2018 / Review / Moderate evidenceReview reveals that cannabis exposure during development can create lasting epigenetic changes - modifications to gene expression that persist across the lifespan and have been observed transmitting to the next generation.
2018 / Meta Analysis / Preliminary evidenceCochrane review of 8 trials found no clear differences between antipsychotics for dual diagnosis patients, though one small study suggested clozapine may reduce cannabis craving more than risperidone.
2018 / Longitudinal Cohort / Moderate evidenceAdults who started cannabis earlier had slower reaction times at 28 due to reduced brain encoding activation, but the same pattern appeared after single use, suggesting pre-existing differences rather than drug-caused damage.
2018 / Prospective Cohort / Strong evidenceProspective brain imaging found that neurocognitive differences attributed to early cannabis use actually existed at age 12, before any cannabis use began, supporting a pre-existing risk model.
2018 / Animal Study / Preliminary evidenceNew mouse behavioral tests showed THC withdrawal includes mood and stress-related symptoms beyond physical signs, with boosting endocannabinoid levels partially reversing withdrawal effects.
2018 / Randomized Controlled Trial / Preliminary evidencePilot trial found nabiximols was safe and well-tolerated in cannabis-dependent patients, with 70.5% cannabis use reduction (vs 42.6% placebo) and reduced craving, though differences were not statistically significant.
2018 / Systematic Review / Preliminary evidenceSystematic review found only three trials on marijuana and athletic performance, with low-quality evidence for both potential benefits (bronchodilation) and harms (decreased work capacity).
2018 / Review / Moderate evidenceReview reveals the GI tract has a fully functional endocannabinoid system controlling motility, sensation, and barrier function, with therapeutic potential for IBS, IBD, and colorectal cancer.
2018 / Pilot Study / Preliminary evidencePilot study found schizophrenia patients accepted low-THC cannabis variants but preferred their usual high-potency product, supporting the feasibility but highlighting challenges of cannabis substitution.
2018 / Longitudinal Cohort / Moderate evidenceAmong 500 young smokers, marijuana users were equally motivated to quit tobacco but 44% less likely to succeed, suggesting co-use creates a specific barrier that cessation programs need to address.
2018 / Systematic Review / Moderate evidenceSystematic review of 10 studies found medical cannabis laws associated with decreased opioid use, fewer opioid hospitalizations, lower overdose deaths, and reduced healthcare costs.
2018 / Retrospective Cohort / Moderate evidenceMarijuana-related ER visits by teens at a Colorado children's hospital nearly tripled after legalization (1.8 to 4.9 per 1,000 visits), with most involving psychiatric diagnoses, despite surveys showing no increase in use.
2018 / Review / Preliminary evidenceReview found no evidence cannabis enhances athletic performance, limited evidence of serious harms in athletes, and promising but unconfirmed potential for pain management and concussion symptom relief.
2018 / Cross Sectional / Moderate evidenceAmong 1,790 psychosis patients, daily cannabis use was linked to suicide attempts only until depression, loneliness, and homelessness were accounted for, suggesting these factors drive the apparent association.
2018 / Systematic Review / Moderate evidenceSystematic review of 10 trials found dronabinol, nabilone, and nabiximols all show promise for treating cannabis withdrawal, with good safety profiles and potential dose-dependent effects.
2018 / Pilot Study / Preliminary evidencePilot fMRI found schizophrenia patients had abnormal brain network connectivity that actually normalized after cannabinoid administration, correlating with improved working memory performance.
2018 / Review / Preliminary evidenceReview examines the growing challenge of accommodating medical marijuana in long-term care, where 30-state legalization collides with federal prohibition and complex regulatory requirements.
2018 / Review / Moderate evidenceComprehensive ED guide covers cannabinoid pathophysiology, differences between natural and synthetic products, and emerging treatments for cannabinoid hyperemesis including haloperidol and capsaicin.
2018 / Cross Sectional / Moderate evidence46% of hospitalized children of smoking parents in Colorado had marijuana metabolites in their urine, with 11% having detectable THC itself. Home marijuana use by parents was the strongest predictor.
2018 / Meta Analysis / Strong evidenceNeuroimaging meta-analysis found cannabis users consistently show decreased activation in cognitive control regions (ACC, DLPFC) and increased activation in reward regions (striatum).
2018 / Cross Sectional / Moderate evidenceBrain imaging found altered emotional processing circuits in marijuana users that persisted after 28+ days of abstinence, specifically during negative emotions, potentially explaining vulnerability to relapse.
2018 / Cross Sectional / Moderate evidenceAmong 145 cannabis users, those perceiving more barriers to quitting had more use problems, worse withdrawal symptoms, and lower confidence in their ability to quit.
2019 / Cross Sectional / Moderate evidenceBrazilian national survey found cannabis users had three times the rate of suicidal ideation (31.5% vs 9.9%) and suicide attempts (16.5% vs 5.4%), persisting after controlling for depression.
2019 / Animal Study / Moderate evidenceRats given escalating THC during adolescence showed learning delays and sensorimotor gating impairments as adults, but both deficits appeared to diminish over time, suggesting partial neural recovery.
2019 / Review / Moderate evidenceOncologist argues cancer doctors should recommend cannabis for its ability to simultaneously address pain, nausea, appetite, mood, and sleep - a rare multi-symptom intervention in palliative care.
