Research Index | Medline Index
Cannabis Research - Medical Uses - epilepsy/convulsions
- Authors
- Karler R, Borys HK, Turkanis SA
- Title
- Influence of 22-day treatment on the anticonvulsant properties of
cannabinoids.
- Source
- Naunyn-Schmiedebergs Archives of Pharmacology
- Date
- 1982 Aug
- Issue
- 320(2)
- Pages
- 105-9
- Abstract
- Mice were given delta-9-tetrahydrocannabinol (delta-9-THC)
cannabidiol (CBD) or phenytoin (PHT) daily for 22 days. Drug
activity was measured weekly in three different anticonvulsant
tests: the maximal electroshock threshold, the 60-Hz-electroshock
threshold and the 6-Hz-electroshock threshold. In order to correlate
potential pharmacodynamic and pharmacokinetic changes resulting from
repeated treatment, brain-drug concentrations were determined at
each test time. The results from the delta-9-THC study indicate
that, although tolerance developed in all three tests, there were no
changes in the brain-drug concentration. For CBD the
pharmacodynamics were strikingly different: an increase in
sensitivity to the drug developed in two of the tests, tolerance in
only one test. Here again, there were no changes in brain-drug
concentrations. The results of the PHT study differed from both the
cannabinoids, for tolerance developed in one test, an increase in
sensitivity in one test, and the activity was unchanged in the third
test. Again, the brain concentrations remained constant throughout.
The results demonstrate that both tolerance and increased
sensitivity can develop concomitantly with anticonvulsant effects of
the cannabinoids and PHT, and that these modifications in drug
activity appear to result from cellular or functional rather than
dispositional changes.
- Authors
- Colasanti BK, Lindamood C 3d, Craig CR
- Title
- Effects of marihuana cannabinoids on seizure activity in
cobalt-epileptic rats.
- Source
- Pharmacology, Biochemistry & Behavior
- Date
- 1982 Apr
- Issue
- 16(4)
- Pages
- 573-8
- Abstract
- Rats rendered chronically epileptic by bilateral implantation of
cobalt into frontal cortices were simultaneously prepared with
permanent electrodes for longitudinal recording of the
electroencephalogram (EEG) and electromyogram (EMG).
Delta-8-tetrahydrocannabinol (delta-8-THC; 10 mg/kg),
delta-9-tetrahydrocannabinol (delta-9-THC; 10 mg/kg), cannabidiol
(CBD; 60 mg/kg), or polyvinylpyrrolidone (PVP) vehicle (2 ml/kg) was
administered IP twice daily from day 7 through 10 after cobalt
implantation, at which time generalized seizure activity in
non-treated cobalt-epileptic rats was maximal. Relative to
PVP-treated controls, CBD did not alter the frequency of appearance
of seizures during the course of repeated administration. In
contrast, both delta-8-THC and delta-9-THC markedly reduced the
incidence of seizures on the first and second days of
administration. Interictal spiking during this period, on the other
hand, was actually enhanced. On the third and fourth days, tolerance
to the effect on seizures was evident, with a return of seizure
frequency of THC-treated rats to values not significantly different
from those of controls. Unlike the effect on seizures, no tolerance
developed to the marked suppression of rapid eye movement (REM)
sleep induces by delta-8-THC and delta-9-THC. REM sleep remained
reduced in the treated animals during the first 2 days after
termination of THC administration. In contrast, REM sleep time was
unaffected by repeated administration of CBD. These results suggest
that delta-8-THC and delta-9-THC exert their initial anticonvulsant
effect by limiting the spread of epileptogenic activity originating
from the cobalt focus.
- Authors
- Karler R, Turkanis SA
- Title
- The cannabinoids as potential antiepileptics.
