2016 / Review / Moderate evidenceReview of animal studies shows the endocannabinoid system modulates both physical and emotional opiate withdrawal through distinct brain regions, with CB1 effects varying by location.
2016 / Cross Sectional / Moderate evidenceStudy of 686 drug-using ED patients found cannabis-only users had lower severity than other drug users, but 19-29% still had problematic use, especially daily users who showed lower self-efficacy.
2016 / Review / Moderate evidenceReview finds cannabis smoke causes bronchitis, may lead to pneumonia and airway obstruction, and poses a potential but inconclusive lung cancer risk with long-term heavy use.
2016 / Animal Study / Preliminary evidenceAdolescent THC exposure produced lasting memory deficits and psychotic-like behaviors in male rats, driven by glutamate signaling disruption and neuroinflammation specifically in the hippocampus.
2016 / Animal Study / Preliminary evidenceNatural brain peptides targeting the CB1 cannabinoid receptor had opposite effects on memory depending on brain health: blocking CB1 helped healthy mice, while activating it restored memory in an Alzheimer's model.
2016 / Animal Study / Preliminary evidenceResearchers designed CB1 receptor blockers that cannot enter the brain, aiming to treat obesity through the cannabinoid system without causing psychiatric side effects.
2016 / Cross Sectional / Moderate evidenceCannabis-related emergency room visits in the US increased significantly from 2004 to 2011, with the steepest rises among adolescents and disproportionate representation of Black Americans.
2016 / Longitudinal Cohort / Moderate evidenceA 25-year cohort study found childhood conduct problems and adolescent attention difficulties independently predicted problematic cannabis use by age 25.
2016 / Case Report / Preliminary evidenceTwelve elderly people accidentally ate marijuana cookies at a hemp food workshop, sending two to intensive care, though all recovered fully.
2016 / Review / Moderate evidenceReview showing cannabinoids reduce inflammation through mechanisms different from NSAIDs, with several compounds in clinical development for chronic inflammatory and fibrotic diseases.
2017 / Animal Study / Preliminary evidenceThe endocannabinoid anandamide promotes immune tolerance in the gut via CB2 receptors, and capsaicin triggers the same pathway, protecting mice from type 1 diabetes.
2017 / Longitudinal Cohort / Strong evidenceIn identical twin pairs, the twin who used cannabis frequently was about twice as likely to have depression and 2.5 times as likely to report suicidal thoughts, even after controlling for shared genetics.
2017 / Prospective Cohort / Moderate evidenceSuicide attempts predicted later development of substance dependence (including cannabis), but early substance use showed limited evidence of predicting future suicidal behavior.
2017 / Animal Study / Preliminary evidenceAdolescent cannabinoid exposure in mice altered cocaine withdrawal in adulthood, preventing anxiety but worsening depressive symptoms during cocaine cessation.
2017 / Cross Sectional / Preliminary evidenceNationally representative study found no significant difference in self-reported eyesight quality between heavy marijuana users and light/non-users.
2017 / Cross Sectional / Preliminary evidenceCollege students who viewed young adulthood as a time for experimentation were more likely to use marijuana and binge drink, while those focused on identity exploration used less marijuana.
2017 / Animal Study / Preliminary evidenceRat pups born to mothers on high-fat diets developed early obesity with sex-specific alterations in cannabinoid receptor expression across different fat tissue types.
2017 / Narrative Review / Preliminary evidenceACOG's 2017 committee opinion formally recommended against cannabis use during pregnancy and lactation based on neurodevelopment concerns and insufficient safety data.
2017 / Longitudinal Cohort / Preliminary evidenceA variant in the cannabinoid receptor gene CNR1 was linked to more frequent cannabis use at age 18, but the genetic effect did not change the trajectory of use over the following six years.
2017 / Randomized Controlled Trial / Moderate evidenceControlled study showing oral CBD up to 800mg produced no abuse-related effects in frequent marijuana users, supporting CBD's favorable safety profile.
2017 / Narrative Review / Preliminary evidenceReview of cannabis and sleep research through 2017 found CBD promising for insomnia, THC mixed (faster onset but worse quality), and the whole field still in its infancy.
2017 / Animal Study / Preliminary evidenceA cannabinoid-inspired compound (VSN16R) controlled spasticity in MS mice by opening neuronal potassium channels rather than through cannabinoid receptors, achieving a 1,000-fold therapeutic window without sedation.
2017 / Observational / Preliminary evidenceSurvey of 47 Parkinson's patients found large self-reported improvements in falls, pain, and tremor with medical cannabis, but 17% experienced confusion or hallucinations.
2017 / Animal Study / Preliminary evidenceProtracted withdrawal from THC, morphine, nicotine, and alcohol produced similar behavioral and molecular patterns in mice, while cocaine withdrawal was strikingly opposite.
2017 / Animal Study / Preliminary evidenceCB1 receptors in the nucleus accumbens were essential for learning relief associations in rats but not for recalling them, revealing a role for cannabinoid signaling in emotional memory formation.
