PMID- 28112021 OWN - NLM STAT- MEDLINE DCOM- 20190514 LR - 20190514 IS - 1814-1412 (Electronic) IS - 1562-2975 (Linking) VI - 20 IP - 2 DP - 2019 Feb TI - Is there a role for cannabidiol in psychiatry? PG - 101-116 LID - 10.1080/15622975.2017.1285049 [doi] AB - OBJECTIVES: Understanding whether cannabidiol (CBD) is useful and safe for the treatment of psychiatric disorders is essential to empower psychiatrists and patients to take good clinical decisions. Our aim was to conduct a systematic review regarding the benefits and adverse events (AEs) of CBD in the treatment of schizophrenia, psychotic disorders, anxiety disorders, depression, bipolar disorder and substance-use disorders. METHODS: We conducted a literature search in PubMed, Scielo, and Clinicaltrials.gov databases. Evidence was classified according to the WFSBP task forces standards. RESULTS: Bibliographic research yielded 692 records. After analysis, we included six case reports and seven trials, comprising 201 subjects. Most the studies published presented several drawbacks and did not reach statistical significance. We have not found evidence regarding major depressive and bipolar disorders. The level of evidence for cannabis withdrawal is B; cannabis addiction is C2; treatment of positive symptoms in schizophrenia and anxiety in social anxiety disorder is C1. Discrete or no AEs were reported. The most frequently reported AEs are sedation and dizziness. CONCLUSIONS: The evidence regarding efficacy and safety of CBD in psychiatry is still scarce. Further larger well-designed randomised controlled trials are required to assess the effects of CBD in psychiatric disorders. FAU - Khoury, Julia Machado AU - Khoury JM AUID- ORCID: 0000-0001-8842-4972 AD - a Department of Mental Health , Federal University of Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. AD - b Postgraduation Program in Molecular Medicine , School of Medicine, Universidade Federal de Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. FAU - Neves, Maila de Castro Lourenco das AU - Neves MCLD AUID- ORCID: 0000-0003-4125-3736 AD - a Department of Mental Health , Federal University of Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. FAU - Roque, Marco Antonio Valente AU - Roque MAV AUID- ORCID: 0000-0003-2282-5647 AD - a Department of Mental Health , Federal University of Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. FAU - Queiroz, Daniela Alves de Brito AU - Queiroz DAB AUID- ORCID: 0000-0003-3671-397X AD - a Department of Mental Health , Federal University of Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. FAU - Correa de Freitas, Andre Augusto AU - Correa de Freitas AA AUID- ORCID: 0000-0001-9907-3645 AD - a Department of Mental Health , Federal University of Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. FAU - de Fatima, Angelo AU - de Fatima A AUID- ORCID: 0000-0003-2344-5590 AD - c Department of Chemistry , Universidade Federal de Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. FAU - Moreira, Fabricio A AU - Moreira FA AUID- ORCID: 0000-0002-0824-7302 AD - d Department of Pharmacology, Institute of Biological Sciences , Universidade Federal de Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. FAU - Garcia, Frederico Duarte AU - Garcia FD AUID- ORCID: 0000-0003-1926-9053 AD - a Department of Mental Health , Federal University of Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. AD - b Postgraduation Program in Molecular Medicine , School of Medicine, Universidade Federal de Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. AD - e INCT de Medicina Molecular, Universidade Federal de Minas Gerais (UFMG) , Belo Horizonte , MG , Brazil. AD - f Unite Inserm U1073 , Rouen , France. LA - eng PT - Journal Article PT - Systematic Review DEP - 20170220 PL - England TA - World J Biol Psychiatry JT - The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry JID - 101120023 RN - 19GBJ60SN5 (Cannabidiol) SB - IM MH - Cannabidiol/adverse effects/*pharmacology/*therapeutic use MH - Humans MH - Mental Disorders/*drug therapy OTO - NOTNLM OT - Cannabidiol OT - adverse effects OT - pharmacotherapy OT - psychiatric disorders OT - psychiatry EDAT- 2017/01/24 06:00 MHDA- 2019/05/15 06:00 CRDT- 2017/01/24 06:00 PHST- 2017/01/24 06:00 [pubmed] PHST- 2019/05/15 06:00 [medline] PHST- 2017/01/24 06:00 [entrez] AID - 10.1080/15622975.2017.1285049 [doi] PST - ppublish SO - World J Biol Psychiatry. 2019 Feb;20(2):101-116. doi: 10.1080/15622975.2017.1285049. Epub 2017 Feb 20.