2023 / / evidenceField sobriety tests alone misidentified 49% of sober people as cannabis-impaired, but adding a 2 ng/mL oral fluid THC cutoff eliminated all false positives.
2023 / / evidenceCBD combined with blood pressure drug losartan synergistically reduced brain cell inflammation by 80%, far exceeding either drug alone (22-26%).
2023 / / evidenceTamoxifen disrupted the natural cycling of endocannabinoid levels across the estrous cycle in rat brains, reducing AEA levels and altering enzyme expression patterns.
2023 / / evidencePregnant cannabis users perceived it as safer than medications, wanted honest conversations with obstetricians, and valued having their motivations for use acknowledged.
2023 / / evidenceA scoping review of 39 studies found cannabis is not recommended for ADHD: the only RCT showed no significant effect, and most studies indicated worsening or no improvement.
2023 / / evidencePrenatal THC exposure created psychosis vulnerability in male but not female offspring, triggered by later stress or THC. The neurosteroid pregnenolone reversed these effects.
2023 / / evidenceA review of cyclic vomiting syndrome highlights that cannabis is commonly used for symptom relief, but cannabinoid hyperemesis syndrome may be a subset where cannabis causes the problem.
2023 / / evidenceVA patients with opioid addiction and co-occurring cannabis or alcohol disorders were 20-22% less likely to start opioid treatment medications and 5-6% less likely to continue them.
2023 / / evidenceNew psychoactive substances including synthetic cannabinoids may accumulate in breast milk, posing underrecognized risks to nursing infants that healthcare providers often miss.
2023 / / evidenceCannabinoid synthesis genes are active in cannabis seeds before germination, with CBCA appearing as the first cannabinoid shortly after emergence across multiple chemotypes.
2023 / / evidenceLegal Canadian cannabis had 6% pesticide positivity with trace levels, while illicit cannabis had 92% positivity with 23 pesticides at up to 1,000x higher concentrations.
2023 / / evidenceAn incarcerated man developed air leaks in multiple body cavities after synthetic cannabinoid use, highlighting severe toxicity risks and healthcare access concerns in prison settings.
2023 / / evidenceCannabis used for severe morning sickness may actually be causing the vomiting via cannabinoid hyperemesis syndrome, creating a dangerous diagnostic trap in pregnancy.
2023 / / evidenceA new CB2-selective compound (7b5) killed aggressive breast cancer cells and reduced inflammation without activating the CB1 receptor responsible for cannabis's high.
2023 / / evidenceA controlled trial found the lowest CBD:THC ratio (1:1) best reduced THC-induced psychotic symptoms, with higher CBD providing no additional protection.
2023 / / evidenceA bibliometric analysis of PTSD phytochemical research shows a paradigm shift from cannabis abuse concerns toward psychedelic medicine since 2015.
2023 / / evidenceMice lacking CB2 cannabinoid receptors were protected from food addiction, while those overexpressing CB2 became vulnerable, identifying a new therapeutic target for compulsive eating.
2023 / / evidenceA Brazilian school prevention program reduced teen alcohol use by changing beliefs about alcohol, but had no effect on marijuana, tobacco, or inhalant use.
2023 / / evidenceCBD dose-dependently reversed anxiety, withdrawal symptoms, and brain gene expression changes during acute alcohol withdrawal in mice, specifically in the nucleus accumbens.
2023 / / evidenceA review maps expanding CB2 receptor drug development from pain/inflammation into CNS disorders, bone disease, and cancer, aided by the recently solved receptor structure.
2023 / / evidenceDaily stress equally escalated cocaine use in male and female rats, with the CB1 receptor antagonist rimonabant reducing intake through sex-specific mechanisms.
2023 / / evidenceMinor cannabinoids CBD, CBG, CBN, and CBC all killed A375 melanoma cells, while CBN uniquely inhibited tyrosinase — the key enzyme in skin pigmentation.
2023 / / evidenceConverting CBD to delta-8 THC produces numerous untested chemical byproducts sold to consumers without quality control, with EVALI cases and ~2% fatality rates reported.
2023 / / evidenceA clinical guide details the rising cannabis toxicity presentations in children (accidental edibles) and adolescents (chronic use/hyperemesis), with practical evaluation and management advice.
