Nabilone — Clinical Experience at the James Paget Hospital

The dose per capsule is 1 mg but we found that this could be excessive for some patients. Therefore, some were started at 0.25 mg by opening the capsule and dividing the resultant powder into four. The initial time for nabilone use has been at night to reduce the potential discomfort of any side effects. Once the patient’s confidence has been developed, the dosage has been increased where appropriate. Those patients who have benefited from nabilone have been through a period of discontinuation to help evaluate the benefits of this drug. The age range of the 43 patients who have used nabilone is from 25–82 years with 75% between the ages of 30 and 50. More women than men were treated, mainly reflecting a large sex difference in the group with multiple sclerosis. The diagnoses of the patients were categorised into 6 groups as the most convenient method of presenting the information from such an heterogeneous group. No attempt has been made to do anything more than describe the effects of using nabilone on each individual patient and thereby evaluate whether it might be of value in pain control. Multiple Sclerosis Multiple Sclerosis is characterised by widespread and varied damage to the central nervous Read more […]

Pharmacology of Poppy Alkaloids: Major Opium Alkaloids

 The latex obtained by the incision of unripe seed capsules of Papaver somniferum and which is known as opium is the source of several pharmacologically important alkaloids. Dioskorides, in about AD 77, referred to both the latex (opos) and the total plant extract (mekonion) and to the use of oral and inhaled (pipe smoked) opium to induce a state of euphoria and sedation. Since before the Christian era the therapeutic properties of opium were evident, with the first written reference to poppy juice by Theophrastus in the third century BC. Powdered opium contains more than 40 alkaloids which constitute about 25% by weight of the opium and are responsible for its pharmacological activity. In 1803 the German pharmacist Sertiirner achieved the isolation of morphine as one of the active ingredients of opium. Morphine, codeine, thebaine, papaverine, narcotine and narceine are the most important bases, with many of the remaining (minor) alkaloids occurring only in traces. Morphine Morphine has long occupied an eminent position on the list of useful drugs. As a pure alkaloid, it has been employed for over a century and a half and, as the most important constituent of opium, it has contributed to the comfort of the human Read more […]

Citrus in Traditional Medicine

Citrus in traditional Asiatic medicine In a comparative study of the use of herbal drugs in the traditional medicines of India and Europe, Pun () found a marked similarity between the drugs used in the two continents. He attributed this not only to the similarity of the vegetation in the two areas, but also to the influence that traditional Indian medicine, in particular the Atherveda, one of the most ancient repositories of human knowledge, had on Egypt, Greece and Rome. He listed the principal uses of a small number of these drugs, including bitter orange peel, which in India is used as an aromatic, stomachic, tonic, astringent and carminative agent, and lemon, which is used as a flavouring and for its carminative and stomachic effects. In the Valmiki-Ramayana, written after the Vedas and one of the most sacred of all religious books which enumerates the virtues of the medicinal plants that Lord Rama (Vishnu) met during his fourteen-year journey around different parts of India, Karnick and Hocking () identified and listed fifty of these drugs with their use as described in the Ayurvedica (or native Indian) system of medicine. The immature fruit of Citrus aurantifolia (Christm) Swingle was used as an fortifier, Read more […]

Traditional Uses of Neem

The therapeutic efficacy of neem must have been known to man since antiquity as a result of constant experimentation with nature. Ancient man observed the unique features of this tree: a bitter taste, non-poisonous to man, but deleterious to lower forms of life. This might have resulted in its use as a medicine in various cultures, particularly in the Indian subcontinent and later on in other parts of the world. Ayurveda The word neem is derived from Sanskrit Nimba, which means “to bestow health”; the various Sanskrit synonyms of neem signify the pharmacological and therapeutic effects of the tree. It has been nicknamed Neta — a leader of medicinal plants, Pichumarda — antileprotic, Ravisambba — sun ray-like effects in providing health, Arishta — resistant to insects, Sbeetal — cooling (cools the human system by giving relief in diseases caused by hotness, such as skin diseases and fevers), and Krimighana — anthelmintic. It was considered light in digestion, hot in effect, cold in property. In earlier times, patients with incurable diseases were advised to make neem their way of life. They were to spend most of the day under the shade of this tree. They were to drink infusions of various parts of Read more […]

Commonly used chinese herb formulas that contain Perilla

As mentioned above, Perilla is often used together with other Chinese herbs in many herb formulas, especially in the qi formulas used for treating neurotic disorders, and respiratory diseases. In addition, it is also commonly used as a diaphoretic for common cold. Some commonly used Chinese herb formulas that contain Perilla leaf are shown in Tables Commonly used traditional Chinese herb formulas that contain Perilla leaf and Chinese herb formulas that contain Perilla leaf as recorded in the pharmacopoeia of PRC. And some commonly used Chinese herb formulas containing Perilla seed or fruit are shown in Table Commonly used traditional Chinese herb formulas that contain Perilla seed. Table Commonly used traditional Chinese herb formulas that contain Perilla leaf Formula Source Number of Herbs Content (%) of   Perilla Leaf Pinellia and Magnolia Combination Jin-gui-yao-lue 5 10.0 Ephedra and Magnolia Combination Wai-tai-mi-yao 7 7.5 Cyperus and Perilla Formula Tai-ping-hui-min-he-ji-ju-fang 5 15.0 Ginseng and Perilla Combination Tai-ping-hui-min-he-ji-ju-fang 13 4.4 Dang-guei Sixteen Herbs Combination Wan-bing-hui-chun 16 5.3 Aquilaria and Perilla Formula Tai-ping-hui-min-he-ji-ju-fang 11 9.8 Citrus Read more […]

