2019 / Animal Study / Preliminary evidenceNovel peripherally restricted CB1 antagonist TM38837 was 10x less fear-promoting than rimonabant in mice while maintaining anti-obesity efficacy in previous studies.
2019 / Longitudinal Cohort / Moderate evidenceLongitudinal study of 500 adolescents found marijuana use caused BDNF alterations (not vice versa), with age of onset influencing the pattern of neurotrophin changes.
2019 / Systematic Review / Strong evidenceSystematic review of 35 CBD clinical studies finds effective doses from 1-50 mg/kg/day across 13 conditions, with epilepsy best supported and negative results potentially due to underdosing.
2019 / Animal Study / Moderate evidenceAdolescent THC caused premature dendritic pruning and altered gene networks in rat PFC neurons, with dysregulated networks overlapping schizophrenia-associated pathways.
2019 / Retrospective Cohort / Moderate evidenceStudy of 98 Tourette syndrome patients found 85% reported tic improvement with cannabis-based medicines, with patients preferring THC-rich medicinal cannabis over pharmaceutical alternatives.
2019 / Meta Analysis / Strong evidenceJAMA Psychiatry meta-analysis of 18 studies finds elevated anandamide in CSF and blood of schizophrenia patients, highest early in illness and inversely related to symptom severity.
2019 / Pilot Study / Preliminary evidencePhase II trial of CBD gelatin bead formulation (PTL-101) showed 82% seizure reduction in children with treatment-resistant epilepsy, with 56% achieving 50%+ improvement.
2019 / Review / Moderate evidenceReview of cannabinoid-AED interactions shows enhanced seizure protection but also neurotoxicity with non-selective agonists; selective CB1 agonists may offer safer combinations.
2019 / Animal Study / Preliminary evidenceRats showed more NREM sleep only for 1 hour after the highest vaporized THC dose, only in the light phase.
2019 / Retrospective Cohort / Strong evidenceColorado study found edible cannabis accounted for 0.32% of THC sales but 10.7% of cannabis ER visits, with higher rates of psychiatric, intoxication, and cardiovascular events.
2019 / Cross Sectional / Moderate evidenceStudy of 4,028 adults with congenital heart disease across 15 countries found cannabis-only use had negligible impact, while cannabis-tobacco co-use moderately worsened mental health.
2019 / Longitudinal Cohort / Strong evidencePopulation study of 3,826 adolescents found cannabis caused lasting cognitive deficits in inhibitory control and working memory, with effects independent of and more pronounced than alcohol.
2019 / Randomized Controlled Trial / Strong evidencePhase 1 trial shows CBD triples active clobazam metabolite levels, modestly increases stiripentol, and does not affect valproate, guiding dose adjustments for combination therapy.
2019 / Review / Moderate evidenceReview of cannabinoids for chemotherapy nausea highlights CBD's non-psychoactive antiemetic potential through serotonin inhibition, alongside THC's established efficacy.
2019 / Animal Study / Preliminary evidenceChronic A2A receptor antagonism (istradefylline) reversed cannabinoid-induced memory deficits and partially rescued hippocampal synaptic plasticity in rats.
2019 / Animal Study / Moderate evidenceMouse study found CBD did not prevent THC cognitive impairment or withdrawal, but CBD alone showed anxiolytic effects without cognitive harm or dependence.
2019 / Review / Moderate evidenceReview maps how CB1 receptor activation drives hepatic insulin resistance and obesity, highlighting peripheral-only CB1 blockade as a promising therapeutic approach.
2019 / Animal Study / Preliminary evidenceStudy of 17 cannabis strains found terpenoids enhanced cannabinoid anti-cancer activity only when naturally co-occurring in the same strain, supporting strain-specific entourage effects.
2019 / Animal Study / Preliminary evidenceA single session of vaporized THC suppressed gamma-frequency brain activity in multiple rat brain regions, and most effects were still present a week later.
2019 / Review / Moderate evidenceThe first cannabis receptor blocker worked for obesity and quitting smoking but caused depression and suicidal thoughts. Researchers are now developing safer alternatives.
2019 / Case Report / Preliminary evidenceThree young adults with chronic cannabis use and cannabinoid hyperemesis syndrome died, with CHS determined as the cause of death in two cases.
2019 / Longitudinal Cohort / Moderate evidenceTwo longitudinal studies found that parental cannabis use was associated with higher rates of cannabis use in their children, from adolescence through young adulthood.
2019 / Longitudinal Cohort / Moderate evidenceCocaine users who also used cannabis heavily had worse cognitive performance and no reduction in relapse compared to cocaine-only users.
2019 / Longitudinal Cohort / Moderate evidenceIn 404 first-episode psychosis patients, tobacco, alcohol, and cannabis use each predicted worse treatment outcomes over two years, with tobacco linked to the most negative effects.