- Source
- Journal of Clinical Pharmacology
- Date
- 1981 Aug-Sep
- Issue
- 21(8-9 Suppl)
- Pages
- 437S-448S
- Abstract
- Comparative studies of the anticonvulsant properties of the
cannabinoids and prototype antiepileptic drugs in numerous animal
seizure models demonstrate that (1) as an anticonvulsant,
cannabidiol (CBD), in contrast to delta 9-tetrahydrocannabinol
(THC), is relatively selective in terms of both central nervous
system (CNS), depressant and excitatory properties; (2) the potency
of cannabidiol, unlike that of phenytoin and phenobarbital, varies
greatly with the species; (3) the large potency difference between
the cannabinoids and the antiepileptics in the mouse appears to be
due to dispositional differences, because brain concentrations of
all the drugs are very similar; (4) tolerance to the anticonvulsant
properties of cannabidiol is not a prominent feature; in three
seizure models, tolerance developed in one, but "reverse tolerance"
developed in the other two; and (5) the results of a study of the
electrophysiologic mechanisms of action indicate that cannabidiol
produces some unique effects and that its spectrum of antiepileptic
activity may be different from that of the prototype drugs. The
anticonvulsant nature of cannabidiol suggests that it has a
therapeutic potential in at least three of the four major types of
epilepsy: grand mal, cortical focal, and complex partial seizures.
- Id Code
- 76043607
- Authors
- Wada JA, Osawa T, Corcoran ME
- Title
- Effects of tetrahydrocannabinols on kindled amygdaloid seizures and
photogenic seizures in Senegalese baboons, Papio papio.
- Source
- Epilepsia
- Date
- 1975 Sep
- Issue
- 16(3)
- Pages
- 439-48
- Abstract
- Intraperitoneal injections of delta 8-tetrahydrocannabinol (THC) and
delta 9-THC failed to affect myoclonic response to photic
stimulation in Senegalese baboons (Papio papio). However, both
isomers of THC exerted dose-related antiepileptic effects upon
established kindled convulsions provoked by electrical stimulation
of amygdala in the same species. Delta 9-THC was more potent than
delta 8-THC, in terms of both antiepileptic effects and general
toxicity. The antiepileptic effects of the THC isomers appear to be
due mainly to the suppression of propagation of the induced
afterdischarge to distant cerebral structures, although high doses
also seem to suppress afterdischarge at the site of stimulation.
- Id Code
- 76162638
- Authors
- Johnson DD, McNeill JR, Crawford RD, Wilcox WC
- Title
- Epileptiform seizures in domestic fowl. V. The anticonvulsant
activity of delta9-tetrahydrocannabinol.
- Source
- Canadian Journal of Physiology & Pharmacology
- Date
- 1975 Dec
- Issue
- 53(6)
- Pages
- 1007-13
- Abstract
- The anticonvulsant activity of delta9-tetrahydrocannabinol
(delta9-THC) has been determined against seizures induced in
epileptic chickens by intermittent photic stimulation (IPS) and in
epileptic and nonepileptic chickens by Metrazol. Intravenous
administration of the drug reduced both the severity and incidence
of seizures evoked by IPS in epileptic chickens. This anticonvulsant
action was accompanied by a reduction in frequency of inter-ictal
slow-wave high-voltage electroencephalographic activity and by the
absence of spiking during IPS. delta9-THC did not affect the
incidence of Metrazol-induced seizures in epileptic or nonepileptic
chickens.
- Id Code
- 76043617
- Authors
- Wada JA, Wake A, Sato M, Corcoran ME
- Title
- Antiepileptic and prophylactic effects of tetrahydrocannabinols in
amygdaloid kindled cats.
- Source
- Epilepsia
- Date
- 1975 Sep
- Issue
- 16(3)
- Pages
- 503-10
- Abstract
- Acute administration of delta8-tetrahydrocannabinol (delta8-THC) or
delta9-THC failed to affect partially developed or fully developed
kindled amygdaloid seizures in cats. However, delta9-THC was quite
effective in suppressing focal AD in the stimulated amygdala when
administered very early in kindling, before the development of any
clinical manifestations. This finding suggested that chronic
administration of delta9-THC during kindling might block the process
of seizure development, which was supported by the observation that
three of four cats failed to kindle when treated with the drug. The
cat that failed to be protected by delta9-THC was also insensitive
to the general electroclinical effects of moderately high doses of
delta9-THC. The prophylactic activity of delta9-THC is in contrast
to the ineffectiveness of diphenylhydantoin, a drug whose
anticonvulsant activity is often compared with that of THC.
- Id Code
- 80003560
- Authors
- Chiu P, Olsen DM, Borys HK, Karler R, Turkanis SA
- Title
- The influence of cannabidiol and delta 9-tetrahydrocannabinol on
cobalt epilepsy in rats.
