continuing.....
Practical applications of cannabinoids and terpenes for chronic illnesses
Presentation by Mara Gordon at CannaCosta2015
Cannabinoids
The ECS is the reason cannabis functions as it does for as many different disease states.
B-caryophyllene, found in black pepper and other sources, may qualify as a cannabinoid, because it activates the CB2 receptors.
- It's not only cannabis that will stimulate the ECS, it's just that cannabis does so in so many ways as to set it apart from other sources of cannabinoids.
The euphoria caused by THC is a side benefit of all the other wonderful things the cannabinoid is doing for your healing body.
CBD doesn't offer any reported psychoactivity, but it does sometimes cause anxiety and sleepiness, which could be called psychoactivity of a different sort.
Terpenes are what you smell.
- They're involved in the entourage effect, the synergistic interplay of cannabinoids, terpenes, flavonoids, etc, the many components of cannabis sativa.
- Together they're greater than the sum of their parts.
- Full-plant extractions create very different physiological results than isolates.
Choose the terpenes you use carefully when developing medicines for particular disease states. All chemovars are not made alike.
For example, pinene is a good bronchial dialator, an anti-inflammatory, AIDS in memory function and is a good anti-bacterial, but it can also cause anxiety and allergic reaction in sensitive persons. Pine needles have high concentrations of pinene.
Limonene is very, very uplifting, is good for acid reflux, anxiety, and depression.
Linalool anti-convulsants, analgesic, and anti-anxiety. Lavender is high in linalool.
Beta-Caryophyllene has anti-inflammatory effects, is an analgesic, and will protect the cells lining the digestive tract. It's found in black pepper.
Myrcene contributes to the sedative effects of strong indicas, making it a powerful sleep aid, as well as a good muscle relaxer. It's also found in hops.
Eating a mango prior to ingesting cannabis demonstrates the importance of the entourage effect. The myrcene in the mango increases the absorbtion of the cannabinoids, thus improving bioavailibility. Myrcene has a very relaxing effect.
- When choosing your cannabis you're usually looking for something to slow you down or something to energize you. Slowing you down is what myrcene does.
- Myrcene is typically highest in the chemovars we refer to as indicas.
Sativas are used with PTSD, ADHD, Tourette's, some autism.
Indicas are preferred for chronic diseases like cancer, chronic pain, sleep disorder, etc.
Examples:
ACDC is an extremely high indica dominant chemovar bred specifically for high CBD It has little psychoactive effect for most people and is used (in conjunction with THC-rich chemovars) for epilepsy, cancer, and inflammatory disease.
Blue Dream is an extremely high THC sativa dominant chemovar that carried the Myrcene from an indica ?????? It's one of the most popular sativa dominant chemovars in the adult use market yet has ??????????? pain relief properties.
Can't read the graphic and she didn't mention them.
Granddaddy Purple (GDP) is a high THC indica strain that is very relaxing and calming. Many patients choose it as a sleep aid.
The purpose of the ECS is to create homeostasis by balancing the CNS and the immune system. Disease is the lack of homeostasis.
- Cannabinoids and receptors in the ECS will do whatever they can to create a homeostatic environment.
THC has more medical applications in current clinical work
(this was presented in 2015, and things have progressed) Without THC you're leaving the vast majority of diseases in most sick people without treatment.
Why is happiness and euphoria listed as a negative side effect?
Reefer Madness, that's why.
THCa is becoming recognized as an important medicinal component.
- THCa is an anti-inflammatory, anti-prolific, and anti-epileptic. It's an important tool in the medicine box.
- Aunt Zelda's treats a lot of seizure disorder patients, either from epilepsy or some other condition like glioblastomas or metastatic cancers that've settled in the brain or other parts of the body.
Decarboxylation frees the carbon molecules from the acid cannabinoids so they can activate the receptors. With the carbon molecules attached they won't fit the receptors.
In treating epilepsy and CBD becomes less effective or isn't effective THCa is a viable substitute. You always need a small amount of THC.