2017 / Randomized Controlled Trial / Moderate evidenceTHC-induced anxiety in healthy men was directly correlated with CB1 receptor density in the amygdala, providing the first human evidence linking individual brain chemistry to vulnerability to cannabis anxiety.
2017 / Review / Moderate evidenceReview of five clinical studies found some evidence that THC and CBD formulations reduce cancer pain, with effective doses as low as 2.7mg THC plus 2.5mg CBD, but the evidence base remains small.
2017 / Observational / Moderate evidenceChronic cannabis users showed weakened brain connections between motivation centers and both frontal and visual processing areas, but these changes began normalizing after one month of abstinence.
2017 / Review / Moderate evidenceReview finding that cannabinoid hyperemesis and cyclic vomiting syndromes are nearly identical in presentation, with complete symptom resolution after quitting cannabis being the only reliable differentiator.
2017 / Review / Strong evidenceComprehensive review establishing cannabis withdrawal as a neurobiologically grounded syndrome with a 4-week CB1 receptor recovery timeline, gender differences in severity, and limited but promising pharmacological treatments.
2017 / Prospective Cohort / Moderate evidenceProspective study of young Mexicans found cannabis use before age 15 was associated with nearly 4x risk of suicidal ideation and 5x risk of suicide attempt over eight years of follow-up.
2017 / Longitudinal Cohort / Strong evidenceIn a 20-year cohort study, adolescent self-harm independently predicted weekly cannabis use at age 35, the only outcome that survived adjustment for adolescent mental health and behavior problems.
2017 / Review / Preliminary evidenceReview identifying the endocannabinoid system as a promising pharmacological target for the complex, multi-mechanism pain of endometriosis.
2017 / Cross Sectional / Preliminary evidenceSurvey of 114 Colorado providers found frequent marijuana screening but low confidence discussing specific health risks, highlighting gaps in medical education around cannabis legalization.
2017 / Cross Sectional / Moderate evidenceAmong underage drinkers in an ER sample, marijuana use more than doubled the odds of driving after drinking for females and significantly increased risk for males.
2017 / Cross Sectional / Preliminary evidenceDaily cannabis use predicted suicidal ideation through feeling like a burden to others, but only when combined with feeling disconnected, supporting a psychological theory of cannabis-related suicide risk.
2017 / Animal Study / Preliminary evidenceLow-level pesticide exposure during development inhibited endocannabinoid enzymes in the liver, spleen, and brain of rat pups at doses below traditional neurotoxicity thresholds.
2017 / / evidenceA letter discussing emerging treatments for cannabinoid hyperemesis syndrome, highlighting haloperidol and capsaicin ointment as therapeutic options for this difficult-to-treat vomiting condition.
2017 / Review / Strong evidenceReview of 36 studies confirms cannabis impairs multiple driving functions and doubles or triples crash risk, with cannabis-alcohol combination increasing injury risk nearly 11-fold.
2017 / Case Report / Preliminary evidenceSix cannabis users hospitalized for hyperemesis had dangerously low phosphate levels that resolved spontaneously in hours, possibly from hyperventilation-driven redistribution.
2017 / Animal Study / Preliminary evidenceThree new synthetic cannabinoids showed nanomolar potency and caused seizures, aggression, and neurotoxicity in mice, confirming their much greater danger compared to natural cannabis.
2017 / Animal Study / Preliminary evidenceLow-dose pesticide exposure during rat development elevated endocannabinoid levels and decreased anxiety-like behavior, even at doses below traditional neurotoxicity thresholds.
2017 / Longitudinal Cohort / Moderate evidenceDespite marijuana use doubling among Chilean teens from 2009-2013, rigorous analysis found the massive 2011 school protest movement had no causal effect on substance use.
2017 / Review / Moderate evidenceReview of how GW Pharmaceuticals and the University of Mississippi produce consistent, medical-grade cannabis for clinical research, covering breeding, cultivation, and extraction.
2017 / Cross Sectional / Moderate evidenceCannabis use disorder diagnoses in US hospitals nearly tripled from 2002-2011, with psychiatric disorders as the top comorbidity and patients trending older and sicker.
2017 / Review / Moderate evidencePulmonology review showing marijuana smoke shares many harmful combustion products with tobacco smoke, affecting the respiratory tract of the estimated 2.5-5% of people who use cannabis globally.
2017 / Animal Study / Preliminary evidenceHemp seed extract improved memory and reduced brain aging markers in rats by boosting antioxidants, reducing inflammation, and decreasing Alzheimer's-related protein changes.
2017 / Animal Study / Preliminary evidenceNovel peripherally restricted CB1 blocker TXX-522 produced weight loss and improved insulin sensitivity in obese mice without affecting food intake or entering the brain.
2017 / Animal Study / Preliminary evidenceA potent CB1 blocker raised liver glucose production through sympathetic nerve activation, warning that strong CB1 inverse agonism in weight-loss drugs could worsen blood sugar control.
2017 / Case Report / Preliminary evidenceFirst reported case of cannabinoid poisoning from medically prescribed hemp seed oil in a preschool child, with neurological symptoms resolving after IV hydration.