Real life Experience of Medical Cannabis Treatment in Autism: Analysis of Safety and Efficacy

被引:102
作者
Schleider, Lihi Bar-Lev [1 ,2 ,3 ]
Mechoulam, Raphael [4 ]
Saban, Naama [3 ]
Meiri, Gal [5 ,6 ,7 ]
Novack, Victor [1 ,2 ]
机构
[1] Ben Gurion Univ Negev, Soroka Univ, Med Ctr, Clin Cannabis Res Inst, Beer Sheva, Israel
[2] Ben Gurion Univ Negev, Fac Hlth Sci, Beer Sheva, Israel
[3] Tikun Olam LTD, Res Dept, Tel Aviv, Israel
[4] Hebrew Univ Jerusalem, Inst Drug Res, Sch Pharm, Jerusalem, Israel
[5] Ben Gurion Univ Negev, Negev Autism Ctr, Beer Sheva, Israel
[6] Ben Gurion Univ Negev, Soroka Univ Med, Beer Sheva, Israel
[7] Ben Gurion Univ Negev, Fac Hlth Sci, Beer Sheva, Israel
关键词
ENDOCANNABINOID SYSTEM; DRONABINOL; OXYTOCIN; CHILDREN; PREVALENCE; AGITATION; DISORDER; BEHAVIOR; BRAIN;
D O I
10.1038/s41598-018-37570-y
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
There has been a dramatic increase in the number of children diagnosed with autism spectrum disorders (ASD) worldwide. Recently anecdotal evidence of possible therapeutic effects of cannabis products has emerged. The aim of this study is to characterize the epidemiology of ASD patients receiving medical cannabis treatment and to describe its safety and efficacy. We analysed the data prospectively collected as part of the treatment program of 188 ASD patients treated with medical cannabis between 2015 and 2017. The treatment in majority of the patients was based on cannabis oil containing 30% CBD and 1.5% THC. Symptoms inventory, patient global assessment and side effects at 6 months were primary outcomes of interest and were assessed by structured questionnaires. After six months of treatment 82.4% of patients (155) were in active treatment and 60.0% (93) have been assessed; 28 patients (30.1%) reported a significant improvement, 50 (53.7%) moderate, 6 (6.4%) slight and 8 (8.6%) had no change in their condition. Twenty-three patients (25.2%) experienced at least one side effect; the most common was restlessness (6.6%). Cannabis in ASD patients appears to be well tolerated, safe and effective option to relieve symptoms associated with ASD.
引用
收藏
页数:7
相关论文
共 34 条
[1]  
Anderson CL, 2017, J PEDIATR NEUROL, V15, P143, DOI 10.1055/s-0037-1598109
[2]  
Aran A, 2018, NEUROLOGY, V90
[3]  
BAX M, 1994, DEV MED CHILD NEUROL, V36, P659
[4]   Cannabidiol Reduces the Anxiety Induced by Simulated Public Speaking in Treatment-Naive Social Phobia Patients [J].
Bergamaschi, Mateus M. ;
Costa Queiroz, Regina Helena ;
Nisihara Chagas, Marcos Hortes ;
Gomes de Oliveira, Danielle Chaves ;
De Martinis, Bruno Spinosa ;
Kapczinski, Flavio ;
Quevedo, Joao ;
Roesler, Rafael ;
Schroeder, Nadja ;
Nardi, Antonio E. ;
Martin-Santos, Rocio ;
Cecilio Hallak, Jaime Eduardo ;
Zuardi, Antonio Waldo ;
Crippa, Jose Alexandre S. .
NEUROPSYCHOPHARMACOLOGY, 2011, 36 (06) :1219-1226
[5]   Trends in the Prevalence of Developmental Disabilities in US Children, 1997-2008 [J].
Boyle, Coleen A. ;
Boulet, Sheree ;
Schieve, Laura A. ;
Cohen, Robin A. ;
Blumberg, Stephen J. ;
Yeargin-Allsopp, Marshalyn ;
Visser, Susanna ;
Kogan, Michael D. .
PEDIATRICS, 2011, 127 (06) :1034-1042
[6]   Targeting the endocannabinoid system in the treatment of fragile X syndrome [J].
Busquets-Garcia, Arnau ;
Gomis-Gonzalez, Maria ;
Guegan, Thomas ;
Agustin-Pavon, Carmen ;
Pastor, Antoni ;
Mato, Susana ;
Perez-Samartin, Alberto ;
Matute, Carlos ;
de la Torre, Rafael ;
Dierssen, Mara ;
Maldonado, Rafael ;
Ozaita, Andres .
NATURE MEDICINE, 2013, 19 (05) :603-607
[7]   Effect of cannabis on glutamate signalling in the brain: A systematic review of human and animal evidence [J].
Colizzi, Marco ;
McGuire, Philip ;
Pertwee, Roger G. ;
Bhattacharyya, Sagnik .
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS, 2016, 64 :359-381
[8]   Neural basis of anxiolytic effects of cannabidiol (CBD) in generalized social anxiety disorder: a preliminary report [J].
Crippa, Jose Alexandre S. ;
Derenusson, Guilherme Nogueira ;
Ferrari, Thiago Borduqui ;
Wichert-Ana, Lauro ;
Duran, Fabio L. S. ;
Martin-Santos, Rocio ;
Simoes, Marcus Vinicius ;
Bhattacharyya, Sagnik ;
Fusar-Poli, Paolo ;
Atakan, Zerrin ;
Filho, Alaor Santos ;
Freitas-Ferrari, Maria Cecilia ;
McGuire, Philip K. ;
Zuardi, Antonio Waldo ;
Busatto, Geraldo F. ;
Cecilio Hallak, Jaime Eduardo .
JOURNAL OF PSYCHOPHARMACOLOGY, 2011, 25 (01) :121-130
[9]   The changing prevalence of autism in California [J].
Croen, LA ;
Grether, JK ;
Hoogstrate, J ;
Selvin, S .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2002, 32 (03) :207-215
[10]  
Fabre LF., 1981, J Clin Pharmacol, V21, p377S382S