The use of medical grade cannabis in Italy for drug-resistant epilepsy: a case series
In Italy, medical grade cannabis (MGC) can be prescribed for different medical conditions, including drug-resistant epilepsy (DRE), once standard and approved therapies have failed, or caused non-tolerable side effects. Here, we present a retrospective case series report of five patients with DRE wh...
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| Veröffentlicht in: | Neurological sciences Jg. 41; H. 3; S. 695 - 698 |
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Springer International Publishing
01.03.2020
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| Abstract | In Italy, medical grade cannabis (MGC) can be prescribed for different medical conditions, including drug-resistant epilepsy (DRE), once standard and approved therapies have failed, or caused non-tolerable side effects. Here, we present a retrospective case series report of five patients with DRE who started therapy with MGC. Authorized ISO 9001:2008 pharmacies prepared MGC according to Italian laws. Olive oil extracts (OOEs) were prepared following standard extraction protocols, and cannabinoids were measured on each OOE to check for successful extraction.After treatment with MGC, all patients reported a reduction in seizure frequency and severity, and some reported improved mood, sleep quality, and general well-being without relevant side effects. Despite the small sample size and open-label nature of the data, we show that MGC may be successfully used to treat DRE. This is especially true when considering that no valid therapeutic option exists for these patients and that MGC was extremely well tolerated. |
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| AbstractList | In Italy, medical grade cannabis (MGC) can be prescribed for different medical conditions, including drug-resistant epilepsy (DRE), once standard and approved therapies have failed, or caused non-tolerable side effects. Here, we present a retrospective case series report of five patients with DRE who started therapy with MGC. Authorized ISO 9001:2008 pharmacies prepared MGC according to Italian laws. Olive oil extracts (OOEs) were prepared following standard extraction protocols, and cannabinoids were measured on each OOE to check for successful extraction.After treatment with MGC, all patients reported a reduction in seizure frequency and severity, and some reported improved mood, sleep quality, and general well-being without relevant side effects. Despite the small sample size and open-label nature of the data, we show that MGC may be successfully used to treat DRE. This is especially true when considering that no valid therapeutic option exists for these patients and that MGC was extremely well tolerated. In Italy, medical grade cannabis (MGC) can be prescribed for different medical conditions, including drug-resistant epilepsy (DRE), once standard and approved therapies have failed, or caused non-tolerable side effects. Here, we present a retrospective case series report of five patients with DRE who started therapy with MGC. Authorized ISO 9001:2008 pharmacies prepared MGC according to Italian laws. Olive oil extracts (OOEs) were prepared following standard extraction protocols, and cannabinoids were measured on each OOE to check for successful extraction.After treatment with MGC, all patients reported a reduction in seizure frequency and severity, and some reported improved mood, sleep quality, and general well-being without relevant side effects. Despite the small sample size and open-label nature of the data, we show that MGC may be successfully used to treat DRE. This is especially true when considering that no valid therapeutic option exists for these patients and that MGC was extremely well tolerated.In Italy, medical grade cannabis (MGC) can be prescribed for different medical conditions, including drug-resistant epilepsy (DRE), once standard and approved therapies have failed, or caused non-tolerable side effects. Here, we present a retrospective case series report of five patients with DRE who started therapy with MGC. Authorized ISO 9001:2008 pharmacies prepared MGC according to Italian laws. Olive oil extracts (OOEs) were prepared following standard extraction protocols, and cannabinoids were measured on each OOE to check for successful extraction.After treatment with MGC, all patients reported a reduction in seizure frequency and severity, and some reported improved mood, sleep quality, and general well-being without relevant side effects. Despite the small sample size and open-label nature of the data, we show that MGC may be successfully used to treat DRE. This is especially true when considering that no valid therapeutic option exists for these patients and that MGC was extremely well tolerated. |
