Book contents
- Marijuana and Madness
- Marijuana and Madness
- Copyright page
- Contents
- Contributors
- Preface
- Part I Pharmacology of Cannabis and the Endocannabinoid System
- Part II The Changing Face of Cannabis
- Part III Cannabis and the Brain
- Part IV Cannabis, Anxiety, and Mood
- Part V Cannabis and Psychosis
- Part VI Cannabinoids and Schizophrenia: Aetiopathology and Treatment Implications
- Chapter 17 Does Cannabis Cause Psychosis?
- Chapter 18 Post-mortem Studies of the Brain Cannabinoid System in Schizophrenia
- Chapter 19 The Endocannabinoid System in Schizophrenia
- Chapter 20 Cannabidiol as a Potential Antipsychotic
- Chapter 21 Genetic Explanations for the Association between Cannabis and Schizophrenia
- Part VII Cannabinoids and Schizophrenia: Aetiopathology and Treatment Implications
- Part VIII Special Topics
- Index
- References
Chapter 20 - Cannabidiol as a Potential Antipsychotic
from Part VI - Cannabinoids and Schizophrenia: Aetiopathology and Treatment Implications
Published online by Cambridge University Press: 12 May 2023
- Marijuana and Madness
- Marijuana and Madness
- Copyright page
- Contents
- Contributors
- Preface
- Part I Pharmacology of Cannabis and the Endocannabinoid System
- Part II The Changing Face of Cannabis
- Part III Cannabis and the Brain
- Part IV Cannabis, Anxiety, and Mood
- Part V Cannabis and Psychosis
- Part VI Cannabinoids and Schizophrenia: Aetiopathology and Treatment Implications
- Chapter 17 Does Cannabis Cause Psychosis?
- Chapter 18 Post-mortem Studies of the Brain Cannabinoid System in Schizophrenia
- Chapter 19 The Endocannabinoid System in Schizophrenia
- Chapter 20 Cannabidiol as a Potential Antipsychotic
- Chapter 21 Genetic Explanations for the Association between Cannabis and Schizophrenia
- Part VII Cannabinoids and Schizophrenia: Aetiopathology and Treatment Implications
- Part VIII Special Topics
- Index
- References
Summary
Schizophrenia spectrum disorders are psychiatric conditions that express by a wide range of symptoms. Current treatments are effective in controlling so-called positive symptoms (e.g., delusions or hallucinations) but are often less effective for negative symptoms (e.g., blunted affect and passive social withdrawal) as well as for cognitive impairments. Further, current anti-psychotics may induce several side-effects that limit use and patient adherence. Therefore, mechanistically novel anti-psychotics are urgently needed. Cannabidiol, a major cannabinoid of Cannabis sativa, has been investigated in both animal models for aspects of schizophrenia, clinical studies, and controlled trials. Animal studies have raised substantial evidence for cannabidiol’s anti-psychotic effects. While controlled clinical trials have shown mixed results, studies using cannabidiol at higher dosages have demonstrated its ability to ameliorate psychotic symptoms while showing a relatively benign side-effect profile. Although the currently available data is short of any proof justifying the registration of cannabidiol as an anti-psychotic at present, the data from phase II clinical trials justify further study of cannabidiol’s antipsychotic properties in controlled clinical trials to clarify its therapeutic value and safety profile, notably in long-term treatment. In addition, more insight into its mechanisms of action may broaden our understanding of new targets for treatment.
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- Marijuana and Madness , pp. 200 - 215Publisher: Cambridge University PressPrint publication year: 2023
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