2017 / Review / Strong evidenceReview revealing that the endocannabinoid system regulates metabolism throughout the body via peripheral CB1 receptors, opening new treatment avenues after rimonabant's psychiatric side effects ended its use.
2017 / Systematic Review / Moderate evidenceSystematic review of 52 Indian studies found high co-occurrence of cannabis and psychotic disorders, but nearly all studies used male-only samples and none adequately explored causation.
2017 / Review / Moderate evidenceReview of clinical trial evidence finding THC-containing medications effective for cannabis withdrawal, promising for opioid withdrawal, and identifying rimonabant's failed potential for smoking cessation.
2017 / Retrospective Cohort / Strong evidenceAnalysis of 44 million legal cannabis purchases in Washington found concentrates growing rapidly (146%) with 68.7% average THC, while consumers consistently paid premiums for higher potency.
2017 / Qualitative / Preliminary evidenceQualitative study of 25 parents using cannabis for pediatric epilepsy found they viewed themselves as scientific experimenters who wanted biomedical legitimacy, not alternative medicine rebels.
2017 / Systematic Review / Strong evidenceSystematic review of 183 studies establishing 14 diagnostic features of CHS, confirming cannabis cessation as the only cure and hot bathing relief in 92.3% of cases.
2017 / Animal Study / Preliminary evidenceLab study using human-derived neurons found high-dose THC (10 micromolar) disrupted neuronal function during dopaminergic development, while low doses had minimal effects.
2017 / Narrative Review / Preliminary evidenceThe biology linking the endocannabinoid system to PTSD was strong, but clinical evidence for cannabis as treatment was weak. Nabilone showed real promise for nightmares specifically.
2017 / Animal Study / Preliminary evidenceRat study showing CBD disrupted both specific and generalized fear memory consolidation through anandamide-mediated CB1 and CB2 receptor activation in the dorsal hippocampus.
2017 / Cross Sectional / Moderate evidenceSurvey of 22,224 Mexican university students found earlier substance initiation predicted current use and polysubstance use, with males significantly more likely to use marijuana.
2017 / Cross Sectional / Moderate evidenceAustralian survey of 976 epilepsy patients found 15% had tried cannabis, 90% of adults reported seizure reduction, and more failed medications predicted cannabis use.
2017 / Animal Study / Preliminary evidenceRat study revealing that endocannabinoids mediate the suppression of reproductive hormones during immune activation through hypothalamic CB1 receptors, while also helping control inflammation.
2017 / Review / Moderate evidenceReview finding cannabis showed benefits for MS, Parkinson's, ALS, and late-stage Alzheimer's, but increased positive symptoms in schizophrenia and worsened bipolar disorder.
2017 / Prospective Cohort / Moderate evidenceControlled study found smoked/vaporized cannabis produced higher peak THC in saliva, while edibles created wider metabolite detection windows, with minor cannabinoids showing promise as markers of recent use.
2017 / Animal Study / Preliminary evidenceMouse study found CBD modestly reduced some THC behavioral effects but their combination produced unexpected epigenetic changes in the brain's reward pathway not seen with either compound alone.
2017 / Pilot Study / Preliminary evidencePilot trial found a family-based intervention with emotional regulation skills reduced marijuana use and risky behaviors among justice-involved youth over 3 months.
2017 / Case Report / Preliminary evidenceFirst reported case of exercise-relieved CHS: a patient ran for 15 continuous hours, developing rhabdomyolysis, supporting the theory that blood flow redistribution explains symptom relief.
2017 / Retrospective Cohort / Moderate evidenceChart review of 119 pediatric epilepsy patients found 71% discontinued cannabis extracts, with only 13% achieving greater than 50% seizure reduction and perceived benefit the sole predictor of continued use.
2017 / Cross Sectional / Moderate evidenceNational survey found regular marijuana smoking associated with 34% higher odds of poor self-rated health even without tobacco, rising to nearly double with concurrent tobacco use.
2017 / Review / Moderate evidenceReview finding the strongest evidence for cannabis in cancer care is for nausea and pain, with emerging evidence for appetite, sleep, and anxiety, plus preclinical anti-cancer effects.
2017 / Animal Study / Preliminary evidenceMouse study of Huntington's disease found a Sativex-like THC+CBD combination reduced dystonia and partially reversed metabolic brain changes, though motor coordination did not improve.
2017 / Case Control / Strong evidencePET imaging study found severely cannabis-dependent individuals had markedly reduced striatal dopamine release (effect size 1.48), correlating with cognitive deficits and negative symptoms.
2017 / Prospective Cohort / Strong evidenceControlled study found oral cannabis produced much lower blood THC levels than inhalation, with effects peaking at 1.5-3 hours and lasting 6-8 hours, complicating drug testing for edible users.
2017 / Animal Study / Preliminary evidenceHead-to-head comparison found all classical CB1 blockers reduced weight but caused anxiety, while next-generation alternatives either caused convulsions or had no activity.
2017 / Cross Sectional / Moderate evidenceSurvey of 7,488 African American students found 18.5% past-year marijuana use, with parent, teacher, and school protective factors significantly reducing risk.