CBD is being studies as an anti-psychotic, anti-epileptic, as useful in extreme inflammatory response.
- It's good for inflammation and pain.
- CBD will be effective in keeping cancer from returning. After cancer is in remission the maintenance dose can be dropped to low THC, high CBD (can be very high) so they can live more normal lives.
How It Works: An Overview
Activation of CB1, CB2, [and GPR55?] receptor sites promotes homeostasis in all other body systems
THC has more mechanisms of action in medical applications of cannabis than other cannabinoids or terpenes. It is the most potent activator of CB1 and CB2 receptor sites. It also has anti-inflammatory properties.
THCa is an anti-inflammatory, antti-proliferative, and anti-epileptic.
THCV reduces the parinoia side effects of THC through the entourage effect. It's being studied for use in diabetes. It can act as an appetite suppressant.
CBD is being studied as an anti-psychotic and anti-epileptic, and is proven to have extreme anti-inflammatory properties more potent than hydrocortisone. It also has antibacterial and anti fungal properties. The US has (Had) a patent on CBD as an anti-inflammatory and neuro protector.
CBG, when combined with THC, is a powerful pain suppressant (Entourage effect)
CBN, when combined with THC, is a sleep agent (Entourage effect)
CBC is a potent anti-bacterial, anti-fungal, and analgesic.
CBDV is another non-psychoactive cannabinoid that shows promise with epilepsy.
There are somewhere between 200 and 500 terpenes found in cannabis and new cannabinoids are being discovered al the time.
CB1 receptors primarily in CNS, CB2 receptors primarily in the immune cells of the lymphatic system.
- With disease states the eCBRs will appear where needed.
How it works: Cancer
THC: Super-activation of CB1 and CB2 receptor sites by THC leading to apoptosis (programmed cell death) of cancer cells.
Dr. Sean McCallaster (sp?) has been researching the ID-1 gene and has discovered that CBD restricts the translation of the ID-1 gene in many cancers, blocking the proliferation and metastasis of many cancers.
- High levels of ID-1 are found in brain, liver, lung, skin, and thyroid gland cancer cells. It is also expressed in fetal cells and in the umbilical vein endothelial cells.
Cannabidiol is indicated as a major component in the cancer protocol for
* Non small cell lung cancer
* Gastric cancer
* Breast cancer
* Prostate cancer
* Melanoma
* Glioblastoma
* Hepatocarcinoma
* Anaplastic thyroid tumor
* Metastasis of certain cancers
The ID-1 gene is responsible for tumor growth and metastasis. CBD doesn't activate the eCBRs, but rather affects other body systems to block proliferation and metastasis.
Try higher CBD and lower THC formulations for cancers involving the ID-1 gene.
** The last patient on the list is a 3-yr old female.
What does success mean? Because of the frustrations and stigmas attached to cannabis many cancer patients wait until it's very advanced or without hope before they seek a cannabinoid therapy. When we can reverse this trend we won't have as many people getting that desperately sick to begin with.
The patient determines the goals of the therapy. Are we treating symptoms or treating disease?
- After reviewing the patient history you work out the dose goal and the most desirable terpene and cannabinoid profile.
Give up the need to find a mg/kg formula for all canna is patients. It won't happen. Look at that picture. It pretty much says it all.
The closer correlation is with age; the younger the patient, the higher the dose.
Questions for the patient:
- What's the diagnosis?
- What's the current cannabis use and history of use?
- What pharmaceuticals and nutraceuticals are being used? Be aware of CP450 pathway pharma drugs. CBD may interfere with their metabolism allowing them to build to intolerable and dangerous levels in the system.
- Patient's age?
- What is your objective? What are you hoping to get from the cannabinoid therapy? What are you trying to accomplish?
Pick up at 16:11. Can't see anymore tonight to continue. Lol! This seems to be a pattern with me. I'm hoping to find something on cirrhosis in here.
I found my notes from a similar presentation in Prague the same year and made some additions.
In a gram of high THC CCO you can realistically expect to get between 500 and 750 mg of THC.