- Source
- Epilepsia
- Date
- 1979 Aug
- Issue
- 20(4)
- Pages
- 365-75
- Abstract
- The mechanisms of the anticonvulsant activity of cannabidiol (CBD)
and the central excitation of delta 9-tetrahydrocannabinol (delta
9-THC) were investigated electrophysiologically with conscious,
unrestrained cobalt epileptic rats. The well-known antiepileptics,
trimethadione (TMO), ethosuximide (ESM), and phenytoin (PHT), were
included as reference drugs. Direct measurements were made of
spontaneously firing, epileptic potentials from a primary focus on
the parietal cortex and convulsions were monitored visually. ESM and
TMO decreased the frequency of focal potentials, but PHT and CBD
exerted no such effect. Although CBD did not suppress the focal
abnormality, it did abolish jaw and limb clonus; in contrast, delta
9-THC markedly increased the frequency of focal potentials, evoked
generalized bursts of polyspikes, and produced frank convlusions.
11-OH-delta 9-THC, the major metabolite of delta 9-THC, displayed
only one of the excitatory properties of the parent compound:
production of bursts of polyspikes. In contrast to delta 9-THC and
its 11-OH metabolite, CBD, even in very high doses, did not induce
any excitatory effects or convulsions. The present study provides
the first evidence that CBD exerts anticonvulsant activity against
the motor manifestations of a focal epilepsy, and that the mechanism
of the effect may involve a depression of seizure generation or
spread in the CNS.
- Id Code
- 77234937
- Authors
- Turkanis SA, Chiu P, Borys HK, Karler R
- Title
- Influence of delta9-tetrahydrocannabinol and cannabidiol on
photically evoked after-discharge potentials.
- Source
- Psychopharmacology
- Date
- 1977 Apr 29
- Issue
- 52(2)
- Pages
- 207-12
- Abstract
- Two cannabinoids, delta9-tetrahydrocannabinol and cannabidiol, and
several reference drugs were compared relative to their effects in a
recently developed anticonvulsant test system, the after-discharge
potentials of the visually evoked response; the potentials were
recorded electrophysiologically from electrodes permanently mounted
over the visual cortices of conscious rats. In anticonvulsant doses,
trimethadione and ethosuximide produced an extensive depression of
after-discharge activity, whereas diphenylhydantoin and cannabidiol
exerted no such effect. In contrast, anticonvulsant doses of
delta9-tetrahydrocannabinol and subconvulsant doses of
pentylenetetrazol markedly increased after-discharge activity, which
may represent a manifestation of their central nervous system
excitatory properties. The data from the present study support our
previously published ovservations from several other anticonvulsant
tests that indicate the anticonvulsant characteristics of
cannabidiol resemble those of diphenylhydantoin rather than those of
trimethadione and that the central excitatory properties of
delta9-tetrahydrocannabinol distinguish it from cannabidiol. The
results consistently suggest that the cannabinoids will be effective
against grand mal but not absence seizures.
- Id Code
- 80003559
- Authors
- Turkanis SA, Smiley KA, Borys HK, Olsen DM, Karler R
- Title
- An electrophysiological analysis of the anticonvulsant action of
cannabidiol on limbic seizures in conscious rats.
- Source
- Epilepsia
- Date
- 1979 Aug
- Issue
- 20(4)
- Pages
- 351-63
- Abstract
- The effects of cannabidiol (CBD) on electrically evoked kindled
seizures were studied in conscious, unrestrained rats with
chronically implanted cortical and limbic electrodes, and the
results were compared with those of delta 9-tetrahydrocannabinol
(delta 9-THC), phenytoin (PHT), and ethosuximide (ESM). All drugs
were anticonvulsant, but there were marked differences in their
effects on afterdischarge (AD) threshold, duration, and amplitude.
CBD, like PHT and delta 9-THC, elevated the AD threshold; in
contrast, ESM decreased the threshold but suppressed AD spread. CBD,
however, also resembled ESM inasmuch as both drugs decreased AD
duration and amplitude. Electrophysiologically, the antiseizure
effects of CBD were a combination of those of PHT and ESM. The
combination of effects may account for the observation that CBD was
the most efficacious of the drugs tested against limbic ADs and
convulsions. Other properties of CBD were also noted: For example,
compared with delta 9-THC, it is a much more selective
anticonvulsant vis-a-vis motor toxicity. CBD also lacks the CNS
excitatory effects produced by delta 9-THC, PHT, and ESM. These
characteristics, combined with its apparently unique set of
electrophysiological properties, support the suggestion that CBD has
therapeutic potential as an antiepileptic.
- 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.