2023 / / evidenceIn real-world practice, 75% of refractory epilepsy patients stayed on Epidiolex long-term, with fewer GI and liver side effects than clinical trials and 53% reducing other medications.
2023 / / evidenceFor teen cannabinoid hyperemesis syndrome, benzodiazepines and haloperidol worked better than standard anti-nausea drugs, with minimal side effects in either group.
2023 / / evidenceOf 969 chronic pain patients, 46% currently used cannabinoids with large reported benefits, while 32% never tried them due to clinician hesitancy, illegality, or lack of FDA approval.
2023 / / evidenceAmong 434 Canadian endometriosis patients using an average of 7 alternative therapies, cannabis and heat were rated most effective — but 62% still felt pain was inadequately managed.
2023 / / evidenceCannabis users with heart disease had much higher rates of ventricular tachycardia (48%) than healthy cannabis users (6%), though overall arrhythmia burden was similar to non-using heart patients.
2023 / / evidenceA spectroscopic method classified cannabis chemotypes with 100% accuracy and quantified THC/CBD with HPLC-equivalent precision in under 45 seconds per sample.
2023 / / evidenceThe largest published collection of synthetic cannabinoid drugs was pharmacologically profiled, revealing structure-activity patterns and confirming significant neurotoxicity.
2023 / / evidenceOf 2,133 crash-involved THC-positive drivers in Norway, 84% also tested positive for sedatives, stimulants, or alcohol, complicating cannabis-specific impairment attribution.
2023 / / evidenceA systematic review of patient experiences found medical cannabis users face stigma, administrative hurdles, adverse effects, and dependence fears that shape their treatment experience.
2023 / / evidenceNear-infrared spectroscopy accurately predicted 10 of 12 cannabinoid levels in cannabis flower using a diverse global panel, offering rapid and economical testing.
2023 / / evidencePrenatal alcohol and marijuana exposure predicted distinct patterns of cannabis use transitions from ages 16 to 22, independent of peer and environmental factors.
2023 / / evidenceCBD showed strong synergistic anti-seizure effects when combined with ganaxolone or midazolam in an adult mouse model of refractory focal epilepsy.
2023 / / evidenceMeta-analysis of 14 studies confirms the Marijuana Purchase Task validly measures cannabis reinforcement, with intensity and elasticity as the strongest indicators.
2023 / / evidenceCannabis legalization did not broadly change childhood asthma rates, but recreational legalization states showed increased asthma among teens and minority youth.
2023 / / evidenceTHC-positive psychosis patients in the ER required more restraints and emergency medications but were not more likely to be hospitalized or return within 90 days.
2023 / / evidenceReview covers how cannabis plants produce cannabinoids, their structural classifications, and their therapeutic potential across diseases and antimicrobial applications.
2023 / / evidenceA cross-sectional analysis of US poison center data found that suspected suicidal cannabis exposures increased during the COVID-19 pandemic, reflecting broader trends in both mental health crises and cannabis availability.
2023 / / evidenceGenetic analysis identifies PDE4B and hyaluronidase as drug repurposing targets for cannabis use disorder, with links to immune and inflammatory pathways.
2023 / / evidenceSurvey of 236 IBD patients using medical cannabis found fewer ER visits, reduced symptom impact, and mostly mild side effects like euphoria.
2023 / / evidenceIn a national sample of 1,126 Gulf War veterans, cannabis use was independently associated with suicidal ideation and elevated suicide risk.
2023 / / evidenceLarge survey of nearly 5,000 kratom users finds those with psychiatric conditions report improved mood, often using kratom alongside cannabis and benzodiazepines.
2023 / / evidenceConditional knockout study proves CB2 receptors on peripheral sensory neurons, not immune cells, mediate the anti-pain effects of CB2 agonist LY2828360.
2023 / / evidencePost-legalization survey of 1,496 Canadian students finds rural youth use more cannabis, but driving-after-use patterns vary by province and setting.
2023 / / evidenceReview finds 23% ADHD prevalence in substance use disorder populations, with cannabis as the most common illicit drug used and weak evidence for medical cannabis as treatment.
2023 / / evidenceMouse study finds combined prenatal immune activation and adolescent THC produce subtle brain changes and anxiety behaviors, with sex differences in brain-behavior patterns.
2023 / / evidenceDouble-blind crossover study shows single-dose CBD reduces insula activity during salience processing in early psychosis patients.