PMID- 16317825 OWN - HSR STAT- MEDLINE DCOM- 20051212 LR - 20161124 IS - 1488-6316 (Print) IS - 1488-6316 (Linking) IP - 72 DP - 2005 Sep TI - Sativex for the management of multiple sclerosis symptoms. PG - 1-4 AB - Sativex (R) is a cannabis-based pharmaceutical product containing delta 9-tetrahydrocannabinol (THC) and cannabidiol (CBD) in a 1:1 ratio, delivered in an oromucosal (mouth) spray. It has been approved as adjunctive treatment for neuropathic pain in patients with multiple sclerosis (MS). It is being investigated for the management of other MS symptoms, such as spasticity. THC:CBD spray is regulated as a narcotic. Five randomized controlled trials (RCTs) compared the benefits and harms of THC:CBD spray with placebo. A total of 368 patients with various neurological conditions (including MS) were recruited. In some trials, THC:CBD spray significantly reduced neuropathic pain, spasticity, muscle spasms and sleep disturbances. The most common adverse events (AEs) reported in trials were dizziness, sleepiness, fatigue, feeling of intoxication and a bad taste. Long-term safety and the potential for dependence, abuse, misuse and diversion are unknown. FAU - Perras C AU - Perras C LA - eng PT - Journal Article PL - Canada TA - Issues Emerg Health Technol JT - Issues in emerging health technologies JID - 100886782 RN - 0 (Aerosols) RN - 0 (Analgesics) RN - 0 (Plant Extracts) RN - 19GBJ60SN5 (Cannabidiol) RN - 7J8897W37S (Dronabinol) MH - Administration, Oral MH - Administration, Sublingual MH - Aerosols MH - Analgesics/pharmacology/therapeutic use MH - Canada MH - Cannabidiol/administration & dosage/adverse effects/*therapeutic use MH - Dronabinol/administration & dosage/adverse effects/*therapeutic use MH - Drug Approval MH - Humans MH - Multiple Sclerosis/complications/*drug therapy MH - Muscle Spasticity/drug therapy/etiology MH - Pain/drug therapy/etiology MH - Phytotherapy MH - Plant Extracts/pharmacology/*therapeutic use MH - Randomized Controlled Trials as Topic MH - Sleep Wake Disorders/drug therapy/etiology MH - Tremor/drug therapy/etiology MH - United Kingdom EDAT- 2005/12/02 09:00 MHDA- 2005/12/15 09:00 CRDT- 2005/12/02 09:00 PHST- 2005/12/02 09:00 [pubmed] PHST- 2005/12/15 09:00 [medline] PHST- 2005/12/02 09:00 [entrez] PST - ppublish SO - Issues Emerg Health Technol. 2005 Sep;(72):1-4.