4.6 Review

The Efficacy of Cannabis on Multiple Sclerosis-Related Symptoms

Journal

LIFE-BASEL
Volume 12, Issue 5, Pages -

Publisher

MDPI
DOI: 10.3390/life12050682

Keywords

Cannabis sativa; marijuana; cannabinoids; 9-tetrahydrocannabinol (THC); multiple sclerosis (MS)

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Multiple sclerosis is an autoimmune disease that affects neurons in the central nervous system, causing various symptoms. Clinical studies have shown that cannabis can help alleviate symptoms in MS patients, particularly spasticity and pain. However, further research is needed to determine its effectiveness for other symptoms.
Multiple sclerosis (MS) is known as an autoimmune disease that damages the neurons in the central nervous system. MS is characterized by its most common symptoms of spasticity, muscle spasms, neuropathic pain, tremors, bladder dysfunction, dysarthria, and some intellectual problems, including memory disturbances. Several clinical studies have been conducted to investigate the effects of cannabis on the relief of these symptoms in MS patients. The efficacy of Cannabis sativa (C. Sativa) in the management of MS outcomes such as spasticity, pain, tremors, ataxia, bladder functions, sleep, quality of life, and adverse effects were assessed in this review. Most clinical studies showed the positive effects of cannabinoids with their different routes of administration, such as oromucosal spray and oral form, in reducing most MS symptoms. The oromucosal spray Nabiximols demonstrated an improvement in reducing MS spasticity, pain, and quality of life with a tolerated adverse effect. Oral cannabinoids are significantly effective for treating MS pain and spasticity, while the other symptoms indicate slight improvement and the evidence is quite inconsistent. Oromucosal spray and oral cannabis are mainly used for treating patients with MS and have positive effects on treating the most common symptoms of MS, such as pain and spasticity, whereas the other MS symptoms indicated slight improvement, for which further studies are needed.

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