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Study: Patients With Inflammatory Arthritis Report Sustained Relief From Cannabis

London, United Kingdom: Patients with inflammatory arthritis report reduced pain and sustained improvements in their health-related quality of life following their use of medical cannabis preparations, according to observational data published in the journal International Clinical Psychopharmacology.

British researchers assessed the use of cannabis-based medicinal products (CBMPs) consisting of either flower or oil extracts in 82 patients enrolled in the UK Medical Cannabis Registry. (Since 2018, British specialists have been permitted to prescribe cannabis-based medicinal products to patients unresponsive to conventional medications.) Researchers assessed changes in patient-reported outcomes measures at one, three, six, and 12 months.

Patients consistently reported improvements in anxiety, pain, and sleep during the length of the study.

The study’s authors concluded: “This study demonstrates an associated improvement in pain severity and other relevant outcomes in individuals prescribed CBMPs for inflammatory arthritis-associated chronic pain. In addition, CBMPs were largely well tolerated by the majority of patients ... [T]hese results provide further support for continued evaluation of CBMPs in this setting.”

Other observational studies assessing the use of cannabis products in patients enrolled in the UK Cannabis Registry have reported them to be effective for those suffering from chronic pain, anxiety, post-traumatic stress, depression, migraine, multiple sclerosis, osteoarthritis, inflammatory bowel disease, and other afflictions.

Full text of the study, “Assessment of clinical outcomes in patients with inflammatory arthritis: Analysis from the UK Medical Cannabis Registry,” appears in the International Clinical Psychopharmacology.

Study: CBD-Rich Extracts Mitigate Symptoms in Adolescents With Autism

Brasilia, Brazil: The administration of CBD-rich cannabis extracts is safe and effective in children with autism spectrum disorder (ASD), according to data from an observational study published in the journal Pharmaceuticals.

Brazilian investigators assessed the use of CBD-dominant extracts (CBD to THC ratio: 33 to 1) in a cohort of 30 children (mean age: 11 years) with moderate to severe ASD. Participants consumed cannabis extracts for six-months. Subjects were clinically assessed by their designated physicians. At the end of the treatment period, semi-structured interviews were also conducted with the participants’ parents and caregivers.

Consistent with prior studies, most subjects (70 percent) demonstrated clinical improvements following CBD therapy – particularly with respect to attention and communication skills. Seventy-four percent of subjects either reduced or ceased their use of at least one prescribed medication during the study.

Two-thirds (67 percent) of parents reported improvements in their child’s behavior in six of the 12 categories assessed. No parents reported that their child’s symptoms worsened over the course of the study.

The study’s authors concluded: “In the present study, we show that the benefits of treatment with full-spectrum CBD oil for non-syndromic individuals with ASD are not only noticeable to the clinical eye but are also perceived and experienced by the families and caregivers. In short, the findings corroborate that this treatment, combined with a gradual and individualized dosage regimen, is safe and efficient for broader treatment of central and comorbid symptoms associated with ASD, being able to improve aspects such as social interaction, communication and quality of life.”

The study’s findings are consistent with those of placebo-controlled trial data showing improvements in ASD patients’ symptoms following the use of cannabinoid products. Observational studies have also shown that the use of cannabis can provide benefits in adults with autism.

Full text of the study, “Clinical and family implications of cannabidiol (CBD)-dominant full-spectrum phytocannabinoid extracts in children and adolescents with moderate to severe non-syndromic autism spectrum disorder (ASD): An observational study on neurobehavioral management,” appears in Pharmaceuticals.

Transportation Secretary Affirms Reclassifying Marijuana Won’t Immediately Change Federal Drug Testing Standards

Washington, DC: Reclassifying cannabis from Schedule I to Schedule III under the US Controlled Substances Act will not automatically amend federal drug testing standards for truckers and other federally contracted workers, according to recent comments from Transportation Secretary Pete Buttigieg.

Speaking before Congress, Buttigieg said that the 1988 drug testing regulations explicitly mandate certain employers to screen for cannabis, regardless of its placement in the CSA. “The rescheduling of marijuana from Schedule I to Schedule III ... would not alter DOT’s [the US Department of Transportation’s] marijuana testing requirements with respect to the regulated community,” he said.

