2013 / Randomized Controlled Trial / Moderate evidenceIn regular cannabis smokers, nabilone showed more dose-related and sustained effects than dronabinol, supporting its potential as a cannabis dependence medication.
2013 / Review / Strong evidenceReview detailed how enzyme-specific inhibitors revealed different roles for anandamide and 2-AG in pain, anxiety, and addiction, guiding therapeutic development.
2013 / Cross Sectional / Preliminary evidenceCannabis-dependent veterans with PTSD used cannabis more for coping, experienced worse withdrawal, and had stronger cravings than veterans without PTSD.
2013 / Longitudinal Cohort / Moderate evidenceAmong 100 veterans attempting to quit cannabis, positive beliefs about cannabis effects predicted use, lapse, and relapse, while negative beliefs had limited impact.
2013 / Review / Moderate evidenceReview found medical cannabis has the best evidence for pain and spasticity, with dizziness as the most common side effect and adolescent psychosis risk as the main safety concern.
2013 / Cross Sectional / Preliminary evidenceSchizophrenia patients with cannabis abuse showed better emotional memory and more preserved prefrontal brain activity than non-using patients.
2013 / Animal Study / Preliminary evidenceThe pesticide chlorpyrifos persistently elevated brain endocannabinoid levels in developing rats, even at the lowest dose tested, through enzyme inhibition.
2013 / Cross Sectional / Preliminary evidenceCannabis cues increased craving and activated memory and emotion brain regions, but the brain-craving relationship habituated after the first exposure.
2013 / Cross Sectional / Moderate evidenceAmong 385 adults who tried to quit cannabis without treatment, self-image, health, and legal motivations predicted better outcomes, with gender differences in motivation.
2013 / Animal Study / Moderate evidenceTHC impaired memory through COX-2 enzyme induction, and blocking COX-2 eliminated cognitive side effects while preserving THC's Alzheimer's benefits in mice.
2013 / Review / Moderate evidenceReview described multiple cannabinoid pain-relief mechanisms, including CB2 agonists without psychoactive effects and a novel endocannabinoid circuit in the midbrain.
2013 / Cross Sectional / Preliminary evidenceAmong 54 South African border war veterans, 33% had PTSD, and current cannabis use was the only substance significantly linked to PTSD despite high resilience.
2013 / Randomized Controlled Trial / Moderate evidenceQuetiapine improved sleep and appetite during cannabis withdrawal but increased craving and use during the relapse phase, disqualifying it as a dependence treatment.
2013 / Review / Moderate evidenceReview found adolescent cannabis use predicts anxiety, depression, and psychosis more strongly than adult use, with earlier initiation increasing risk.
2013 / Review / Preliminary evidenceHypothesis paper proposed PEA, a natural fatty acid with endocannabinoid properties, as a potential treatment for cannabis dependence and withdrawal.
2013 / Review / Preliminary evidenceFemales often show stronger cannabinoid effects. Estradiol is a leading explanation in animals, while human evidence remains mixed.
2013 / Cross Sectional / Preliminary evidencePCP users showed significantly higher rates of intimate partner violence and legal problems compared to cannabis-only and alcohol/cannabis polysubstance users.
2013 / Review / Preliminary evidenceReview found growing preclinical evidence for cannabinoid anticancer effects across multiple cancer types, but contradictory results and unclear mechanisms limit conclusions.
2013 / Case Report / Preliminary evidenceA 19-year-old heavy cannabis user showed no withdrawal, anxiety, or dissociative symptoms during 10 days of CBD treatment for cannabis withdrawal syndrome.
2013 / Cross Sectional / Preliminary evidenceAbstinent adolescents with past cannabis use disorder showed abnormal brain patterns during risk-taking and reward processing that persisted after treatment.
2013 / Case Report / Preliminary evidenceA 24-year-old soccer player with heavy cannabis use and no other risk factors had a heart attack during exercise due to a blocked coronary artery.
2013 / Animal Study / Moderate evidenceChronic cannabinoid treatment in monkeys caused up to 250-fold tolerance and cross-tolerance with methamphetamine and dopamine D2 drugs.
2013 / Retrospective Cohort / Moderate evidenceEight-year study of 67,000 Nevada teens found marijuana use had a larger negative impact on dental health than tobacco, increasing cavity prevalence and severity.
2013 / Randomized Controlled Trial / Strong evidencePre-treatment with 600 mg CBD reduced THC-induced paranoia (OR=0.22) and eliminated memory impairment (-0.4% vs. -10.6% decline) in healthy volunteers.
2013 / Cross Sectional / Moderate evidenceTrait impulsivity in 385 bipolar patients was strongly linked to cannabis misuse (p<0.0001), alcohol misuse, rapid cycling, and mixed episodes, but not suicide.
