CANNAHealthcare Magazine Volume 4, 1st Quarter, 2018 | Page 88

Aging and the Endocannabinoid System

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Application of Cannabinoid Medicine to Parkinson’s Disease

Taking CBD in pill or tincture form can be explored as a complementary treatment, whether to relieve anxiety, decrease REM sleep behavior disorder symptoms, or treat psychosis. Anecdotal evidence exists for Parkinson’s disease patients smoking or vaporizing cannabis and being able to move normally without tremor within minutes. Despite not knowing the best strains or dosages to use, it is likely that vaporizing cannabis, in particular cannabis strains with CBD in it, will not harm a Parkinson’s disease patient. Cannabis should be vaporized instead of smoked because toxins from burning cannabis, like ammonia, could cause further harm to dying dopamine cells.

Risks of Treating a Patient with Parkinson’s Disease with Cannabinoid Medicine

Drugs used to treat Parkinson’s disease do not interact with CBD because they are not broken down by the same p450 liver enzymes that CBD inhibits. CBD or cannabis use may induce short-term memory deficits in some patients. This can be offset by also consuming caffeine, taking the cognitive supplement citicholine, or using peppermint oil or alpha-pinene.

Neuro Research

9. Janefjord E, et al. (2014). Cannabinoid effects on β amyloid fibril and aggregate formation, neuronal and microglial-activated neurotoxicity in vitro. Cell Mol Neurobiol, 34(1):31-42.

REFERENCES

5. Palazuelos J, et al. (2012). CB2 cannabinoid receptors promote neural progenitor cell proliferation via mTORC1 signaling. J Biol Chem, 287(2):1198-209.

4. Solas M et al. (2013). CB2 receptor and amyloid patholo gy in frontal cortex of Alzheimer's disease patients. Neurobiol Aging, 34(3):805-8.

6. Bravo-Ferrer I, et al. (2016) Cannabinoid Type-2 Receptor Drives Neurogenesis and Improves Functional Outcome After Stroke. Stroke, 48(1):204-212.

7. Koppel J, et al. (2014). Psychosis in Alzheimer's disease is associated with frontal metabolic impairment and accelerated decline in working memory: findings from the Alzheimer's Disease Neuroimaging Initiative. Am J Geriatr Psychiatry, 22(7):698-707

8. Watt G and Karl T (2017). In vivo Evidence for Therapeutic Properties of Cannabidiol (CBD) for Alzheimer's Disease. Front Phamacology, 8:20.

1. National Institute of Health (NIH), updated October 26, 2017. Cannabis Effects on Brain Morphology in Aging (CAN): www.clinicaltrials.gov/ct2/show/NCT01874886.

2. Westlake TM, et al. (1994). Cannabinoid Receptor Binding and Messenger Rna Expression in Human Brain: An in Vitro Receptor Autoradiography and in Situ Hybridization Histochemistry Study Of Normal Aged and Alzheimer's Brains. Neuroscience, 63(3):637-52.

3.Ramirez BG, et al. (2005). Prevention of Alzheimer's disease pathology by cannabinoids: neuroprotection mediated by blockade of microglial activation. J Neurosci, 25(8):1904-13.