| Author | Pane, Chiara Saccà, Francesco |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31776867$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1126/science.1088208 10.1016/S0014-2999(98)00392-6 10.3389/fnut.2019.00112 10.1111/epi.12610 10.1016/j.eplepsyres.2019.03.015 10.1016/j.yebeh.2016.12.032 10.1111/epi.13709 10.1515/cclm-2017-0758 10.1111/j.1528-1167.2009.02397.x 10.1016/j.jns.2016.07.059 10.1001/jama.2015.6358 |
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| References_xml | – volume: 302 start-page: 84 issue: 5642 year: 2003 end-page: 88 ident: CR10 article-title: CB1cannabinoid receptors and on-demand defence against excitotoxicity publication-title: Science doi: 10.1126/science.1088208 – volume: 353 start-page: 23 year: 1998 end-page: 31 ident: CR11 article-title: An entourage effect: inactive endogenous fatty acid glycerol esters enhance 2-arachidonoyl-glycerol cannabinoid activity publication-title: Eur J Pharmacol. doi: 10.1016/S0014-2999(98)00392-6 – volume: 6 start-page: 112 year: 2019 ident: CR12 article-title: Ghrelin plasma levels after 1 year of ketogenic diet in children with refractory epilepsy publication-title: Front Nutr doi: 10.3389/fnut.2019.00112 – volume: 55 start-page: 783 year: 2014 end-page: 786 ident: CR2 article-title: The case for medical marijuana in epilepsy publication-title: Epilepsia doi: 10.1111/epi.12610 – volume: 154 start-page: 13 year: 2019 end-page: 20 ident: CR9 article-title: Long-term safety and efficacy of cannabidiol in children and adults with treatment resistant Lennox-Gastaut syndrome or Dravet syndrome: expanded access program results publication-title: Epilepsy Res doi: 10.1016/j.eplepsyres.2019.03.015 – ident: CR4 – volume: 70 start-page: 328 issue: Pt B year: 2017 end-page: 333 ident: CR8 article-title: The current status of artisanal cannabis for the treatment of epilepsy in the United States publication-title: Epilepsy Behav doi: 10.1016/j.yebeh.2016.12.032 – volume: 58 start-page: 512 year: 2017 end-page: 521 ident: CR7 article-title: ILAE classification of the epilepsies position paper of the ILAE Commission for Classification and Terminology publication-title: Epilepsia. doi: 10.1111/epi.13709 – volume: 56 start-page: 94 year: 2018 end-page: 96 ident: CR6 article-title: Evaluation of long-term stability of cannabinoids in standardized preparations of cannabis flowering tops and cannabis oil by ultra-high-performance liquid chromatography tandem mass spectrometry publication-title: Clin Chem Lab Med doi: 10.1515/cclm-2017-0758 – volume: 51 start-page: 1069 year: 2010 end-page: 1077 ident: CR1 article-title: Definition of drug resistant epilepsy: consensus proposal by the ad hoc task force of the ILAE commission on therapeutic strategies publication-title: Epilepsia doi: 10.1111/j.1528-1167.2009.02397.x – volume: 368 start-page: 349 year: 2016 end-page: 351 ident: CR5 article-title: The use of medical-grade cannabis in patients non-responders to Nabiximols publication-title: J Neurol Sci. doi: 10.1016/j.jns.2016.07.059 – volume: 313 start-page: 2456 year: 2015 end-page: 2473 ident: CR3 article-title: Cannabinoids for medical use: a systematic review and meta-analysis publication-title: JAMA doi: 10.1001/jama.2015.6358 – volume: 353 start-page: 23 year: 1998 ident: 4162_CR11 publication-title: Eur J Pharmacol. doi: 10.1016/S0014-2999(98)00392-6 – volume: 55 start-page: 783 year: 2014 ident: 4162_CR2 publication-title: Epilepsia doi: 10.1111/epi.12610 – volume: 154 start-page: 13 year: 2019 ident: 4162_CR9 publication-title: Epilepsy Res doi: 10.1016/j.eplepsyres.2019.03.015 – volume: 302 start-page: 84 issue: 5642 year: 2003 ident: 4162_CR10 publication-title: Science doi: 10.1126/science.1088208 – volume: 51 start-page: 1069 year: 2010 ident: 4162_CR1 publication-title: Epilepsia doi: 10.1111/j.1528-1167.2009.02397.x – volume: 70 start-page: 328 issue: Pt B year: 2017 ident: 4162_CR8 publication-title: Epilepsy Behav doi: 10.1016/j.yebeh.2016.12.032 – volume: 313 start-page: 2456 year: 2015 ident: 4162_CR3 publication-title: JAMA doi: 10.1001/jama.2015.6358 – volume: 6 start-page: 112 year: 2019 ident: 4162_CR12 publication-title: Front Nutr doi: 10.3389/fnut.2019.00112 – ident: 4162_CR4 – volume: 368 start-page: 349 year: 2016 ident: 4162_CR5 publication-title: J Neurol Sci. doi: 10.1016/j.jns.2016.07.059 – volume: 56 start-page: 94 year: 2018 ident: 4162_CR6 publication-title: Clin Chem Lab Med doi: 10.1515/cclm-2017-0758 – volume: 58 start-page: 512 year: 2017 ident: 4162_CR7 publication-title: Epilepsia. doi: 10.1111/epi.13709 |
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| Title | The use of medical grade cannabis in Italy for drug-resistant epilepsy: a case series |
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