2019 / Review / Moderate evidenceReview found cannabis legalization has made some progress on convictions and arrests but very little on industry diversity and equity programs for communities most harmed by prohibition.
2019 / Retrospective Cohort / Moderate evidenceAmong 319 Iraq/Afghanistan veterans, cannabis dependence was associated with nearly 8-fold increased odds of post-deployment suicide attempts, independent of PTSD, depression, and other substance use.
2019 / Review / Preliminary evidenceA review of cannabis evidence for autism found only five small studies and mixed results for all conditions except epilepsy, highlighting a major gap between anecdotal reports and scientific evidence.
2019 / Observational / Preliminary evidenceLab study found cannabis smoke triggered DNA damage, impaired immune defenses, and caused inflammatory responses in human airway cells strikingly similar to tobacco smoke.
2019 / Animal Study / Preliminary evidenceIn a mouse MS model, THC plus CBD together (but not alone) reduced paralysis and brain inflammation by suppressing inflammatory immune cells and altering microRNA gene regulation.
2019 / Animal Study / Preliminary evidenceTHC+CBD reduced MS-like symptoms in mice partly by reshaping gut bacteria, as confirmed by fecal transplant experiments showing the microbiome changes were causally involved in the therapeutic effect.
2019 / Animal Study / Preliminary evidenceA cannabinoid-free hemp variety from Benin Republic improved sperm quality in rats by reducing prolactin and boosting antioxidant activity, contrasting with the fertility-harming effects of THC-containing cannabis.
2019 / Animal Study / Preliminary evidenceCBD helped zebra finches recover their learned songs faster after targeted brain lesions, with higher doses reducing both the severity and duration of vocal impairment.
2019 / Case Control / Preliminary evidenceHair analysis found cannabis hyperemesis patients had similar THC levels as recreational users without symptoms, suggesting the condition is idiosyncratic rather than purely dose-dependent.
2019 / Review / Strong evidenceThree randomized controlled trials showed CBD reduced seizures by 38-41% in severe childhood epilepsies, performing comparably to established anti-epileptic drugs with manageable side effects.
2019 / Review / Moderate evidenceA review of synthetic cannabinoid toxicities documented severe effects across multiple organ systems including cardiac arrest, psychosis, seizures, and kidney failure, plus deaths from contaminated products.
2019 / Retrospective Cohort / Moderate evidenceA study of 5,452 cannabinoid prescription users in Manitoba found only 18% continued use at one year, with median duration of 31 days varying by diagnosis and medication type.
2019 / Longitudinal Cohort / Moderate evidenceIn a year-long study of 545 at-risk military personnel, marijuana use combined with high PTSD symptoms predicted worsening PTSD and increased suicidal behavior, an interaction not seen with alcohol or opioids.
2019 / Animal Study / Preliminary evidenceBeta-caryophyllene, a non-psychoactive cannabis compound, prevented and reduced HIV drug-induced nerve pain in mice by activating CB2 receptors and reducing inflammatory cytokines.
2019 / Review / Moderate evidenceDespite strong evidence that cannabinoids improve colitis in animal models, clinical trials in human IBD have not shown meaningful benefit, with THC tolerance limiting the largest study.
2019 / Animal Study / Moderate evidenceCBD and clobazam work better together through two mechanisms: CBD raises clobazam blood levels AND both drugs together directly enhance GABA receptor inhibition, providing genuine therapeutic synergy.
2019 / Retrospective Cohort / Moderate evidenceAdolescents in the ED after synthetic cannabinoid use had 3.4x higher odds of coma and 3.9x higher odds of seizures than those using traditional cannabis, showing a distinct and more dangerous toxicity profile.
2019 / Observational / Moderate evidenceCancer patients in Minnesota's medical cannabis program reported significant improvement across all 8 tracked symptoms, with 27-50% achieving lasting clinically meaningful reductions and only 10.5% reporting side effects.
2019 / Case Report / Preliminary evidenceA case of cardiac tamponade in a synthetic cannabinoid user adds to the evidence of serious cardiovascular toxicity from these substances, which can cause a wide range of heart complications.
2019 / Retrospective Cohort / Preliminary evidenceIn 60 children with autism and severe behavioral problems, CBD-rich cannabis improved behavioral outbreaks in 61% with mostly mild side effects, supporting feasibility of controlled trials.
2019 / Review / Preliminary evidenceA review found the endocannabinoid system may contribute to bipolar disorder pathophysiology, with CB2 receptor activation emerging as a potential mood-stabilizing target, though evidence remains limited.
2019 / Randomized Controlled Trial / Moderate evidenceA controlled trial found cannabis with equal CBD and THC impaired driving and cognition as much as THC-only cannabis, with CBD actually worsening some cognitive tasks, possibly by increasing THC blood levels.
2019 / Cross Sectional / Moderate evidenceIn a survey of 484 women with endometriosis, cannabis was rated the most effective self-management strategy for pain (7.6/10), ahead of heat, CBD oil, and dietary changes.
2019 / Case Report / Preliminary evidenceSix synthetic cannabinoid users developed multiple organ failure including severe muscle breakdown, kidney failure, and the first reported case of SC-associated liver failure requiring transplantation.
2019 / Cross Sectional / Moderate evidenceAmong 230 schizophrenia patients in Pakistan, ongoing cannabis use was linked to treatment resistance even after excluding non-adherent patients, with over 60% of the cohort being treatment-resistant.