Federal law requires that commercially licensed drivers be subject to both pre-employment and random marijuana urinalysis testing, which screens for the presence of the inert carboxy-THC metabolite. This non-psychoactive metabolite can be detectable in subjects’ urine for weeks or even months following past exposure, long after any potential effects have worn off. According to data published in 2022 in the Canadian Journal of Public Health, employees who consume cannabis during their off-hours possess no greater risk of occupational injury than do those who abstain from marijuana altogether.

Since 2020, over 139,000 truckers have tested positive for past cannabis exposure. That total is far greater than the total number of failures for all other substances combined. Most of these drivers have refused to reapply for work in the industry, which has led to supply chain issues.

According to survey data compiled last year by the American Transportation Research Institute, 62 percent of representatives from motor carrier companies say that “changes were needed to federal drug policy rules in light of state-level legalization.”

North Carolina: Cherokee Tribe Begins Adult-Use Cannabis Sales

Qualla, NC: Members of the North Carolina Eastern Band of Cherokee Indians have begun selling cannabis to adults on tribal land. Sales began on July 4th and are limited to members of federally recognized Indian tribes.

The tribe began engaging in medical cannabis sales in April.

According to data published in May in the trade journal Marijuana Business Daily, tribes are currently operating cannabis businesses in nine states: California, Michigan, Minnesota, Nevada, New Mexico, New York, North Carolina, South Dakota, and Washington.

Neither the recreational use nor the medical use of cannabis is permitted in North Carolina. This year, Senate lawmakers advanced legislation to regulate medical cannabis access, but House leaders failed to take up the measure. Statewide polling shows that 78 percent of North Carolina voters support legalizing cannabis for eligible patients.

In response to the Cherokee tribe’s actions, Congressman Chuck Edwards (R-NC) has introduced federal legislation (HR 5323) seeking to withhold federal funding from jurisdictions that permit marijuana sales. The bill has not been scheduled for a hearing.

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Study: Older Patients Respond Favorably to Medical Cannabis Products

London, United Kingdom: Older patients report experiencing better health and well-being following their use of medical cannabis preparations, according to data published in the journal Drugs & Aging.

British researchers assessed the use of cannabis-based medicinal products (CBMPs) consisting of either flower or oil extracts in a cohort of patients ages 65 and older. (British specialists are permitted to prescribe cannabis products to patients unresponsive to conventional medications.) Study participants primarily suffered from chronic pain. Patients consumed cannabis products for three months.

Consistent with the findings of other observational studies, older patients reported “significant improvements” following cannabis use, including “substantial reductions” in pain severity.

The study’s authors concluded: “There were consistent improvements across measures of general health and well-being after three months of treatment. … These findings accord with a growing body of observational and real-world evidence from jurisdictions that have legalized medicinal cannabis that cannabis is effective for improving sleep, mood and quality of health across multiple primary conditions.”

Israeli data published in 2022 similarly reported quality-of-life improvements in medical cannabis patients. Among patients with post-traumatic stress, 91 percent reported that cannabis treatment was a success, as did 84 percent of patients with inflammatory bowel disease, and 78 percent of patients with chronic pain.

According to statistics published in The Journals of Gerontology, more than one-third of those age 65 or older take five or more pharmaceuticals daily.

Full text of the study, “Prescribed medical cannabis use among older individuals: Patient characteristics and improvements in well-being: Findings from T21,” appears in Drugs & Aging.

Analysis: Proximity to Cannabis Retailers Associated With Rising Home Values

Seattle, WA: Homes located near cannabis retailers are more likely than others to appreciate in value, according to an analysis provided by Tomo Real Estate.

Analysts assessed the relationship between cannabis retailers and home prices in three states: Colorado, Michigan, and Oregon. Researchers examined annual increases or decreases in median home prices in zip codes with a dispensary compared to median home price changes in the surrounding zip codes.

Researchers concluded that homes located in towns with dispensaries experienced, on average, an annual increase in home values of $4,400.

The findings are consistent with those of several others which have reported increased home values for properties located close to licensed cannabis establishments, as well as in states that have enacted legalization.