The Medicinal Uses of Thyme

The uses of thyme, Thymus vulgaris and other Thymus species are well known, and extensive parts of the world get benefit from this plant group in medicinal and non-medicinal respects. Following the development of the medicinal uses of thyme we can see that thyme has changed from a traditional herb to a serious drug in rational phytotherapy. This is due to many pharmacological in vitro experiments carried out during the last decades, and even a few clinical tests. The studies have revealed well defined pharmacological activities of both, the essential oils and the plant extracts, the antibacterial and spasmolytical properties being the most important ones. The use of thyme in modern phytotherapy is based on this knowledge, whereas the traditional use of thyme describes only empirical results and often debatable observations. Therefore it seems necessary to present here the data available on the pharmacodynamics of thyme and thyme preparations in order to substantiate the use of thyme in modern medicine. The non-medicinal use of thyme is no less important, because thyme (mainly Thymus vulgaris) is used in the food and aroma industries. It serves as a preservative for foods and is a culinary ingredient widely used as Read more […]

The Therapeutic Potential For Cannabis

«Cannabis Use and Abuse by Man: An Historical Perspective» of this site provides a fascinating, historical account of the use of cannabis across many cultures and centuries. Suffice it to say here that any natural substance with over 5000 years of medical history will have attached to it a heritage of hearsay and legend through which one must sift to identify areas of true therapeutic potential for us in the late twentieth century and beyond. A summary of conditions for which cannabis has been used, ranging through various shades of rationality, appears in Table Medicinal and quasi-medicinal uses for cannabis and its derivatives: Indications for which only anecdote or reports of traditional use exist: aphrodisiac muscular spasm in rabies / tetanus Huntingdon’s chorea jaundice toothache earache tumour growth cough hysteria insanity menstrual cramps rheumatism movement disorders gut spasm pyrexia inflammed tonsils migraine headache increasing uterine  contractions in childbirth urinary retention/ bladder spasm parasite infection fatigue allergy fever herpetic pain hypertension joint inflammation diarrhoea malaria forgetfulness Indications Read more […]

Specific Medicinal Uses of Cannabis

The historical and contemporary, medicinal uses of cannabis have been reviewed on several occasions. Perhaps the earliest published report to contain at least some objectivity on the subject was that of O’Shaughnessy (1842), an Irish surgeon, working in India, who described the analgesic, anticonvulsant and muscle relaxant properties of the drug. This report triggered the appearance of over 100 publications on the medicinal use of cannabis in American and European medical journals over the next 60 years. One such use was to treat nausea and vomiting; but it was not until the advent of potent cancer chemotherapeutic drugs that the antiemetic properties of cannabis became more widely investigated and then employed. One can argue that the available clinical evidence of efficacy is stronger here than for any other application and that proponents of its use are most likely to be successful in arguing that cannabis should be re-scheduled (to permit its use as a medicine) because it has a “currently accepted medical use”. Specific Medicinal Uses of Cannabis: Use as an Antiemetic Specific Medicinal Uses of Cannabis: Glaucoma Specific Medicinal Uses of Cannabis: Multiple Sclerosis Spastic Conditions A discussion Read more […]

Specific Medicinal Uses of Cannabis: Effects on Anxiety and Insomnia

Cannabis smoking produces a relaxant effect which most users value and it has been suggested that the beneficial effects of cannabis and THC observed in neurological disorders such as motor tics, dystonias and Huntingdon’s chorea are due to sedative and anxiolytic actions. In addition, sedation is by far the most common side effect of cannabis, and in particular THC, observed in clinical trials against a range of disorders. This has lead to the suggestion that cannabis and some cannabinoids may be useful in disorders accompanied by anxiety and/or insomnia. Cannabis Sethi et al. () noted a reduction of anxiety in 50 chronic cannabis users compared to controls, in terms of scores on the Taylor Manifest Anxiety Scale. Oral preparations of cannabis have a sedative or tranquillising effect in man, accompanied by diminished anxiety at doses much lower than those producing psychoactivity. However, anxiety and panic, possibly due to depersonalisation, intoxication and loss of control, can also feature as side effects. These symptoms have been observed after smoking or oral ingestion of cannabis, but particularly after intravenous administration of aqueous extracts. This may be due to the rapid onset of altered mental state Read more […]

Humulus lupulus L. (Hop)

Distribution and Economic Importance Hops (Humulus lupulus L., family: Cannabinaceae) are widely grown throughout the world, being indigenous in the northern hemisphere above 32 ° latitude; they have also been introduced into the southern hemisphere, including S.-America, S.-Africa, New Zealand, and Australia (Connell 1986). The hop is a dioecious plant, normally diploid (2n = 20), with a strong climbing habit, resulting in twining shoots reaching as high as 7-9 m in the growing season, the rootstock perennating from late autumn to the following spring. The stem (bine) and oppositely arranged leaves bear coarse hairs. The crop is cultivated for the resins and essential oils produced by the lupulin glands in the flowers (cones) of female plants). Scattered male plants may be grown amongst the stand of females in order to produce so-called seeded hops as traditionally produced in the UK, but brewers producing lighter, lager-type beers normally require seedless hops. The growing of hops was brought to England from mainland Europe in the 15th century and they were used initially to preserve what had previously been termed ale, and which then became known as beer, characterized by its bitter taste and improved keeping Read more […]