2019 / Systematic Review / Moderate evidenceSystematic review of cannabis for PTSD through 2019 found promising signals for nabilone and nightmares, but most evidence remained low-quality and the broader case unproven.
2019 / Animal Study / Preliminary evidenceCBD reversed memory and social deficits in female rats from a schizophrenia model, but reduced social behavior in healthy rats.
2019 / Cross Sectional / Moderate evidenceIn over 1,000 people, testing positive for THC was linked to worse working memory and altered brain activity, but past cannabis use history was not.
2019 / Randomized Controlled Trial / Moderate evidenceTHC impaired standard cognitive tests but brief phone-based equivalents mostly failed to detect the impairment, casting doubt on phone apps as cannabis sobriety tests.
2019 / Cross Sectional / Moderate evidenceIn a large Asian multi-country study, schizophrenia patients with lifetime cannabis use had higher rates of aggressive behavior and were more likely to receive long-acting injectable antipsychotics.
2019 / Case Report / Preliminary evidenceA patient with cannabinoid hyperemesis syndrome responded to aprepitant after standard anti-nausea drugs failed.
2019 / Systematic Review / Moderate evidenceA systematic review found that cannabis may reduce sperm count, motility, and fertilizing capacity, though effects on testosterone remain unclear.
2019 / Review / Moderate evidenceA review maps cannabis-related psychosis through DSM-5 categories, showing a continuum from intoxication to cannabis-induced psychotic disorder to schizophrenia.
2019 / Animal Study / Preliminary evidenceOverexpressing a cannabinoid receptor regulatory protein (CNRIP1) in rat brains produced schizophrenia-like behavioral and dopamine system changes.
2019 / Review / Moderate evidenceCHS causes severe cyclic vomiting in chronic cannabis users, is uniquely relieved by hot showers and capsaicin, and resolves with cessation.
2019 / Observational / Strong evidenceThe 2019 EVALI outbreak caused 805 lung injury cases and 12 deaths. Over three-quarters of patients with substance data reported using THC vaping products.
2019 / Prospective Cohort / Strong evidenceA Danish study of over 3 million people found that schizophrenia significantly increases the risk of subsequently developing substance abuse, with cannabis showing the highest risk.
2019 / Review / Moderate evidenceCannabis shows promise in animal IBD models but has not demonstrated anti-inflammatory efficacy in human trials. It may help manage symptoms like pain and nausea.
2019 / Case Report / Preliminary evidenceA patient with Tourette syndrome resistant to antipsychotics and pure THC showed rapid improvement when treated with a THC + CBD combination.
2019 / Pilot Study / Preliminary evidenceIn 29 children with severe epilepsy, purified CBD reduced seizures by 50% or more in 38% of patients, with mild side effects and no worsening in any patient.
2019 / Review / Moderate evidencePrenatal cannabis exposure alters dopamine, serotonin, GABA, and other neurotransmitter systems in offspring, with effects that vary by brain region and sex.
2019 / Meta Analysis / Moderate evidenceA meta-analysis found cannabis users had 69% ED prevalence versus 35% in non-users, with nearly four times the odds, though study heterogeneity was high.
2019 / Review / Preliminary evidenceCBD is theoretically promising for autism spectrum disorder, but at the time of this review, no convincing evidence of efficacy or safety in ASD patients existed.
2019 / Cross Sectional / Preliminary evidenceIndoor cannabis smoking was associated with higher air particle levels and a non-significant trend toward worse child health outcomes in homes where tobacco was already smoked.
2019 / Scoping Review / Moderate evidenceA review of 72 systematic reviews on medical cannabis found mostly inconclusive results, frequent mild harms, and overwhelmingly low-quality evidence.
2019 / Randomized Controlled Trial / Moderate evidenceA single dose of CBD altered brain activity in regions implicated in autism (cerebellum, fusiform gyrus) in men with ASD but not in neurotypical controls.
2019 / Randomized Controlled Trial / Moderate evidenceCBD modulated brain glutamate and GABA levels, but in opposite directions for people with autism versus neurotypical controls.
2019 / Systematic Review / Moderate evidenceCannabis components inhibit multiple liver enzymes responsible for metabolizing common medications, creating potential for significant drug interactions.
2019 / Review / Moderate evidenceCannabis and turmeric show potential for IBD symptom management, but neither has been compared to standard treatment and should not be used as a substitute.
2019 / Cross Sectional / Moderate evidenceYoung adults with both marijuana use and depression had worse verbal memory and thinner cortex than those with either condition alone, suggesting additive harm.
2019 / Cross Sectional / Moderate evidenceMedical cannabis states had 24-44% lower opioid prescription rates in adults under 55, but recreational cannabis and decriminalization laws showed no effect.