2013 / Cross Sectional / Preliminary evidenceChildren of substance-using parents showed reduced error-processing brain activity even before any cannabis use, suggesting an inherited vulnerability marker.
2013 / Longitudinal Cohort / Preliminary evidenceAdolescent cannabis users showed increased self-reflection brain activity when hearing their own motivational statements, and this predicted less use one month later.
2013 / Cross Sectional / Moderate evidenceOntario surveys found 15.5% of students and 5.9% of adults reported prescription opioid misuse, with cannabis use predicting misuse in male adults.
2013 / Review / Moderate evidenceReview of marijuana poisoning in dogs found most cases resolve with supportive care, but concentrated THC edibles pose serious risks with reported fatalities.
2013 / Animal Study / Moderate evidenceTopical THC reduced allergic skin inflammation in mice by suppressing immune signaling, working independently of the CB1 and CB2 cannabinoid receptors.
2013 / Longitudinal Cohort / Moderate evidenceIn 1,103 French youth followed 18 years, childhood attention problems predicted adult tobacco and cocaine use, while early cannabis exposure predicted all substance outcomes.
2013 / Observational / Moderate evidenceTobacco smokers were 19 times more likely to relapse to marijuana in a lab setting, but tobacco's direct effects did not explain this, suggesting shared vulnerability.
2013 / Randomized Controlled Trial / Moderate evidenceNabilone (6-8 mg/day) reduced both marijuana withdrawal symptoms and self-administration in the relapse phase, with low abuse potential and once-daily dosing.
2013 / Case Report / Preliminary evidenceSix ER patients after Spice use showed tachycardia, seizures, and hallucinations, highlighting that synthetic cannabinoids are more dangerous than natural cannabis.
2013 / Case Report / Preliminary evidenceA case study using on-off-on-off cycles found cannabis and cigarette use decreased during micronutrient supplementation and resumed when supplements stopped.
2013 / Cross Sectional / Moderate evidenceAmong 80 adolescents with bipolar disorder and cannabis use, 49% were heavy tobacco smokers and 70% were nicotine dependent, with smoking marking greater severity.
2013 / Longitudinal Cohort / Moderate evidenceAmong 72 cannabis-dependent veterans, impulsivity correlated with craving and earlier cannabis use onset but did not predict quit success over 6 months.
2013 / Case Report / Preliminary evidenceA case of cannabinoid hyperemesis syndrome unresponsive to standard antiemetics improved significantly with haloperidol, suggesting a new treatment option.
2013 / Animal Study / Preliminary evidenceCB2 cannabinoid receptors were required for nicotine reward but not withdrawal in mice, with an opposite role for cocaine reward, revealing substance-specific effects.
2013 / Observational / Moderate evidenceLong-term THC/CBD spray for cancer pain showed sustained relief without dose escalation or tolerance, with improved sleep, pain, and fatigue scores.
2013 / Animal Study / Moderate evidenceLow-dose MAGL inhibitor maintained pain relief and stomach protection without causing CB1 tolerance or dependence, unlike high doses which caused both.
2013 / Animal Study / Preliminary evidenceMale mice with BDNF deficiency became hypersensitive to cannabinoid effects on sensory gating after chronic young-adult cannabinoid exposure, with increased CB1 receptors in nucleus accumbens.
2013 / Animal Study / Moderate evidenceTHC and CBD suppressed the autoimmune Th17 response (IL-17, IL-6) while CBD boosted anti-inflammatory IL-10, through a novel receptor-independent mechanism.
2013 / Randomized Controlled Trial / Moderate evidenceTHC/CBD spray for MS pain failed its primary endpoint at 14 weeks (50% vs 45% placebo), but withdrawal showed clear benefit: 57% lost control on placebo vs 24% on spray.
2013 / Randomized Controlled Trial / Moderate evidenceOral fluid testing distinguished Sativex use (high CBD/THC ratios) from oral THC and smoked cannabis, enabling medication compliance monitoring and relapse detection.
2013 / Observational / Moderate evidenceOral fluid THC varied up to 350-fold due to smoking contamination, while the THCCOOH/THC metabolite ratio was far more stable and reliable for drug testing.
2013 / Randomized Controlled Trial / Moderate evidenceTHC reduced pain unpleasantness without changing pain intensity, working through the amygdala by disconnecting emotional from sensory pain processing in the brain.
2013 / Observational / Moderate evidenceIn a 43,070-person U.S. survey, past-year mental illness was linked to much higher cannabis use and disorder rates, and to most of the cannabis consumed.
2013 / Systematic Review / Moderate evidenceCochrane review of 7 trials found limited evidence for cannabis/cannabinoid benefits in HIV/AIDS, despite regulatory approval of dronabinol for AIDS-related anorexia.
2013 / Cross Sectional / Preliminary evidenceIn 76 adults with ADHD, marijuana use correlated with inattention in men and poor sleep quality in women, suggesting sex-specific effects.