The uses of Marijuana in Fibromyalgia to halt the ache and discomfort of fibromyalgia and cancer. part 2 of 3
Using Marijuana to treat the pain and discomfort of Fibromyalgia and Cancer it has uses for both. New drugs are derived from it constantly now.
Medications derived from marijuana
Ware recently published a study
showing that one such compound, nabilone (Cesamet), helped fibromyalgia those
being treated sleep better. It was more efficient than amitriptyline, a
tricyclic antidepressant often prescribed to fibromyalgia those being treated to
ease pain and strengthen sleep. And a study published a few years ago found
nabilone helped lessen pain and anxiety in fibromyalgia
patients.
Nabilone is a synthetic analog of delta-9 tetrahydrocannabinol
-- THC for short -- often thought of as the active ingredient of cannabis. The
U.S. Food and Drug Administration (FDA) approved the drug back in 1985 for
treating nausea in cancer our patients undergoing chemotherapy.
The only
other cannabis-based drug now on the market in the U.S. is dronabinol, which is
sold as Marinol in the U.S. and is FDA-approved for treating chemo-related
nausea and vomiting. It hasn't been tested formally in fibromyalgia patients,
although Lynda received a prescription for Marinol in 2006.
"The drug
makes me more tired and doesn't last long enough in my system, but I've stuck
with it since then for two basic reasons -- I do supplement with marijuana, just
not as many times per day," she says. "There could be times that I don't use all
day or week or month."
A third cannabis-based medicine, Sativex, is now
in clinical trials in the United States for treating cancer pain.
The
drug is sprayed under the tongue or into the cheek, and contains THC and
cannabidiol, a non-psychoactive compound found in cannabis that eases swelling
and pain and will also reduce the side effects of THC (like anxiety, hunger
production, and many of the intoxicating properties), as well as a number of
other compounds (other cannabinoids and terpenoids, which were analgesics in
their own rights).
But do they help?
"It is quite conceivably
possible that cannabis-based drugs could be helpful for sufferers of
fibromyalgia based on available science," says Ethan Russo, M.D., who is senior
medical advisor to GW Pharmaceuticals, which makes Sativex, and a study
physician for the U.S. clinical trials now underway for cancer
cure.
Russo says he's hopeful Sativex will get FDA approval for treating
cancer pain in 2013. "While a theoretical basis for Sativex potentially helping
profit fibromyalgia manifestations is quite strong, and we know it has been very
helpful with neuropathic pain and sleep disturbance in many other illnesses," he
adds, "it's ultimate utility in fibromyalgia can only be proven in a meaningful,
practical fashion using formal randomized clinical trials."
For now, Ware
says, those suffering with fibromyalgia who aren't being helped by their
existing medication might need to discuss nabilone with their doctor. "A lot of
physicians just don't know that these prescription cannabinoids exist," he
says.
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