Article ; Online: Long-term safety of medical cannabis in Parkinson's disease: A retrospective case-control study.
Parkinsonism & related disorders
2023 Volume 112, Page(s) 105406
Abstract: Background: Whole-plant medical cannabis (MC) products are widely used for controlling symptoms associated with Parkinson's disease (PD). Despite its widespread use, few studies have investigated the long-term impact of MC on the progression of PD or ... ...
Abstract | Background: Whole-plant medical cannabis (MC) products are widely used for controlling symptoms associated with Parkinson's disease (PD). Despite its widespread use, few studies have investigated the long-term impact of MC on the progression of PD or its safety profile. This study examined the effects of MC on PD in a real-life setting. Methods: A retrospective case-control study of 152 idiopathic PD patients (mean age 69.1 ± 9.0 years), followed at the Sheba Medical Center Movement Disorders Institute (SMDI) from 2008 to 2022 was conducted. Seventy-six patients who used licensed whole-plant medical cannabis (MC) for at least a year were compared to a matched group who did not receive MC in terms of their Levodopa Equivalent Daily Dose (LEDD), Hoehn and Yahr (H&Y) stage, and cognitive, depressive, and psychotic symptoms. Results: The median monthly dose of MC was 20 g (IQR: 20-30), with a median Tetrahydrocannabinol (THC) percentage of 10 (IQR: 9.5-14.15) and a median Cannabidiol (CBD) percentage of 4 (IQR: 2-10). There were no significant differences between the MC and the control groups for LEDD or H&Y stage progression (p = 0.90, 0.77, respectively). A Kaplan-Meier analysis showed no evidence of relative worsening of psychotic, depressive, or cognitive symptoms reported by patients to their treating physicians over time in the MC group (p = 0.16-0.50). Conclusion: Over the 1-3 years of follow-ups, the MC treatment regimens appeared to be safe. MC did not exacerbate neuropsychiatric symptoms and had no detrimental effects on disease progression. |
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MeSH term(s) | Humans ; Middle Aged ; Aged ; Parkinson Disease/complications ; Parkinson Disease/drug therapy ; Medical Marijuana/adverse effects ; Retrospective Studies ; Case-Control Studies ; Levodopa/therapeutic use |
Chemical Substances | Medical Marijuana ; Levodopa (46627O600J) |
Language | English |
Publishing date | 2023-05-05 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 1311489-x |
ISSN | 1873-5126 ; 1353-8020 |
ISSN (online) | 1873-5126 |
ISSN | 1353-8020 |
DOI | 10.1016/j.parkreldis.2023.105406 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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