Brown
University, Providence, Rhode Island 02912, USA.
- Source
- - J Neurosci 1996 Oct 15;16(20):6601-11
- Authors
- - Brenneisen R, Egli A, Elsohly MA, Henn V, Spiess Y
- Title
- - The effect of orally and rectally administered delta 9-
tetrahydrocannabinol on spasticity: a pilot study with 2 patients.
- Language
- - Eng
- Date
- - 1996 Oct
- Issue
- - 0946-1965
- Source
- - Int J Clin Pharmacol Ther
- Pages
- - 446-52
- Country
- - GERMANY
- Abstract
- - Multiple doses of delta 9-tetrahydrocannabinol (THC) capsules (Marinol)
and THC hemisuccinate suppositories were administered in 24-hour
intervals to 2 patients with organically caused spasticity. After oral
doses of 10-15 mg THC, peak plasma levels from 2.1 to 16.9 ng/ml THC
and 74.5 to 244.0 ng/ml 11-nor-9-carboxy-delta 9-tetrahydrocannabinol
(THC-COOH, major THC metabolite) were measured by GC/MS within 1-8 h
and 2-8 h, respectively. After rectal doses of 2.5-5 mg THC, peak
plasma levels from 1.1 to 4.1 ng/ml THC and 6.1 to 42.0 ng/ml THC-COOH
were measured within 2-8 h and 1-8 h, respectively. The bioavailability
resulting from the oral formulation was 45-53% relative to the rectal
route of administration, due to a lower absorption and higher first-
pass metabolism. The effect of THC on spasticity, rigidity, and pain
was estimated by objective neurological tests (Ashworth scale, walking
ability) and patient self-rating protocols. Oral and rectal THC reduced
at a progressive stage of illness the spasticity, rigidity, and pain,
resulting in improved active and passive mobility. The relative
effectiveness of the oral vs. the rectal formulation was 25-50%.
Physiological and psychological parameters were used to monitor
psychotropic and somatic side-effects of THC. No differences in the
concentration ability, mood, and function of the cardiovascular system
could be observed after administration of THC.
- Research Institute
- - Institute of Pharmacy, University of Bern, Switzerland.
- Source
- - Int J Clin Pharmacol Ther 1996 Oct;34(10):446-52