2017 / Longitudinal Cohort / Strong evidence16-year MTA study follow-up found ADHD did not increase psychosis risk (5% vs. 4%), but cannabis use was significantly associated with psychotic symptoms in both groups.
2017 / Review / Moderate evidenceReview of cannabis legalization's unintended pediatric consequences, covering prenatal exposure, accidental childhood ingestion, adolescent use, and the need for rigorous CBD epilepsy trials.
2017 / Retrospective Cohort / Strong evidenceColorado data showed marijuana-related hospitalizations doubled, ER visits had 5x higher mental illness rates, and poison control calls surged after both medical and recreational legalization.
2017 / Review / Moderate evidenceReview finding synthetic cannabinoids are more potent, more dangerous, and more psychiatrically harmful than natural cannabis, with rapid chemical evolution evading regulation.
2017 / Animal Study / Preliminary evidenceMouse study found a dual endocannabinoid-boosting compound reduced pain, enhanced morphine's effects at low doses, and decreased heroin-seeking behavior.
2017 / Animal Study / Preliminary evidenceRat study found that blocking CB1 receptors in the BNST (a brain stress region) prevented the aversive experience of opioid withdrawal, while boosting 2-AG in the same region did not.
2017 / Cross Sectional / Preliminary evidenceStudy of 43 hospitalized Colorado toddlers found 16% had detectable marijuana metabolites, with higher rates in non-white children and those exposed to tobacco smoke.
2017 / Case Report / Preliminary evidenceFour CHS patients who failed standard ER antiemetics improved significantly with haloperidol, suggesting dopamine-cannabinoid receptor interactions explain the treatment's effectiveness.
2017 / Review / Moderate evidenceReview of 98 reported cases found cannabinoid-related strokes mainly affected young male chronic users, with reversible vasoconstriction as a proposed mechanism in 27% of cases.
2017 / Systematic Review / Moderate evidenceSystematic review of 22 studies found strongest pediatric evidence for chemotherapy-induced nausea, increasing evidence for epilepsy, and insufficient evidence for other conditions.
2017 / Observational / Preliminary evidenceLab testing found consumer hemp seeds contained up to 1,250% more THC than Canada's legal limit, with potential for 3.8 mg THC exposure from a daily serving.
2017 / Animal Study / Preliminary evidenceTaking cannabinoids with fats boosted CBD levels in the lymphatic system 250-fold above blood levels, reaching concentrations that suppressed immune cell activity, especially in MS patients.
2017 / Cross Sectional / Moderate evidenceIn 777 methadone patients, cannabis use was linked to 82% higher odds of illicit opioid use in women but showed no association in men.
2017 / Cross Sectional / Preliminary evidenceBrain imaging showed regular cannabis users had impaired ability to downregulate negative emotions, with disrupted amygdala-prefrontal cortex communication during regulation tasks.
2018 / Observational / Moderate evidencePatients with psychosis who used cannabis heavily before illness had higher schizophrenia polygenic risk scores, with the largest effect in those who started before age 18.
2018 / Randomized Controlled Trial / Moderate evidenceRandomized trial of 16 adults with severe COPD found vaporized cannabis had no meaningful effect on breathlessness, exercise capacity, or lung function.
2018 / Animal Study / Preliminary evidenceThree cannabinoid compounds reduced inflammatory markers IL-6 and MCP-1 in human periodontal cells, suggesting potential for cannabinoid-based gum disease treatments.
2018 / Review / Strong evidenceNASEM review of 10,000 abstracts found conclusive evidence for cannabis treating chronic pain, chemo nausea, and MS spasticity, with moderate evidence for sleep.
2018 / Cross Sectional / Moderate evidencePsychotic patients with adolescent cannabis use showed less gray matter loss than those without, suggesting cannabis-associated psychosis may be a distinct subtype with less underlying brain pathology.
2018 / Animal Study / Preliminary evidenceZebrafish larvae metabolized THC and CBD similarly to mammals, with each producing distinct behavioral patterns and their combination altering both absorption and behavior.
2018 / Review / Moderate evidenceReview finds strong public support but inconclusive clinical evidence for medicinal cannabis in palliative care, recommending clinical trials and careful off-label prescribing for refractory symptoms.
2018 / Animal Study / Moderate evidenceAdolescent synthetic cannabinoid exposure triggered schizophrenia-like dopamine changes in genetically susceptible rats but not in non-susceptible rats, modeling the human gene-environment interaction.
2018 / Cross Sectional / Preliminary evidenceEarly-onset cannabis users (before age 18) performed worse on a gambling task than late-onset users and non-users, with decision-making driven by short-term gains rather than loss avoidance.
2018 / Animal Study / Preliminary evidenceOmega-3 derived endocannabinoid-like molecules selectively activated anti-inflammatory CB2 receptors without activating psychoactive CB1, connecting dietary fats to endocannabinoid signaling.
2018 / Review / Moderate evidenceReview identifies multiple pathways through which cannabinoids can interact with common medications via shared liver enzymes and membrane transporters.