Full text of the findings is available from Tomo.

Clinical Trial: Oral CBD Safe and Effective at Treating Anxiety

Telangana, India: The administration of oral CBD is safe and effective for patients suffering from mild to moderate anxiety disorders, according to clinical trial data published in the Asian Journal of Psychiatry.

An international team of investigators assessed the efficacy of 150mg/mL of CBD versus a placebo in a cohort of 178 subjects with anxiety. Patients consumed either CBD or a placebo for 15 weeks.

Researchers reported, “The … CBD oral solution showed therapeutic efficacy, excellent safety, and tolerability in treating not only mild to moderate anxiety disorders, but also associated depression and disturbances in sleep quality with no incidences of withdrawal anxiety upon dose tapering and at the end of the treatment.”

They concluded: “In this Phase III study, … CBD oral solution exhibited superior efficacy in achieving the primary and secondary objectives when compared to the placebo group. … These results pave way for probable prospective use of … CBD … for various psychiatry disorders alone or in conjunction with other drugs.”

The findings are consistent with those of other clinical trials finding that CBD reduces levels of emotional exhaustion, social anxiety disorder, and treatment-resistant anxiety disorders.

Full text of the study, “Evaluation of the efficacy, safety, and pharmacokinetics of nanodispersible cannabidiol oral solution (150 mg/mL) versus placebo in mild to moderate anxiety subjects: A double blind multicenter randomized clinical trial,” appears in the Asian Journal of Psychiatry.

Cannabis Terpenes Exhibit Anti-Cancer Effects in Preclinical Trial

Shanghai, China: Hemp oil extracts containing the terpenes β-caryophyllene and α-humulene possess potent analgesic and anti-cancer properties, according to preclinical data published in Fitoterapia: The Journal for the Study of Medicinal Plants.

Chinese scientists assessed the pain-relieving and anti-tumor activities of hemp oil in mice. They reported that the administration of cannabis extracts reduced neuropathic pain and “significantly inhibited” tumor growth.

The study’s authors concluded, “These results reveal that HEO [hemp essential oil] plays a role not only in tumor chemotherapy induced peripheral neuropathy treatment, but also in anti-tumor treatment which offers key information for new strategies in cancer treatment and provides reference for the medicinal development of hemp.”

Prior studies have similarly determined that cannabis terpenes, including β-caryophyllene and α-humulene, can produce potent analgesic effects in animal models. Cannabinoids possess well-established anti-cancer activities in preclinical models, but their efficacy has rarely been assessed in clinical trials.

Full text of the study, “Chemical compounds, anti-tumor and anti-neuropathic pain effect of hemp essential oil,” appears in Fitoterapia.

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Surveys: Many Consumers Report Drinking Less Alcohol Following Changes to Marijuana’s Legal Status

Many consumers acknowledge reducing their alcohol intake following cannabis legalization, according to a pair of recent surveys.

According to data from Health Canada, nearly one-quarter of those who consume both alcohol and cannabis say that they are drinking less, up from 15 percent in 2020. Canada legalized the retail sale of marijuana to those age 18 and older in 2018.

Separate data compiled by the market research firm Numerator reports that 36 percent of US consumers acknowledge drinking less following state-level marijuana legalization.

Commenting on the surveys’ findings, NORML Deputy Director Paul Armentano said: “Several studies have examined whether cannabis is more likely to act as either a substitute or as a compliment for alcohol and, thus far, they have yielded mixed results. These surveys’ findings are an important addition to this growing body of literature and offer support for the notion that, in some instances, cannabis can act as an intervention for certain persons seeking to reduce their alcohol consumption.”

According to polling data compiled last year by Gallup, most adults believe that marijuana use poses fewer risks to health than alcohol.

Observational studies have reported decreases in consumers’ use of alcohol on days when they consume cannabis. Statewide ecological data has also reported dips in alcohol sales in jurisdictions following the enactment of marijuana access laws.

Data published this month in the Journal of Studies on Alcohol and Drugs determined that adults are more than six times more likely to acknowledge having experienced secondhand harms because of someone else’s drinking than they are to report having faced similar harms as a result of other people’s cannabis use.

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